Foster Volunteer Application CommentsThis field is for validation purposes and should be left unchanged.Personal InformationName* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Home PhoneCell Phone*Email* PAWS uses e-mail as our primary means of communicating with volunteers. Please fill out your most frequently used e-mail address.Age* Under 18 Date of Birth Are you Employed?* Yes No Occupation*How many hours do you spend away from home on an average work day?*Emergency Contact Name* First Last Emergency Contact Phone*Emergency Contact Relationship*Foster InformationCan you commit to being a foster parent for at least six months?* Yes No Have you fostered before?* Yes No For which organization?What animals did you foster?Do you have any conditions that may affect your foster work?* Yes No Please Explain*Do you have access to a vehicle?* Yes No How do you intend to transport the animal to and from the Society and/or veterinary clinics, especially in the case of medical emergency?*Your HomeDo You...* Own Rent Does your landlord support your participation in the foster program?* Yes No Do you have access to a yard?* Yes No Does your home have stairs?* Yes No How many members are in your household?*How many are children (under 18)?*During what hours is someone in your household at home?*Does everyone in your home support your participation in the foster program?* Yes No Will you allow a home visit to ensure that your home is appropriate for fostering?* Yes No Do you or any members of your household have any allergies to animals?* Yes No Please Explain*Do you or any members of your household have a fear of any animals?* Yes No Please Explain*Animal ExperienceHave you ever owned a pet before?* Yes No What kind of pet(s)? Please Describe*Were you the primary caregiver for your previous pets?* Yes No How long did you own the pets?*Where was your animal housed?* Indoors Outdoors Both Where did you get your animal from?*Have you ever surrendered or given away any animals?* Yes No Why?*Was your previous pet spayed/neutered?* Yes No What behaviour are you not able to accept from a pet?*What will you do if this type of behaviour surfaces?*How will you let the pet know s/he is doing something wrong?*Do you currently have pets in your home?* Yes No Please list: number, species, ages and sex of pets*Foster Animal NeedsWhat do you consider a medical emergency needing immediate attention?*Who is your regular veterinarian?*Are the vaccinations for your pets up-to-date?* Yes No How will you introduce your current pets to the new foster animal? Please explain*Do you have an area where the foster animal(s) can be isolated from your own pets if necessary? Please DescribePlease outline any experience in animal care that may be useful to your work as a foster parentAre you comfortable administering medication (with instruction from our veterinary staff)?:* Yes No Untitled First Choice Second Choice Third Choice In completing and submitting this application, I understand and agree to the following: I understand that where my volunteer work involves contact of any kind with animals, there is a risk that I may be scratched, bitten, or may come into contact with a diseased animal. I agree to release and hold harmless the Pemberton Animal Well-Being Society and its volunteers from any and all liability for any damage or injury, whether arising from this contract or a breach thereof or from any act of negligence or gross negligence by the Pemberton Animal Well-Being Society, or its volunteers. I understand that it is my responsibility to acknowledge and respect all rules, regulations, practices, procedures and policies or activities of the Pemberton Animal Well-Being Society. I recognize that as a volunteer it is my responsibility to ensure that appropriate education and training has been supplied to me, and I am comfortable with my role, before I commence duties in any department. If I fail to abide by the terms of this agreement or am otherwise unable to meet the program requirements, I may be terminated from the volunteer program. I understand that I may at any time with or without cause be removed from my position as a volunteer at the sole discretion of the Pemberton Animal Well-Being Society. I understand that it is my responsibility to ensure I, and any member of my household who will be in contact with Society animals, are properly vaccinated at all times while I am performing volunteer work for the Pemberton Animal Well-Being Society.Which of the following are you able to foster:* Kittens Cats Puppies Adult Dogs Seniors Δ