Thank you for expressing an interest in fostering a Golden Oldies cat. This application is designed to help us make the best placement possible – the right foster home for each cat and the right cat for your home. In order to be considered for fostering, you must be at least 18 years of age and be willing and able to provide a stable home environment.Personal InformationName* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican 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 RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussian FederationRwandaRéunionSaint 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 TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* PhoneCell*WorkResidence* House Apartment Condo Mobile Home W/ParentsHow long at present address?** Own? Rent?Landlord’s Name*Landlord's Phone Number*Do you consent to having your home checked by Golden Oldies to ensure it is a safe place for the type of cat you are considering fostering?* Yes NoNo. of adults?*No. of children?*Ages of children*Do all members of your household favor this type of animal?* Yes NoDo any members of your household have allergies to animals?* Yes NoWho will be the primary caretaker?*Do you have access to a yard?* Yes NoIs it fenced?* Yes NoHeight?*Material?*What type of animals live in your home? Type/breed, age, sex, altered?*What other animals have you had in the past five years? Type/breed, sex, altered, how long were they with you?*Do you have experience caring for* Dogs Cats OtherWhere will the cat be kept during the day?*At night?*How many hours per day will the cat be left alone?*How long do you expect it to take for a cat to become adjusted to your household?*If the cat exhibits behavioral problems, what will you do to correct the problem?*If this cat were lost, what would you do?*If the cat needed to be transported to a vet appointment or other location, what would you do?*Are you able to handle bags of litter, maintain litter pans, and provide the daily care a cat may require (e.g., brushing, eating, being lifted, etc.)?* Yes NoI certify that all information in this application is true and I understand that false information may void the application.Printed name of applicant*Date* MM slash DD slash YYYY Δ
