Foster Saves Lives

Apply to be a NMPR foster below.

I understand that NMP Rescue is very concerned about the security and safety of my foster animal and all the animals in its custody, as well as its ability to keep track of all animals rescued. I understand NMP Rescue will not share this information for any reasons not connected to the foster care program or applicable lawsuits.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Social Security Number

Driver License Number

State Insured

Name of Employer

First Name

Last Name

Position

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Length of time with employer

Number of pets you can foster

I have a preference for a specific animal:

Please list their name/s below

If any of the animals I specified are unavailable, I am open to substitution

Restrictions on the type of animal I can foster (For example, "No dogs over 30 IDS", "Only adult cats", etc.)

Where will foster animals sleep at night?

Where will foster animals stay during the day when you ARE home

Where will foster animals stay during the day when you are NOT home?

Do you own or rent you home?

Are you permitted to bring an animal(s) into your dwelling

If applicable: Landlord's name

First Name

Last Name

Landlord Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Length of time at this residence

Do you have a fenced yard?

If yes, height of fence, material it is made of, if there is a gate and if it is locked.

Number of companion currently at your home

Pet/s Info

Name/s Age/s Species Breed (dogs only) Gender

Currently resides in your home?

Lived in your home in the last 5 years, but no longer with you.

hat happened to him/her?

Spayed/Neutered?

Have you bred this animal in the past?

Are you currently breeding this animal?

Have you had elective surgery performed on this animal?

Cat Declawed?

Dog Debarked?

Other elective surgery

Where did this animal come from?

Percentage of time he/she spends outside

Where does he/she sleep at night?

Where does he/she stay during the day when you ARE home?

Where does he/she stay during the day when you ARE NOT home?

Vaccinations

Vaccination Administered & Date (please list all)

The name of the veterinarian(s) I use for my companion animals is (if more than one, please list all veterinarians consulted in the last 5 years)

List the: name, clinic name, phone, address, client for how many years, records are under the name of who. Please list all that apply

Family Members

List all the people living in the house and/or who have regular contact with my animal(s) and their relationship to me (include family, friends, domestic employees, etc.):

Do you have children living in your home?

If yes, what are their ages?

References

List two references - people who know me (but are not related to me) and my companion animals and have been to my home recently:

Text Area

I understand a NMP Rescue director may visit my home for a home inspection before my foster application is approved. I understand that if I am approved for fostering, I will also need to carefully read the "Foster Care Agreement," which is a separate document from the "Foster Application." The Foster Care Agreement represents the legal contract between a foster caregiver and No More Pain Rescue. I understand that if I am approved to foster an animal, I must review the Foster Care Agreement before I can take my foster animal home. I further understand that I will be asked to agree to the terms of the Agreement and sign the Agreement before I can take my foster animal home. I have read this application in its entirety, and I agree that all statements contained in this document are made by me, and are truthful. I make this statement under penalty of perjury under the laws of the state of New Jersey.