The 
Animal Protection& Education Charity

Phone: 515.460.SPAY
E-mail: united4ape@hotmail.com

PO Box 65
Paton, IA  50217

 www.goape.info

A.P.E. QUESTIONNAIRE FOR FOSTERING

A.P.E. is dedicated to helping animals; this includes placing unwanted pets in caring, responsible homes.  This questionnaire has been designed to help us determine whether fostering is in the best interest of both pet and adopter.

Cat(s) of Interest (name of pet from Petfinder.com or certain breed/color/sex request):  __________________________

__________________________________________________________________________________________________

Section I

Name:  ___________________________________________________________________________________________

Address:  _________________________________________________________________________________________

City/State/Zip:  ____________________________________________________________________________________	

Phone Number:  ________________________________	Cell Number:  ___________________________________		
Email Address:  ____________________________________________________________________________________

Are you employed?  □Yes     		□No:      ○student  	○retired  	○other

Type of Residence:   □House     	□Condo		□Apartment	□Mobile Home	□Other  __________________
Do you:     □Own	□Rent
		If you rent, does your landlord allow pets?  □Yes	□No
		Landlord’s Name:  ________________________________________  Phone:  ___________________________
				(This information will be verified by an A.P.E. representative.)

Do you plan to move in the near future?    □Yes	□No
Are other family members aware you plan to foster  a pet?      □Yes	    □No

Section II

Number of Adults in Household:  __________   	Number of Children in Household:  __________
		
	Ages of Children:  __________, __________, __________, __________

Do you have pets now?  □Yes	□No 
	          If yes, how many:  □Dogs:  __________	   □Cats:  __________	□Other:  __________

If you have pets, how many are spayed/neutered?  __________	Current on shots?  __________

What kind of pets have you had in the past? __________________________________________________________

What happened to your last pet?  __________________________________________________________________

Have you ever lost a pet to:          □Poisoning	□Hit by a car		□Disease		□Strayed
	                                              □Stolen		□Old Age		□Other:  ________________________

Have you ever had to give up a pet?  □Yes	        □No
	If yes, why?____________________________________________________________________________________

If you move in the future, will you be able to keep your pet(s)?     □Yes	□No

Are you aware of,  and  prepared to meet the cost of and food and supplies (these are not always available via donations)?  □Yes	□No
     						
Is anyone in your family allergic to any pets?  □Yes    If yes, what kind of animals?  □No  

Who is your present vet?  ____________________________________  Phone:  _____________________________

Section III

Will your foster pet live:   □Inside	□Outside
		If inside, how do you plan to house/ litter train? ________________________________________________________ 
		If outside, how will it be confined? __________________________________________________________________
		What kind of shelter do you have? __________________________________________________________________
		
Do you feel willing and able to work with your foster pet, and correct problem behavior if it should develop, like refusal to use the litterbox, destructive clawing, jumping on cupboards and tables, digging in/eating plants / Barking, destructive clawing, jumping, and digging?
		 □Yes	     □No

What are your ideas for dealing with such behavior?  Please note that not all problem behavior can be corrected but most behavior can be with patience, perseverance, and expert help, if needed.  ____________________________________________________
__________________________________________________________________________________________________

Do you have any poisonous or toxic plants, like ivy, philodendron, or poinsettia, in your house?          □Yes	     □No
		If yes, will you be willing to place out of reach or remove these plants from your home?   □Yes	     □No

Who will be responsible for your new foster pet’s care?  ______________________________________________________

How many hours a day will your foster pet be alone?  __________	Number of days a week?  __________

Where will your foster pet be kept when left alone?  _________________________________________________________

NOTE:  If your foster pet will be wearing a collar, please be sure to use a safety type collar that will either easily break off or expand to slip over the head should your cat become caught on something.  We do not allow pinch or choke collars.

Are you prepared to give your foster pet plenty of time to adjust to its new home?  We encourage the 2-day, 2-week timeframe.  It will take your foster pet approximately 2 days to become familiar with the new home and 2 weeks to become comfortable with the family and other pets.  Will you give your new foster pet this time?  □Yes	     □No

Would you consider foster more than one pet for companionship, especially if there is often no one at home?  □Yes	     □No

Foster homes are required to have their foster pet weighed at a participating vet every six weeks.  Do you understand this requirement?
	□Yes	     □No

Foster homes are required to participate in adoption events once per month for a minimum of two hours (typically on a weekend  at a participating PetCo or PetSmart).  Do you understand this requirement? 	 □Yes	 □No

Section IV

I certify that the information I have given is true and authorize investigation of all statements made above.  

I understand that A.P.E. has the right to refuse any request for adoption.

__________________________________________________________		_________________________
ADOPTER								DATE