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Process
Type
Contact / Demographic Information
First Name
Last Name
Address
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Primary Phone
Email
Secondary Phone
What is the best method to reach you?
Please select...
Email
Phone Call
Spouse / Partner / Roommate on Record (If Applicable)
Emergency Contact Name (someone who does not live in your home)
Emergency Contact Phone
Can you confirm that you are 18 years or older?
Yes
No
Are you able to provide proof of address (i.e., Government ID, Piece of Mail)?
Yes
No
Which best describes your current employment or educational status?
Please select...
Employed
Unemployed
Retired
Student
What is your occupation?
What is the location of your employment?
Please provide the preferred contact for employment or student verification.
What is your primary method of transportation?
Please select...
Car - You have reliable access to a car (Your own or family / friend)
Taxi / Rideshare - You do not have reliable access to a car, but can use a taxi or rideshare
I do not currently have access to non-public transportation (Rely on Bus, Train, etc.)
In the event of an emergency between the hours of 8am-5pm, do you agree to bring the foster animal to the PAWS Chicago Medical Center (3516 W. 26th Street)?
Yes
No
In the event of a overnight medical emergency between the hours of 5pm-8am, please select the closest PAWS approved foster veterinarian to your place of residence:
Please select...
Veterinary Emergency Group – 1114 South Clinton St., Unit B Chicago, IL 6067
Veterinary Emergency Group – 755 W North Ave Chicago, IL
Have you or anyone living in your home ever been convicted of a violent felony?
Yes
No
Foster Preferences
Which PAWS locations would you consider Fostering from?
Please select...
Medical Center (3516 W. 26th St.)
Lincoln Park Adoption Center (1997 N Clybourn)
Both of the above
Neither of the above
What type(s) of animal(s) are you interested in Fostering?
Dogs
Puppies
Cats
Kittens
While keeping them separate from your resident animals, how many PAWS animals can you foster at one time?
Please select...
1
2 to 3
4 or more
Are you available for checkup and drop off appointments scheduled at our medical center (3516 W. 26th St.)?
Yes
No
In regard to animal recovery and management, which of the following conditions do you have interest or experience in?
Upper Respiratory type infections
Gastrointestinal type infections
Ringworm
Heartworm
Physical Therapy
Blindness
Deafness
Intestinal Parasites
Orthopaedic injury and recovery
Panleukopenia
Parvovirus
Socialization
Post surgery recovery
Indirect and direct exposure to illness
Chronic Illness (Kidney, Diabetes, etc.)
Puppies /kittens needing to gain weight
Nursing mom and litter
Bottle Feeding
Foster of animals waiting on a procedure
Temporary foster of healthy animals
Pregnant cats/dogs
None of these
Was this experience learned through PAWS Chicago?
Yes
No
I don't have experience, but I'm interested in learning more
Please explain your experience with the selected category(ies) and where you learned it:
Which of the following treatment and care do you have experience in or are willing to learn?
Oral medications
Topical medications
Eye/ear medications
Injections such as insulin
Post operation care
Management of incontinence
Management of reduced mobility (including navigation or avoidance of stairs)
Physical Therapy / post orthopaedic care
Subcutaneous fluids
None of these
Was this experience learned through PAWS Chicago?
Yes
No
I don't have experience, but I'm interested in learning more
Please explain your experience with the selected category(ies) and where you learned it:
Some of our foster animals require certain lifestyles (single family home, no children, or only pet in the house) and/or have environment management needs (separation anxiety, resource guarding, shy/fearful) that require specific approaches. Would you be interested in fostering a dog or cat with some of those needs?
Yes
No
Great! Please select all that apply to you:
I live in a single family home, no children, no pets, and a backyard
I have no children or kids that visit
I have no resident pets
I am patient and able to help a shy animal become more comfortable by giving it time to come out of it's shell
I work from home and are able to be at home to avoid leaving the animal that has separation anxiety and needs constant companionship alone.
I have experience with resource guarding and can provide an environment suitable to an animal that likes their things to themselves only (i.e. food, bedding, toys)
Have you ever worked with animals requiring special care / needs?
Yes
No
Please elaborate:
Would you be interested in learning more on how to manage animals with special care/needs?
Yes
No
Have you or do you foster with other organizations outside of PAWS Chicago?
Yes
No
Which ones?
People in Home
How many adults (18 years or older) including yourself are in your home?
Please select...
1
2
3
4
5
6
7
8
9
10
How many minors (under 18) are living in the home?
Please select...
0
1
2
3
4
5
6
7
8
9
10
Please indicate their ages (eg, 3, 7, 8):
Which best describes how often someone is home?
Please select...
Someone is always home
Away for 30 - 60 minutes at a time
Often away for 2 - 3 hours
Often away for 4 - 6 hours
Mostly away (more than 6 hours)
Is anyone with frequent contact or proximity to the dogs or cats allergic?
Please select...
Dog Allergy
Cat Allergy
Dog and Cat Allergies
No Dog or Cat Allergies
Please explain severity and management:
Has the entire household been informed of the desire to foster a pet and all are in agreement?
Yes
No
Home Environment
What is your housing status?
Home Owner
Renter
Other
Please provide the name and contact information for your landlord:
Please describe your housing status:
Which best describes your home floorplan?
Please select...
Multiple levels with stairs
Single level with no stairs
Which best describes your home?
Please select...
House with a 6-foot or higher fence
House with a yard and short or no fence
Multi-family building with 6 foot or higher fence
Multi-family building with short or no fence
Is the primary entry/exit to the building shared?
Yes
No
Is there a shared elevator?
Yes
No
Where do you plan to house your Foster animal when you are at home?
Crated
Bathroom
Spare Bedroom/ Office
Loose in the Home
Other
Please describe 'Other':
Where do you plan to house your Foster animal when you are not home?
Crated
Bathroom
Spare Bedroom/ Office
Loose in the Home
Other
Please describe 'Other':
Resident Pet & Vet Information
Please select the number of dogs residing in your home full-time:
Please select...
0
1
2
3
4
5
6
7
8
9
10
Please select the number of cats residing in your home full-time:
Please select...
0
1
2
3
4
5
6
7
8
9
10
Do you agree to keep single vaccinated foster pets separate from any resident animals?
Yes
No
Do you currently or have you previously had any pets in the last 10 years?
Yes
No
Please provide the following information for each pet (including current resident pets): Name, breed, age, gender, and where are they now:
Optional Feedback
How did you hear about us?
Please select...
PAWS Chicago Website
I've previously fostered from PAWS
I've previously adopted from PAWS
I am a current volunteer or have previously volunteered for PAWS
I attended a PAWS event (i.e., Adoption, Fur Ball, 5K Run / Walk)
I saw a story about PAWS on the news or social media
Your insight is incredibly valuable, do you have any feedback on our foster program?
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