ࡱ>    !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJRoot Entry`2UWorkbook D                + ) , *      @ @@ @ @     @       @ @  @ @ @ @ @@@ @  @@  @   @  @@  @  @  @   @  @@   @  @   @ @  @  @@  @   @  @ @  @  D  @D  @@D  @D  @ D   D   @D   D   D  @ D `Sheet1Sheet2+Sheet3   r  dMbP?_*+%&?'?(?)?"??M oUr""@"@""J@" "@" "@"  "@ "  "@ "  "@""@""i@""K@"-@"""""@""@"""@"# 7NATIONAL ALL ANIMAL LEAGUE  APPLICATION TO FOSTERiK`Please answer all questions on front and back. Applications that are incomplete may be returned. )Name:''''$$' ' '   $'*'Spouse:''''''$$$$$$ $!%      !" Occupation:##### # #     \pMS Works Ba==:#8X@"1Arial1Arial1Arial1Arial1Arial1 Arial1 Arial1 Arial1 Arial1 Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_) 0.00.0000.00000.000000.000000 0.00000000E+000.0E+00 0.000E+00 0.0000E+00 0.00000E+00 0.000000E+00 0.0000000E+001$#,##0.0_);($#,##0.0\)9$#,##0.000_);($#,##0.000\)=$#,##0.0000_);($#,##0.0000\)A$#,##0.00000_);($#,##0.00000\)E $#,##0.000000_);($#,##0.000000\)I"$#,##0.0000000_);($#,##0.0000000\) 0.0%0.000%0.0000%0.00000% 0.000000% 0.0000000%#,##0.0 #,##0.000 #,##0.0000 #,##0.00000 #,##0.000000 #,##0.0000000 d\-mmm\-yy mmmm d, yyyy m/d m/yy mmmm, yyyymmmm dd mmm mmmm dd dddd yy yyyy 00 000 000000000000000000000000000000#\ ?/2#\ ?/3#\ ?/4#\ ?/8#\ ?/10#\ ?/16#\ ?/32#\ ?/100=$#,##0.0_);[Red]\($#,##0.0\)E $#,##0.000_);[Red]\($#,##0.000\)I"$#,##0.0000_);[Red]\($#,##0.0000\)M$$#,##0.00000_);[Red]\($#,##0.00000\)Q&$#,##0.000000_);[Red]\($#,##0.000000\)U($#,##0.0000000_);[Red]\($#,##0.0000000\)9#,##0.0_);[Red]\(#,##0.0\)A#,##0.000_);[Red]\(#,##0.000\)E #,##0.0000_);[Red]\(#,##0.0000\)I"#,##0.00000_);[Red]\(#,##0.00000\)M$#,##0.000000_);[Red]\(#,##0.000000\)Q&#,##0.0000000_);[Red]\(#,##0.0000000\) #\ ??/???) #,##0_);( #,##0\)1 #,##0.0_);( #,##0.0\)5 #,##0.00_);( #,##0.00\)9 #,##0.000_);( #,##0.000\)= #,##0.0000_);( #,##0.0000\)A #,##0.00000_);( #,##0.00000\)E  #,##0.000000_);( #,##0.000000\)I" #,##0.0000000_);( #,##0.0000000\)5 #,##0_);[Red]\( #,##0\)= #,##0.0_);[Red]\( #,##0.0\)A #,##0.00_);[Red]\( #,##0.00\)E  #,##0.000_);[Red]\( #,##0.000\)I" #,##0.0000_);[Red]\( #,##0.0000\)M$ #,##0.00000_);[Red]\( #,##0.00000\)Q& #,##0.000000_);[Red]\( #,##0.000000\)U( #,##0.0000000_);[Red]\( #,##0.0000000\) #+# Occupation:######!!  !)Address:''''$$' ' '   '''$#+#E-mail:######!!                              ! "City: # # #  $ $   + " State/Zip: # #   # +" #How long at this address? # # # # # + !!                        ! )Phone: ' ' ' # ' ' '    ' ' $ # + #Drivers # # # # # # !! 9(Home) :        :(Work) :        License#              !E<Have you ever been charged with an Animal Control violation?     When? !      !What were the charges?      !      !"Do you breed any animals?      !      !/0001000 0 0 0 0 02ABOUT YOUR HOME01000600100010000 0!3Type:House( Mobile Home &  Apartment(Do you: Own( Rent( !/ If you rent:0000000 0 0 0 0 0000010000000000000 0!3Managers Name:Phone#!!Address:     City: State/Zip: !!4Other Occupants:1111111 1 1 1 1 1111111111111111111 1!5Adults# Children#    Age(s):  ! !4 Your Yard:1111111 1 1 1 1 1111111111111111111 1!5 "!"""@#"<@$"%"&"'"i@(")"x@*"+"i@,"-"Z@."/"i@0"<@1"2"3"x@4"5"@6"<@7"8"9"i@:";"x@<"="Z@>"?" Size:     Is yard fenced:     No (  All (   Partially   (  Size of fenced area:           !!If All/Partially:!!!!!Type of fence:!!! ! ! ! ! !!!!!!!Height:!!!!!!Is there a locking gate:!!!!!!! !!""""""""" " " " " """"""""""""""""""" "!$;$6$6$6$6$6$6$6$ 6$ 6$ 6$ 6$ 6$6$6 $<PETS$6$6$6$6$6$6$6$6$6$6$6$6$6$6$6$ 6$!= %Type%%%% %Size% %Age%  % Sex% % Spayed/Neutered% %%%%Licensed%%%Up To Date Vaccines%%%%%"%On Heartworm Preventative%%%%%% %!&&&& & &&&&!''''''''' ' ' ' ' ''''''''''''''''''' '!(((( ( ((((!))))))))) ) ) ) ) ))))))))))))))))))) )!**** * ****!+++++++++ + + + + +++++++++++++++++++ +!,,,, , ,,,,!--------- - - - - ------------------- -!.... . ....!//// / ////!000000000 0 0 0 0 0000000000000000000 0!1/101010101010101 01 01 01 01 01012 VETERINARIAN101010101010101010101010101010101 01!32Name:22Phone#2!333!4Address:44444444 4 4 4 4 444City:444444444 State/Zip444444 4!555555555 5 5 5 5 5555555555555555555 5!7/707070707070707 07 07 07 07 07072 FOSTER CARE727272727070707070707070707070707 07!3*8!Have you done foster care before?8 8When:8!99 9!%:Are you currently fostering::::::::: : : : : : With who::::::::::::::::::: :!;;;;;;;;; ; ; ; ; ;;;;;;;;;;;;;;;;;; ;! <Where will pet be kept?<<<<<< <Day:< < < < < <<<<<<<Night:<<<<<<<<<<<< <!========= = = = = ================== =!3>,*How many hours will pet be alone each day?>->->->->->->-> > -> -> ->  >-0-4>(>- >4-8>(>- >-8-12>->(>->-12-16>->(>->-More:>->->-> ->!.?, Do you have:?-?-?-?- Dog House?-?-?-? 8? -? -Crate? -? 8?- ?-Cage?-?8?-?- Litter Box?-?-?8?-?-Other:?-?-?-?-?-?-?-? -?!.@"#A"B"C"D"E"F"x@G"H"x@I"J"@K"L"@M"N"-@O"P"@Q"@R"@S"@T"@U"@V"i@W"-@X"Y"Z"["\"]"-@^"_"R@IAre you able to keep fostered pets seperate from other pets if necessary?@@!PAGAre you familiar with the possible behavior problems with rescued pets?AAAAAAAA A A A A AAAAAAAAAAAAAAAAAAA A!KB,BWill you work with your fostered pet to correct behavior problems?B-B-B-B-B-B-B-B -B -B -B -B -B-B-B-B-B-B-B-B.B-B-B-B-B-B-B-B-B-B-B -B!.GC>Have you taken any related obediance/training or care classes?CC!D, Type Of ClassD-D-D-D-D-D-D-D -D -D -D -D -D-D-D-D-D-D-D-DD-D.D-D-D-D- When TakenD-D-D-D-D -D!.EEEEEEEEE E E E E EEEEEEEEEEEEEEEEEEE E!FFFFFFFFF F F F F FFFFFFFFFFFFFFFFFFF F!GGG!HHHHHHHHH H H H H HHHHHHHHHHHHHHHHHHH H!III!JJJJJJJJJ J J J J JJJJJJJJJJJJJJJJJJJ J!#KWhy do you want to foster?KKKKKKKK K K K K KKKKKKKKKKKKKKKKKKK K!LLLLLLLLL L L L L LLLLLLLLLLLLLLLLLLL L!M,M-M-M-M-M-M-M-M -M -M -M -M -M-M-M-M-M-M-M-M-M-M-M-M-M-M-M-M-M-M-M -M!.NNNNNNNNN N N N N NNNNNNNNNNNNNNNNNNN N!O;O6O6O?O?O?O?O?O ?O ?O ?O ?O ?O1O1O@ REFERENCESO6O6O6O6O6O?O?O?O?O?O?O?O?O?O?O ?O!=PName:PPP-P-P-P-P-P -P -P -P -P -P-P-P-PPPPhone#PPP-P-P-P-P-P-P-P-P-P-P -P!QAddress:QQQQQQQQ Q Q Q Q QQQQCity:QQQQQQQQState:QQQ QZip:QQQ Q!RName:RRR-R-R-R-R-R -R -R -R -R -R-R-R-RRRPhone#RRR-R-R-R-R-R-R-RR-R-R -R!SAddress:SSSSSSSS S S S S SSSSCity:SSSSSSSSState:SSS SZip:SSS S!TName:TTT-T-T-T-T-T -T -T -T -T -T-T-T-TTTPhone#TTT-T-T-T-T-T-T-TT-T-T -T!UAddress:UUUUUUUU U U U U UUUUCity:UUUUUUUUState:UUU UZip:UUU U!VVVVVVVVV V V V V VVVVVVVVVVVVVVVVVVV V!XXXXXXXXX X X X X XXXXXXXXXXXXXXXXXXX X!Y>Applicants Signature:YY Y Y Y Y YYYYYYYYYDate:YYYYYYYY!ZZ![>Spouses Signature:[[ [ [ [ [ [[[[[[[[[Date:[[[[[[[[!\\\\\\\\\ \ \ \ \ \\\\\\\\\\\\\\\\\\\ \!^CStaff Use Only^B^B^B^B^B^B^B^ B^ B^ B^ B^ B^B^B^B^B^B^B^B^B^B^B^B^B^B^B^B^B^B^B^ B^!G_DHome Visit By:_A_A_A_A_A_A_A_ A_ A_ A_ A_ A_A_A_A_A_A_A_A_A_A_A_ADate:_A_A_A_A_A_A_A_ A_!H`"a"b"c"d"e"f"g"h"i"j"k"l"m"n"o"p"q"`D Vet Check By:`A`A`A`A`A`J`J` J` J` J` J` J`J`J`J`J`J`J`J`J`J`A`ADate:`A`J`J`J`J`J`J` J`!HaDRefference Check By:aAaAaAaAaAaJaJa Ja Ja Ja Ja JaJaJaJaJaJaJaJaJaJaAaADate:aAaJaJaJaJaJaJa Ja!HbD Approved By:bAbAbAbAbAbJbJb Jb Jb Jb Jb JbJbJbJbJbJbJbJbJbJbAbADate:bAbJbJbJbJbJbJb Jb!HcDOrientation By:cAcAcAcAcAcJcJc Jc Jc Jc Jc JcJcJcJcJcJcJcJcJcJcAcADate:cAcJcJcJcJcJcJc Jc!HdEdFdFdFdFdFdJdJd Jd Jd Jd Jd JdJdJdJdJdJdJdJdJdJdFdFdFdFdFdFdFdFdFd Fd!I>$$$   r  dMbP?_*+%&?'?(?)?"??M oUr">$$$   r  dMbP?_*+%&?'?(?)?"??M oUr">$$$