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Carers Application

Online Carer Application Form

The online form will be sent to us automaticallywhen you have finished…

Dated:


Your Name:

Your Name, in three parts:

First Name:

Middle Names:

No Middle Names ? Then Skip to the Last Name !

Last Name:


Home Visit

Can We Visit You ?

Would you be willing to allow a representative from Furmentality Inc. to make a home visit at a mutually convenient time?

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Your Details

Your Details


Address:


Phone Number:


eMail:


Your Age:

You will be required to produce a Copy of Your ID, at a later stage.


Police Clearance/Ochre Card:

Do you have a Police Clearance/Ochre Card ?

The cost of $75.00 will be paid by Furmentality inc.


Carer Styles:

Which of the Following Carer Styles are you comfortable with ? You can Tick One or Both.


Children And Family:

List the ages of your Children:

Tell us about any concerns that You have about children being with animals ?

Are ALL the members of your household Agreeable to having Foster Animals ?

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Experience:

Experience


Have you ever been a Pet Foster Carer in the past ?

If Yes, then please give us details of your Experience as a Pet Foster Carer:


What was this experience like for you ?


What previous experience have you had with animals ?

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Accommodation

Accommodation


Residence

Do you live in an apartment or a house?


What Permissions do you have to Keep Animals at Home ?


Space For Animals


How Big is Your Yard ?

What is the Height of your Fence ?

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Your Pets at Home

Pets


Your Pets

Do you currently have pets living in your household?


List ALL of the pets living in your household. Include their Size, and if they are Desexed, or not.

For Example:

Dog - Large - Desexed

Dog - Small - Not Desexed

Cat - Tiny - Not Desexed


Concerns

Please tell us of ANY Concerns that you may have about how your pet would tolerate another animal.


Contagions

Have you ever had any contagious illnesses in your home – including Ringworm or Parvo

If Yes, then please describe

  • Which Pet,

  • What your pet had, and

  • Anything else that occurred.


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Fostering


Preferences

Please Select Your Animal Preferences:

Tell us of any other Pets that you Prefer, or any that you Refuse To Be Near:


Transport

Are you able to transport your foster pet to and from the vet in an emergency ?


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The Fostered Pet

The Fostered Pet

Please be aware that cats and kittens are to be kept indoors at all times


Going Out ?

Where would you keep your foster pet/s when you are at home ?

Where would you keep your foster pet/s when you are NOT at home ?


Shelter Outside

If your foster dog is to be kept outside, what type of shelter and/or shading will be available ?


Home Time

Excluding night-time sleeping hours::

How many Hours will you spend at home with your foster animal ?

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Negatives

Negatives


Please Paws and Catemplate...

Have you considered the negative aspects of fostering animals ?

These can include:

🔴 Destruction of property,

🔴 Regular feeds,

🔴 Mess in the home,

🔴 Disrupted sleep,

🔴 etc. etc

Click To Continue…➡️

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Allow A Home Visit ?

Home Visit

Can We Visit You ?

Would you be willing to allow a representative from Furmentality Inc. to make a home visit at a mutually convenient time?

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When would you be available ?

Availability

Which Days ?

Which Days would you be available ?

Start Date:

From what Date would you be available ?

Duration:

How Long would you be available for, at any one time ? (Maximum: 2 Weeks)

Emergencies:

Would you be available At Short Notice, in an Emergency ?

Forward Notice:

How much Notice would you need to take on a Pet ?

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Agreement between [Name-1] [Name-2] [Name-3] And Furmentality.

Dated:

Agreement

  1. A number of animal diseases can be zoonotic (can also cause disease in humans). These diseases are much more severe or even deadly in immunocompromised people. People at increased risk include people with HIV/AIDS, people on Chemotherapy or being treated for immune mediated disease, people with bone marrow transplants, the elderly, the very young, pregnant women, and people with chronic diseases. If you or a member of your household suspect that you may be at increased risk, please discuss with your doctor before fostering an animal.*

  2. I will not hold Furmentality Inc. liable for any injuries I, or members of my household/family, may suffer or any damage to property I, or others, may incur caused by the animal I am fostering.

  3. I will keep the animal under control at all times if I take it out in public.

  4. I will promptly contact Furmentality Inc. should the foster animal become lost or injured or need vet care.

  5. I will contact and transport the foster animal to a vet in the case of an emergency. I am aware that I will not be responsible for the costs incurred for such treatment.

  6. I agree that I will liaise with Furmentality Inc regarding any queries and needs of the animal and NOT the owner.

  7. I agree to return the animal at the designated time but I am aware this can occur earlier in unexpected circumstances. The animal will be returned to a member of Furmentality Inc.

  8. I am aware that Furmentality Inc. will be responsible for all vet bills associated with the care of the animal whilst he/she/they are in my care.

* Para 1. : Courtesy of Animal Welfare League Queensland.

Agreeance

I Agree with the above Agreement Between Furmentality inc. and myself ( [Name-1] [Name-2] [Name-3] ).

Please note:
You will be asked to provide us with an ID card or drivers’ licence.

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S.T.A.R.S. Carer Application

📧 Your Application is on it’s way, and we will get in touch soon 🔜 .

The Breadcrumb Trail

📎 A.B.N.: 88 158 875 947. 📍 Alice Springs, NT, 0870, Australia.
📬 Healthy_Minds@FurMentality.Life

January
16