Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

I am able to provided care for (select all that apply):

Where will the animal(s) live?

Primarily Inside
Primarily Outside (with Shelter)
Primarily Outside (without Shelter)
Other

What date are you available to foster an animal?

-- dd/mm/yy

Is there a time limit on how long you can keep the animal?

Yes No

How many people are in your household?

Are there children in the household? If yes, list gender and ages.

Are there other animals already in the household?

Yes No

 -  If yes to above, what kind and how many? Are they vaccinated? Are they spayed/neutered? Have they been exposed to other animals before? Explain.

Do you have a fenced area for the animals?

Yes No

Height and type of fencing, if applicable:

Do you understand that the animal may have problems?

Yes No

If you are away, do you have someone to care for the animals. If so, please provide contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

What other animals have you had in the last 2 years? What happened to them?

What, if any, is your experience caring for this type of animal?

Do you understand and agree to home visits/inspections to complete this application and on an ongoing basis?

Yes No

What is your reason for becoming a "Shining Starr?"

Please provide any further information that you would like us to know about your experience in caring for animals: