Foster Carer Application Form

Foster Carer Application Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: 0400 000 000.
Email*
example@example.com
Residential address*

Address

Address Line 2

SuburbState

Post Code
YesNo
Postal address

Address

Address Line 2

SuburbState

Post Code
Number of registered dogs and/or cats you own (not including your foster animals)*
YesNo
YesNo
YesNo
YesNo
Have you been found guilty of:
YesNo
Offence
Date

MonthDayYear
Date
YesNo
Offence
Date

MonthDayYear
Date
YesNo
Offence
Date

MonthDayYear
Date
YesNo
Offence
Date

MonthDayYear
Date
YesNo
BoardingBreedingPet shopShelterTraining
YesNo
You must not have more than the number of dogs and cats that are allowed in accordance with Mitchell Shire Council Local Laws.

View information on keeping animals.
ResidentialSemi ruralRural
YesNo
YesNo
You will need to complete a Local Laws Excess Animal Permit form, this form must accompany your foster application form.

Download application to keep additional animals permit (PDF 770KB)
Upload your Local Laws Excess Animal Permit form

Cancelof
All applications must include a current police check, please upload yours*

Cancelof
1. Please note that conditions will be placed on the Foster Carer Registration Certificate which must be produced with every dog or cat application
2. The registration to be a foster carer within Mitchell Shire Council will expire of the 10 April of each year
3. A police check must be provided on the submission of your application form each year
Yes
Collection of information
Personal information collected by Council is used for municipal purposes as specified in the Local Government Act, 2020 or other relevant legislation. The personal information will be used solely by Council for these purposes and or directly related purposes. Council may disclose this information to other organisations, if required by legislation.

The collection and handling of personal information is conducted in accordance with Council’s Privacy Policy. Please refer to Council's Privacy Statement and Privacy Policy on our website for further information about your rights.
I confirm that I have provided Mitchell Shire Council with true and accurate informationI understand my information is collected in line with Council's Council's Privacy Policy
Should be Empty:

Foster Carer Application Form

Have you been found guilty of:

Collection of information