Foster Application

Full Name

DOB

Address

Phone Number

Email Address

Preferred Method of Contact:

Free Text

Please check all foster opportunities that you are interested in participating in:

Field label

Emergency Foster (24hrs or less)

Short term/temporary foster

Foster until placement is found

Are you willing to have a home visit for approval process?

Yes

No

Do you have any experience in animal care taking?

Yes

No

Free Text

ABOUT YOUR HOUSEHOLD

Is the above residence an?:

Do you rent or own the above residence?

Are there size restrictions on the number and type of pets you may house on the property?

Restriction - Weight

Restriction - Number of pets

How many children live in the household?

How many adults live in the household?

Ages of children who will frequently come in contact with the foster pet?

Do any members of your household have allergies to animals?

Yes

No

Free Text

ABOUT YOUR OTHER/PAST PETS

Have you ever surrendered a pet to an animal shelter or rehomed an animal?

Yes

No

Free Text

Please list all animals you currently and have previously owned in the last five years:

Name

Type of Animal

Breed

Age

Spayed or Neutered

Still own?

When, if ever, did you have any pet in your home that was positive for an infectious disease such as parvo virus, panleukopenia virus or ring worm?

Name

Type of Animal

Breed

Age

Spayed or Neutered

Still own?

Name

Type of Animal

Breed

Age

Spayed or Neutered

Still own?

Free Text

Your Current Veterinarian Contact Information

Who is your current veterinarian?

Name of Clinic

Veterinarian's Address

Veterinarian's Email

Veterinarian's Phone

Free Text

HOUSING OF YOUR VOLUNTEER PET

Will you be able to keep your foster pet animals separate from your own pets and other’s if necessary?

Where do you plan to keep your foster pet animals?

Are you willing to crate a foster pet (when needed) for safety?

How long will the foster animal be left alone during the day?

How much time can you spend daily with your foster pet?

Do you have a fenced in back yard?

Yes

No

Height of Fence

Are you willing to provide any medical treatments prescribed by a Vet for your foster pet?

Yes

NO

Are you willing to bring your foster pet to the vet for rechecks or medical treatment?

Yes

No

Are you willing to have home visits while the shelter pet is in your care?

Yes

No

What kinds and types of animals are you interested in caring for (check all that apply)?

Are you willing to foster an animal with special needs (ie. blind, deaf)

Foster Application