Foster Care Application

Type of Foster Care interested in - Please select what you would be interested in fostering - Check all that apply
- Pregnant Cat who will birth kittens in home
- Mother cat / already has litter
- Sick/Injured/Recuperating Cat
- Cat/kitten with socialization needs
- Hospice Cat
- Rabbits/Small animals
- Pregnant dog who will birth puppies in home
- Mother dog / already has litter
- Sick/Injured/Recuperating dog
- Dog with behavior/training needs
- Hospice Dog
- Foster to Adopt situation preferred
Name of Specific Animal (If Applicable)
Foster Information
Name*
First Last
Date of Birth*
MM
DD
YYYY
Spouse/Partner's Name
First Last
Address (Physical)*
Street Address Address Line 2 City State ZIP Code
Phone*
Spouse Phone (if applicable)
Email*
Mailing Address (if different from above)
Street Address Address Line 2 City State ZIP Code
Residence Type*
- House - Own
- House - Rent
- House - Live with Homeowner
- Condo/Duplex - Own
- Condo/Duplex - Rent
- Apartment in Complex - Rent
- Apartment/In-Law Suite Type - Rent
How many children (under 18) live in the home/visit often? What are their ages?*
How many adults (over 18) live in the home?*
Current Living Arrangements*
- I own my own home: House, Condo, Duplex, Mobile/land, Mobile in Park
- Live with home owner
- Rent: Apartment, House, Condo, Duplex, Mobile Home, Dorm
Name of Homeowner*
First Last
Homeowner's Phone*
Name of Landlord*
First Last
Landlord's Phone*
Describe your property and yard space*
Current Pets
Please list all the pets that you currently own. If you own multiple small animals such as rabbits, birds, etc. you can list them all under one line.
Do you have a pet to add?
- Yes, I have a pet/pets
- There are no pets in my home
Pet #1 Name*
Pet #1 Breed/Type*
Pet #1 Age*
Pet #1 Sex*
- Male, Intact
- Male, Neutered
- Female, Intact
- Female, Spayed
- N/A
Where is this pet kept?*
Do you have another pet to add?*
- Yes
- No
Pet #2 Name
Pet #2 Breed/Type
Pet #2 Age
Pet #2 Sex
- Male, Intact
- Male, Neutered
- Female, Intact
- Female, Spayed
- N/A
Where is this pet kept?
Do you have another pet to add?
- Yes
- No
Pet #3 Name
Pet #3 Breed/Type
Pet #3 Age
Pet #3 Sex
- Male, Intact
- Male, Neutered
- Female, Intact
- Female, Spayed
- N/A
Where is this pet kept?
Do you have another pet to add?
- Yes
- No
In the box below please provide all information on any additional pets:
What is the name of your current veterinarian clinic/hospital?*
Foster Experience & Housing
Have you ever fostered an animal for an animal shelter or rescue before?*
- Yes
- No
Please go into detail below with shelter information and why you fostered -*
How would you describe your experience with pets? Check all that apply*
- Never had a pet
- Had childhood pet dog/cat/other
- Had one or more as an adult
- Have experience with high energy dog breeds
- Have experience working with on-going medical problems with personal pet
- Have experience working at a boarding kennel/resort/pet sitting service, etc.
- Have experience working with behavioral problems with a personal pet
- Have experience working in a veterinary hospital
- I am a professional dog trainer
- Have house trained a dog before
- Have crate trained a dog before
- Have been involved in the birth of an animal
Are you experienced with any specific medical conditions in pets? If yes, please explain*
Where will this animal be housed when you are home?*
Where will this animal be housed when you are NOT home?*
How many hours a day will this animal be home alone?*
Do you have any restrictions/preferences on what type of animals you can foster (size, breed, etc.)?*
Do you have a seperate room available for your foster if required to separate per PMHS-CV guidelines?*
- Yes
- No
Who will be the primary caregiver for this animal?*
What is the average noise level of your home?*
- Low
- Medium
- High
Availability & Commitment
Are you able to bring foster animals to regular check-ups with our veterinary staff during open shelter hours?*
- Yes
- No
Are you willing to bring foster animals to offsite local locations for medical appointments, meet and greets, etc. when required by PMHS-CV?*
- Yes
- No
Certification Statement*
- I agree to receive and care for the foster pet in my home until the time the animal is ready to return to the shelter or is adopted. I will be responsible for feeding, daily hygiene, and providing a safe and clean environment; making sure it gets proper exercise and mental stimulation (that includes playtime); making sure the pet follows the vaccination schedule given by the shelter; transporting your foster pet to its veterinarian appointments if necessary. The shelter can provide food, litter, toys, bedding, etc. for foster pets which must be picked up at the shelter. The shelter also provides medical care for pets in foster care. All vaccines, tests, and spaying and neutering will be done through the shelter or a vet of the shelters choice. Any illnesses which arise should be immediately reported to PMHS staff listed in the handbook and will be assessed and handled as deemed necessary. Any vet visits which are not previously approved will not be covered by the PMHS. I will not sell or give away any animal in my care to a research facility, pet shop, dog breeder, or puppy mill, or to any other person or business. In the event that I am no longer able to care for the pet, I agree to immediately return any foster animal(s) in my care at that time, as well as all records and property belonging to PMHS. The length of time a pet is in foster care is at the sole discretion of the shelter and pets can be required to be returned at any time. I agree to adhere to any and all foster guidelines which are outlined in the foster handbook. I have completed this application to the best of my ability and knowledge. I have made no misstatements or misrepresentations. I understand a Shelter representative may need to visit my home for a home inspection before my foster application is fully approved. I authorize Pope Memorial Humane Society to contact listed veterinarians and landlords to investigate all statements in this application. Once approved and selected to foster an animal, all foster homes receive a Foster Care Handbook pertaining to the animal(s) you have brought home
Submitting this form constitutes as an electronic signature

Foster Care Application

Foster Information

Current Pets

Foster Experience & Housing

Availability & Commitment

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