HSHC Foster Application 2024

We rely on fosters to assist us with rescuing animals in Harrison County, Ohio. You do not have to live in Harrison County to be a foster. The rescued animal will be healthy and medically cleared before going to a foster. We supply all the necessary medical costs and supplies. We will take the animal back into our care if it doesn't work out for you. Thank you for helping us make a difference!. Any questions? Email: hshcapplications@gmail.com Call or text: 740-582-0411
First Name *
Last Name *
Emergency Contact * Please list Name and Phone # to contact in case of emergency or we cannot contact you
Email Address *
Confirm email
Date of Birth
Street Address *
City *
State *
Zip Code *
Reference 1 * Reference Name: Relationship: Phone Number:
Reference 2 * Reference Name, Relationship, Phone Number
Home type *
Do you rent your home? *
Please provide your landlords name & phone number: *
Animals allowed on your lease
Fence in Yard? Description: Type of fence, height, is it secure
Persons living in your home * List Name, Age, Relationship or None
Aware of Fostering in your home * Is everyone in your household aware that you will be fostering and consent?
Home Telephone Use 000-000-0000
Cell Phone Use 000-000-0000
Driver's License # *
Employed? *
Provide employers information * Employer Name, Address, & phone number
TIme Employed	0 - 1 year 1year -2 years 2 years - 3 years 3 years - 4 years 4 years - 5 years 5 years - 6 years over 6 years
Do you have a veterinarian? *
Please provide your veterinarian Name, Address, & Phone *
Vet you will use if you do not have one currently Provide Name, Address and Phone
Home Check * Will you allow a home check?
Animals living with you * Please list all animals living with you Name; Age: Breed: Last Vaccination date: Spayed or Neutered
Preference to Foster *	any cat any kittens any dog any puppies female male female or male Mom with kittens Mom with puppies bottle fed kittens rabbits horses birds
Check box if you've had experience caring for	young puppies young kittens bottle babies no experience with any of the above
Do you understand that a complete history and temperament of a rescue animal may not be known? *	yes no I only want to foster a know history animal
Hours per day foster will be left alone during the week *	Less than 4 hours 4-8 hours 8-10 hours More than 10 hours
Hours during the weekend foster will be left alone *	Less than 4 hours 4-8 hours 8-10 hours More than 10 hours
Where will foster be kept when left alone? *	Individual crate Shared crate In a restricted area of your home Free to Roam Other
Vet appointments * Are you able to transport your foster to vet appointments	Yes No
Are you able to transport and attend adoption events * Your attendance is beneficial to fosters being adopted. You will share your experience with them about the animal.	Yes No
Pictures - Description * We use pictures and descriptions to promote our animals for adoption. Will you be able to provide them?	Yes No
Social Media Consent * Do we have your consent to post pictures of yourself or any children on social media?	Yes No
Do you have any questions about fostering
Anything else you would like to add? Special skills, interests, etc
How did you hear about our foster program
Acknowlegement * By submitting this foster application, I affirm that the facts set forth in it are true and complete to the best of my knowledge. I understand that if I am accepted as a foster, that I am not the rightful owner of the animal and any medical decisions/rehoming decisions will be made by Humane Society of Harrison County Ohio.
Acknowledge * I understand that any false statements, omissions, or other misrepresentations made by me on this application may result in an immediate termination of the foster contract and the foster animal to be returned. HSHC shall be held harmless from and against any and all claims and damages of every kind, for injury to any person or persons and for damage to or loss of property, arising out of or attributed to, directly or indirectly, the operations or performance of the above named volunteer (foster) under this agreement, including claims and damages arising in whole or part from the negligence of HSHC. I agree to notify HSHC of any injuries such as illness, escapes, injuries or any concerns pertaining to my foster as soon as possible.
Foster to Adopt Option This is a Foster-to-Adopt Application. I agree that I am fostering an animal with the intent to adopt once the animal is cleared by HSHC for adoption. I agree that the animal I am fostering may not be cleared for adoption, and HSHC does not guarantee that I can adopt the animal. I agree that HSHC will provide food, litter, and vet care for the animal while I am fostering the animal. After the animal is cleared for adoption by me, I will be solely responsible for all expenses of owning a pet, including food, supplies, litter and vet care. Furthermore, I agree to pay the adoption fee when the animal is adopted by me. If I decide I no longer want to adopt the animal, I am not required to adopt, and I may continue as a foster if approved by HSHC until the animal is adopted by another person, or I may voluntarily choose to withdraw as a foster.
Signature & Date *