JARR Animal Foster Application

Application Date *
Foster Type/Length * Please select all that apply

First Name *
Middle Name (if none please type N/A) *
Last Name *
Street address *
City *
State *
Zip Code *
Home Phone
Cell Phone *
Email Address
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Animal type(s) you are interested in fostering:
~Dog~ Please select all that apply
Do you have experience with housebreaking/leash training?
How frequently will someone be able to take the dog(s) outside for urination/defecation, excercise, etc.?
Where will the dog(s) be when you are not at home?
Where will the dog(s) sleep at night?
How will the dog(s) be integrated into family activities?
~Cat~ Please select all that apply
Where will the cat(s) be when you are not at home?
Where will the cat(s) sleep at night?
How will the cat(s) be integrated into family activities?
When would the cat(s) be inside?
Would the cat(s) ever be outside?
What areas of the home would the cat(s) be allowed?
~Rabbit~ Please select all that apply
Where will the rabbit(s) be when you are not at home?
Where will the rabbit(s) sleep at night?
How will the rabbit(s) be integrated into family activities?
Would the rabbit(s) ever be outside?
What type of enclosure will the rabbit(s) have? Please describe the setup:
~Horse~ Please select all that apply
What is your experience with horses? Where would you keep the horse? Please describe the setup:
~Farm Animal~ Please select all that apply
What is your experience with farm animals? Where would you keep the animal(s)? Please describe the setup:
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Times of the day you can be with the animal Please select all that apply
Number of daily hours	2 to 4 hours 4 to 6 hours 6 to 8 hours 8 or more hours

Do you have previous foster experience?
Do you have experience giving medication to animals?
Do you have experience working on behavioral problems?
Do you have plans to be out of town for business or vacation within the next six months? If yes, please provide actual or estimated dates:
From
To
Will you need to permanently return the animal at that time?
Do you plan to resume fostering if a substitute can be found while you are away?
Can you bring the animal in for daytime appointments?
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~Type of residence~ Please select all that apply
If the yard is fenced, please provide the fence height:
If you are renting, do you have permission from the property owner to have an animal? (Written permission is required)
If you have permission with restrictions, please list any restrictions such as type, size, number:
How many adults live in your household?
Do you have children living at home full or part time?
Please list number and age:
Do you have liability insurance?
If applicable, do you have a separate room available for your foster animal?
Location:	Interior room Garage Enclosed balcony Other
Other (describe):
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Can you provide any of the following? Select all that apply
Do you or anyone in your home have allergies to pets?
If yes, how will the allergy exposure be managed? (Medication, separate space, etc.)
Are the allergies going to impact the integration of the pet within the household?
Have you had any animals in the past 5 years that you no longer have?
Please list animal(s) and describe circumstances:
Please list any animals you currently have (breed, age, sex, spayed/neutered) and explain the pack dynamic:
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~Please provide two references~
Veterinarian name:
Phone number:
Personal reference name (non-family): *
Phone number: *

I agree that all the information provided on this foster application is true and correct *

Jameson Humane is a registered non-profit 501(c)(3) organization, #47-1230166