Foster Care Application

Welcome to Helping Strays Foster Program. We request the following information in order to determine the best fit for you in our program. This form and a consultation with a Helping Strays representative are designed to maximize the wellbeing of Helping Strays aminals. Thank you for choosing to foster. Helping Strays reserves the right to perform a home visit to ensure the safety of our animals and to refuse fostering to anyone. No animal will be placed in the care of a foster family who mislead or fail to provide accurate information on this application.

THINGS TO CONSIDER: *All animals will need to be returned to Helping Strays at the end of the foster care period. *If you think you may be interested in adopting your foster, you will need to complete an adoption application during the first week of fostering. This does not commit you to adopting you foster, but will put you first in line. *Animals brought into your home may have contagious diseases that can infect your own animals. *Realize that foster animals may have behavioral issues that need to be corrected and for a time may be destructive. *We will need frequent phone or email updates throughout the foster care period. *Helping Strays staff, as well as other resources, are available when you need to ask questions. *Would your work schedule allow you to take home an animal that may need medications during the day? *Are you able to make trips to the veterinarian for appointments? *You will receive email reminders of medical regimens due. You must watch for these reminders and schedule an appointment close to the due date. *I CONFIRM ALL INFORMATION SUPPLIED IS TRUE AND CORRECT. I ALSO UNDERSTAND THAT FOSTER TRAINING WILL BE PROVIDED FOR ME BEFORE I AM ABLE TO BEGIN FOSTERING ANIMALS FOR HELPING STRAYS. I UNDERSTAND THAT HELPING STRAYS IS NOT RESPONSIBLE FOR ANY PROPERTY OR PERSONAL DAMAGE, WOUNDS INFLICTED, OR ILLNESSES CAUSED BY THE FOSTER ANIMAL(S). COMPLETION OF THIS APPLICATION DOES NOT NECESSARILY GUARANTEE ACCEPTANCE IN THE PROGRAM. Helping Strays * 4221 Hanover Rd * Columbia Il 62236 618-939-PETZ (7389) * www.helpingstrays.org * email:Info@helpingstrays.org

Todays Date: *
Is Applicant an Individual or Couple? *
First Name of Primary Applicant: *
Last Name of Primary Applicant: *
Primary Phone: *
Primary Email: *
Secondary First Name: *
Secondary Last Name: *
Secondary Phone *
Secondary Email:
Street Address: *
City: *
State: *
Zip: *
Alternative Phone:
Best way to contact you: *	Phone Email Text
What animal(s) are you prepared to foster: (check all that apply) *	Puppies Small Dogs Medium Dogs Large Dogs Mom & pup litter Kittens Bottle fed kittens Cats Mom and kitten litter Elderly Ill or injured
Are you over 18 years of age: (If no, a parent/guardian must also sign the application)
Where do you live: *	House Apartment Condo Mobile Home With Parents Other
If you rent, what is your Landlord's name and Phone # to verify approval of pet:
Do you have a securely fenced yard: *
Height of Fence:
Number of adults over age of 18 in the household:
Number and ages of children in household under age 18:
Have they handled animals before:
What species:	Dog Cat Other
Does any member of the household have an allergy to pets?
If yes, how will you handle:
Do you currently have pets:
How many:
Please detail current pets in household: (Name/Breed/Sex/Altered/Age
Name and phone number of your current Vet:
Are your pet’s vaccinations current:
Do your pets have any behavior problems or chronic illnesses:
Explain:
Where do your pets stay:
How much time do you devote to your pets on a daily basis:
If you do not have pets now, have you had pets in the past:
Type:
Where are they now:
How did you hear about the Foster Care Program:	Friend Relative Adopted from HS Website Other
Are you able to attend scheduled meetings or occasional training sessions related to the Foster Care Program: *
Why not:
Have you administered medications to a dog or cat before: *
Have you participated in canine obedience training: *
Where:
What length of time can you foster an animal (days/weeks): *
How much time daily would you have for a foster animal:
Please describe your indoor area to confine/isolate the foster animal:
Why do you want to be a foster parent for Helping Strays:
Have you fostered for other groups? If so, which ones:
How would you feel if it were decided that the animal you were fostering needed to be euthanized:
Additional Comments you would like us to know about you and your family or resident pets:
Signature *
Parent/Guardian Signature: