*HART of Maine Medical Foster Application*

HART of Maine Medical Foster Application

WELCOME TO THE HOMELESS ANIMAL RESCUE TEAM (HART) and the MEDICAL FOSTER CARE PROGRAM. The completed application is required for the review by our MEDICAL Team to determine the best treatment and care for any of HART’s cats. Animal’s welfare is our foremost consideration. Application review assists us in determining if the foster home is in the animal’s best interest and compatible with the applicant’s lifestyle. After review of the application, a member of the Medical team will be in contact to discuss placement. In order for consideration as a foster home, you must: • Be at least 18 years of age • Have proof of identification showing your current address • Have the knowledge and consent of your landlord (if applicable) All medical care for the HART cats in MEDICAL Foster Program are the responsibility of HART. HART WILL PROVIDE THE FOLLOWING • Medications (when applicable) and Prescription diets • Cat Carrier (required for all for transports) • Condo or kennel for confinement (if required) • Veterinary care with our APPROVED veterinary clinics or at shelter • Temporary Boarding, if going away and not able to care for cat • Support and liaison for care FOSTER HOMES MUST BE WILLING TO: • Spend time necessary to provide proper care • Follow medical instructions, including giving medications if required • Provide transport, either to shelter or to veterinary office, for veterinary appointments • Provide an INDOOR only home and safe environment for the foster cat • Sign a contract regarding foster care and return cat to HART at end of assignment or if required H.A.R.T. reserves the right to refuse anyone. No animal will be fostered by persons having a history of losing, giving away, selling, or having animals injured or killed by moving vehicles. Foster cats are the property of HART. All care and decisions MUST follow HART MEDICAL TEAM’s guidelines Below are some of the types of foster homes (other types of foster homes are on a case by case basis): 1. Short term, recovery: Cats that have had a surgical procedure that need a quiet place to recover post-surgery. Some medication administration may be required. Typical time is 8 to 16 weeks. Recheck visits will be required to either the shelter or to the surgical office. (example: broken leg repair) 2. Short term, medical treatment: Cats have a specific health condition multiple medications for treatment. Some medications may be more than twice per day. Typical time is 8 to 16 weeks. Recheck appointments will be required at the shelter or to specialty office. (example: kidney infection, tick borne illness, corneal ulcers) 3. Long term: medical treatment: Cats that have an ongoing health issue that is preventing them from being readily adoptable. Some medication administration (including administration of fluids under the skin) may be required. Rechecks will be determined by shelter veterinarian, including location and frequency. (examples: seizures, intestinal lymphoma, degenerative joint disease, chronic kidney failure) 4. Hospice: Cats have been diagnosed as terminally ill. Care may be weeks or months. Weekly check-in with medical manager required. Physical rechecks will be determined by shelter veterinarian.
Applicant's First Name *
Applicant's Last Name *
If you are employed, what is your current occupation? *
Co-Applicant's First Name Enter the Co-Applicant's First Name
Co-Applicant's Last Name Enter the Co-Applicant's Last Name
Co-Applicant's Occupation Enter Co-Adopter's Occupation
Street Address * Enter your street address
Apartment Number (if applicable) Enter Apartment Number
City * Enter city
State * Enter state
Zip Code * Enter zip/postal code
Full Mailing Address (if Different from Street Address) Enter the full mailing address if different from street address. Include Address, City, State, Zip Code
Cell Phone Number * Enter cell phone number using the format 207-555-1212. At least 1 phone number must be entered to process your application.
Home Phone Number * Please use the following format 248-555-1212. Application cannot be processed without at least 1 phone number.
Work Phone Number Enter your work telephone in the format 207-829-4116. Note at least 1 phone number must be entered in order to process your application.
Email Address (This is our primary means of communication) * Please enter correctly as this is the main way we will contact you.
Why do you want to foster?
Is this your first experience with fostering an animal for HART? *
Do you have experience with medicating cats? *
Please provide a brief list of your skills including ability to medicate (tablets, liquid medications, injections), subcutaneous fluids, apply eye or ear medications, or other treatments.
Are you able to bring the cat to veterinary appointments?
Do you have any references we may contact to assist us in the review of application?
Do you currently have pets in your household? *
Please list their names, breeds, ages and if they are indoor or indoor/outdoor..
Are all of your pets spayed/neutered/fixed?
Are your pets current on their vaccinations?
Have your current resident cats been tested for Felv/FIV?
Do you currently have a vet? *
Veterinarian's Name - As part of our approval process, we contact your vet to confirm their care. Please contact your vet and give HART permission to speak with them about your pets.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Do you own or rent your home? *
If you rent, does your landlord and lease allow pets?
If you rent, please provide management company or landlord's name. - This information is required if you rent. Not providing this will delay application approval. If you rent, please provide us with the name of the management company or the landlord's name and phone number. (Required if you rent - will cause delays in processing your application if not completed)
Including yourself, how many people live in your household? *
Are there any children (under 18) in your home? *
If you have children in your home, please list their ages here (we use this to match you with the right cat or kitten) If you have children in your home, please list their ages here (we use this to match you with the right cat or kitten)
Do you or anyone living in your household have known allergies to animals?
If yes, who has allergies, and what are they?
Who will be responsible for the care of this Cat?
Where will this Cat be kept during the day?
How many hours will Cat spend alone without human companionship?
How long are you willing to foster for this particular assignment
Some MEDICAL cats have special needs, including may have accidents outside of the litter box. Is this a concern for you:
HOSPICE MEDICAL are cats that may have a shorter lifespan and require more care toward the end of life. Are you interested in Hospice Fostering?
Do you or anyone in your household smoke (cigarettes, electronic cigarettes, cigars, medicinal or recreational cannabis, or any product that produces smoke or vapors)?
How did you hear about HART?
Please add any additional comments you might want to send us regarding your adoption. Please add any additional comments you might want to send us regarding your adoption.
Special Notes: • All information will be verified prior to approval for MEDICAL Foster Program. • Signing below authorizes HART to contact your Veterinarian (and landlord if applicable) for a reference • HART reserves the right to make pre-approval visits and follow-up home visits. • Any falsification or omission of any above information will result in automatic refusal as a MEDICAL Foster Home Sign below in the space provided using your mouse, finger or other input device
Signature * Using your mouse, other input device or you finger on your phone or tablet, sign your name here.

*HART of Maine Medical Foster Application*

HART WILL PROVIDE THE FOLLOWING

FOSTER HOMES MUST BE WILLING TO:

H.A.R.T. reserves the right to refuse anyone. No animal will be fostered by persons having a history of losing, giving away, selling, or having animals injured or killed by moving vehicles. Foster cats are the property of HART. All care and decisions MUST follow HART MEDICAL TEAM’s guidelines

Special Notes:

HART of Maine Medical Foster Application