Foster Application
Foster Application
Applicant Information
First Name
*
Last Name
*
Address
*
City
*
State
*
MI
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
Zip Code
*
Cell Phone
*
Home Phone
Email
*
Tell us about any current or past animals you have had.
Previous Dog(s)
Last 5 years?
0
1
2
3
4
5
Previous Cat(s)
Last 5 years?
0
1
2
3
4
5
Dogs
Currently have?
0
1
2
3
4
5
Dog #1
Dog or Cat?
Dog
Cat
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name?
Dog #2
Sex?
Female
Male
Sterlized?
No
Yes
Breed?
Name?
Dog #3
Breed?
Sex?
Female
Male
Sterilized?
No
Yes
Name?
Dog #4
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name
Dog #5
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name?
Cats
Currently have?
0
1
2
3
4
5
Cat #1
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name?
Cat #2
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name?
Cat #3
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name?
Cat #4
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name?
Cat #5
Sex?
Female
Male
Sterilized?
No
Yes
Breed?
Name?
Death on Premises?
*
Have you had any dogs or cats die on your premise in the last 3 months from Distemper, Parvo, Leukemia or unknown causes?
No
Yes
If yes, please explain.
Where do your pets live?
Indoors
Outdoors
Veterinarian's Name?
Veterinarian's Phone?
Tell us about you!
Have you ever cared for any of the following animals?
Young puppies
Young kittens
Injured dog
Injured cat
Do you have an area in your home to confine foster animals?
No
Yes
Living arrangements
Rent an apartment
Rent a house
Own a home
Live with parents
Live with roommates
Who will be the primary caretaker of the foster animal?
*
What hours will the caretaker be home?
*
Any children in the home?
No
Yes
If yes, please list their ages.
Is your yard fenced?
No
Yes
House breaking
What method would you use to house break a foster dog?
Destructive behaviors
Describe how you would handle destructive behaviors such as chewing or scratching.
Have you have fostered for another shelter, organization, or group?
*
No
Yes
Which one(s)?
Foster Limitations
Any factors that would limit your foster work?
Why would you like to become a foster parent?
*
Please indicate which animals you would be willing to foster.
*
Sick / Injured cat
Young kittens
Mother cat and kittens
Adult cat
Sick / Injured dog
Young puppies
Mother dog and puppies
Adult dog
Anything else you wish to add?
Signature
*
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