Foster Application Name(required) Phone(required) Email(required) Address(required) City,State,Zip(required) Occupation (required) Best time to contact you: If this is a work number, may we call you at work? Yes No What type of pet do you wish to foster?(required) Cats Kittens Dogs Puppies Names of people along with ages of children who will be involved with fostering this animal:(required) Do all member of the family want to participate in this fostering program?(required) Yes No Unsure Do you live in a:(required) House Townhouse Apartment Duplex Mobile Home Do you:(required) Own Rent If you rent, do youhave the landlord's permission to have a companion animal? Yes No Name and phone number of landlord: List pets you no longer have and what happened to them:(required) May a HELP Humane officer visit your home for approvals and follow-ups?(required) Yes No Please list the names of other pets you currently have and whether they are a dog or a cat:(required) Are your pets spayed and neutered?(required) Are your pets up to date on vaccinations?(required) If you have a cat, have they been feline leukemia tested and what was the results? If you have a dog, are they on heartworm preventative? May we contact your veterinarian(required) Yes No Please provide name,address and phone number of the most recent veterinarian: On average, how many hours a day will the pet be left alone?(required) If you are wishing to foster a cat: If approved, the cat that you will be fostering must be kept indoors, will this be something you are okay with? Yes No If no, please explain: If you are wishing to foster a dog: Do you have a fenced yard? Yes No Type and height of fence: Our dogs need to be part of your family and allowed indoors, is this okay with you? Yes No A couple of more things: Please give any additional information that you would like us to know: Do you have any additional question that we could answer for you? Applicant’s Siganture:(required) Date:(required) Co-Applicant’s Signature: Date: Submit Δ
