Foster Home Application

Star of the North Humane Society
FOSTER HOME APPLICATION

If you want to foster a certain animal please fill in its name here: *

Date *

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone Number *

Home Phone Number *

Work Phone Number *

Employer's Name *

Employer's Phone Number *

You must agree to the following criteria before you are able to foster an animal. Please indicate that you meet and agree to these criteria by checking YES.

I am 21 years or older. *

Yes

I have approval from all of the adults in my household. *

Yes

I will allow a visit to my home by a Star of the North Humane Society representative before and during fostering. *

Yes

I will sign a Volunteer Waiver Form after thoroughly reading and agreeing to it. *

Yes

I will communicate on a regular basis, but no less than weekly, through a phone call or email, to a Star of the North Humane Society representative about the progress of my foster animal. *

Yes

I will immediately communicate any problems or concerns about my foster situation to a Star of the North Humane Society representative. *

Yes

(If I rent) I have the written consent of my landlord to have an animal on the property. *

Yes

Name of Landlord *

First

Last

Phone Number *

I will accurately complete the Foster Home Agreement that follows: *

Yes

PLEASE CHOOSE ANY THAT APPLY: *

I am interested in fostering DOGS.

Choose One *

Large >50 lbs

Choose One *

Medium 20 - 50 lbs

Choose One *

Small <20 lbs

Choose One *

Female

Choose One *

Male

Choose One *

Adult

Choose One *

Juvenile

Choose One *

Puppy

Choose One *

Senior

Choose One *

Pregnant

Choose One *

Long Hair

Choose One *

Short Hair

PLEASE CHOOSE ANY THAT APPLY: *

I am interested in fostering CATS.

Choose One *

Female

Choose One *

Male

Choose One *

Adult

Choose One *

Kitten

Choose One *

Juvenile

Choose One *

Pregnant

Choose One *

Queen with kittens

Choose One *

Long hair

Choose One *

Short hair

Choose One *

Declawed

Why are you interested in fostering an animal? *

Please list the names and ages of the members of your household: *

Does anyone in your house have allergies? *

Yes No

How will this be handled? *

Please list the names, breeds, genders, and ages of your pets: *

Are all your cats/dogs spayed or neutered? *

Yes No

If not, please explain: *

Are all your animals up-to-date on their vaccinations? *

Yes No

If not, please explain: *

Your Foster Animal

Who will be the main caregiver of your foster animal? *

Will the foster animal be housed indoors? *

Yes No

Please describe the area where the foster will live: *

How much human contact with your foster have each day? *

How long will your foster animal be left home alone each day? *

Where will they be kept while you are gone? *

Where will they sleep at night? *

Do you have a separate area of your home where the foster animal can stay while they are adjusting? If yes, where? *

Do you have a fenced-in yard? If not, how will your foster be exercised? *

Are you willing to transport your foster animal? *

Are you willing and able to foster multiple animals? *

Is there any breed of cat or dog that you prefer not to foster? *

If you have pets, please list your pets' regular veterinarian.

Veterinarian *

Clinic *

Phone Number *

References:

Please list a reference who is not family member. *

First

Last

Phone Number *

Relationship to You *

Please list a second reference who is not a family member. *

First

Last

Phone Number *

Relationship to You *

Have you ever been convicted of a felony? *

Yes No

Please explain. *

Is there anything else you would like us to know? *

I give my permission for Star of the North humane Society to verify any of the information given. *

Yes No

I certify that the information I have provided is true and understand that any false information may result in my application to be a foster home being rejected. I further understand that Star of the North Humane Society reserves the right to reject or dismiss a foster home if they deem the foster home not acceptable or appropriate for animals.

Signature *

If filling out this application online, please type in your name above.

Submit

Star of the North Humane SocietyFOSTER HOME APPLICATION

Star of the North Humane Society
FOSTER HOME APPLICATION