Personal Information

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

Name

Email

Address

Cell Phone Number

Home Phone Number

Work Phone Number

Employer

Employer 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

If you RENT, please provide your landlord's name and number.
Landlord Name

Landlord Phone Number

I will accurately complete the Foster Home Agreement that follows.
Yes

Why are you interested in fostering an animal?

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

Do you or any members of your household have allergies to animals? If yes, how will this be handled?

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

Are all of your pets up-to-date on their vaccinations and spayed/neutered?

If not, please explain:

Your Foster Animal

Please choose any that apply:

Please choose any that apply:

Who will be the main caregiver(s) for your foster animal?

Will the pet be housed indoors? Please describe the area where the foster will live:

Where will your foster sleep at night?

How many hours per day will your foster have human companionship? How many hours per day will they be left alone?

Where will your foster be kept while you are gone at work, shopping, etc?

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?

Veterinarian

If you have a veterinarian please give his/her name and phone number.
Name

Clinic

Phone

References

List a reference who is not a family member.
Name

Phone

Relationship to you

List a second reference who is not a family member.
Name

Phone

Relationship to you

Have you ever been convicted of a felony?

If yes, 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. 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 online please type your name below)