Foster Application

Thank you for your interest in becoming a Foster Volunteer with Home at Last Humane Society.  The information on this form will help us determine your suitability for volunteering with our foster program.  Please fill in the fields. Incomplete or illegible applications will not be considered.

Personal Information

Your Name (required)

Date of Birth(required)

Address 1 (required)

Address 2 / APT

City (required)

State (required)

Zip Code (required)

Primary Phone (required)

Work Phone

Cell Phone

Your Email (required)

Personal Veterinarian

Family Veterinarian Name

May we contact your Vet as a reference?
YesNo

Veterinarian's phone number:

Personal Experience & Interest Information

Do you have any prior animal experience?
YesNo

If yes, please describe where and what type:

Do you have any prior foster experience?
YesNo

If yes, please describe where and what type:

Do you plan to assist in finding an adoptive home for your foster pets?
YesNo

If yes, please describe how:

What type of animals would you like to foster? (check all that apply)

If you checked any “others” please specify type:

Household Information

Type of Dwelling

Do you rent or own your residence?

Length of residence at current address

Do you plan on moving within the next year?
YesNo

If yes when?

Landlord's Name

Landlord's phone number

Number of adults in the home

Number of children in the home

Ages of children in the home

My foster pet should get along with:

My foster pet will spend most of its time:

Do you have a fenced yard?
YesNo

If yes, what type & height is your fence?

Does your yard have a shelter?
YesNo

If Yes, what type of shelter?

How long will your foster pet be left alone on weekdays?

How long will your foster pet be left alone on weekends?

May we visit your home to verify the information you have provided?
YesNo

Will you contact Home at Last if you are unable to keep the animal?
YesNo

Personal Pet Information

List the number of each type of pet you currently have:

Dogs

Cats

Others

If you have others what type?

Please describe each of your current pets below

Animal 1

Breed

Age (Years & Months)

Sex
Intact MaleNeutered MaleIntact FemaleNeutered Female

Pet resides
InsideOutsideInside & Outside

Date of last vaccines

Animal 2

Breed

Age (Years & Months)

Sex
Intact MaleNeutered MaleIntact FemaleNeutered Female

Pet resides
InsideOutsideInside & Outside

Date of last vaccines

Animal 3

Breed

Age (Years & Months)

Sex
Intact MaleNeutered MaleIntact FemaleNeutered Female

Pet resides
InsideOutsideInside & Outside

Date of last vaccines

Animal 4

Breed

Age (Years & Months)

Sex
Intact MaleNeutered MaleIntact FemaleNeutered Female

Pet resides
InsideOutsideInside & Outside

Date of last vaccines

Animal 5

Breed

Age (Years & Months)

Sex
Intact MaleNeutered MaleIntact FemaleNeutered Female

Pet resides
InsideOutsideInside & Outside

Date of last vaccines

Animal 6

Breed

Age (Years & Months)

Sex
Intact MaleNeutered MaleIntact FemaleNeutered Female

Pet resides
InsideOutsideInside & Outside

Date of last vaccines

If you own any unaltered pets please describe the reason for not having your pet sterilized

Adoptable Foster Parents

If you are fostering an adoptable animal, is the animal able to accompany you in your free time (i.e. to the park, on walks in public areas etc.)?YesNo

Do you possess basic obedience training knowledge (i.e. leash walking, basic commands, housebreaking) ?YesNo

If “Yes” Where did you gain such knowledge?

How do you house train an animal?

When is it appropriate to physically discipline an animal?

Would you be able to foster an animal with behavioral issues?
YesNo

If yes, please check the behavioral issues that you would be comfortable with:
House SoilingFearFood aggressionAnimal DominancePossession Aggression

Medically Not Adoptable Foster Parents

Have you ever cared for sick or injured animals before?
YesNo

In what capacity?

Have you ever administered medication to animals before?

If yes, please check all that you have administered:

If you own other animals, are you able to separate your foster animal from your resident animals if needed?

YesNo

If yes, How?

If no, if HAL can provide a crate or carrier would this then be a possibility?
YesNo

Are you able to take an animal that may be contagious to you or other animals (i.e. ringworm, sarcoptic mange)?
YesNo

Orphaned/Infant Foster Parents

Have you ever bottle-raised an animal before?
YesNo

What type of animal?

How many?

How often did you feed it/them?

Did they survive?

What could be wrong when an infant will not eat?

Can you explain manual stimulation?

Is the infant able to accompany you to work or school?
YesNoOccasionally

By submitting this application, I understand and agree to the following:

I attest that all of the information I have provided on this application is true. I agree to serve as a productive member of the foster program. I will follow the Home at Last (HAL) policies and procedures explained to me.

I agree that if my foster animal requires medical attention, I will notify HAL before taking the animal(s) to the vet. I understand that if I seek veterinary care for a foster animal without pre-approval from HAL, I will not be reimbursed for any expenses I incur.

I verify that I am volunteering my time without any expectation that I will be compensated for the hours I work as a foster volunteer. I give my consent to HAL to provide my name, voice and/or photograph, or that of any animal care for, to the media in connection with advertising, programming or operational activities for HAL. I understand that I will receive no compensation for giving this permission. I agree to hold harmless Home at Last and any of its agents, employees, directors, and insurance carriers from all actions, claims of every nature, damages or judgments in matters relating to my service as a HAL foster volunteer. This includes, but is not limited to, personal injury.

(required)

Date:

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