Short Term Foster Form

Hayward Animal Services

Sleep Over and Foster Application
Thank you for giving one of our animals a break from day-to-day shelter life. Whether it is a one-night sleep over a or a few weeks, they truly appreciate the time in your care. Please complete the following.

All potential fosters will need to meet with a staff member in person prior to final approval. Ultimately, Hayward Animal Services wants to ensure that the shelter animal and foster home are a good match. Therefore, Hayward Animal Services reserves the right to deny any foster application.
Name*

First NameLast Name
Today’s Date*

MonthDayYear
Date
CDL (CA Drivers License) #*
Date of Birth*

MonthDayYear
Date
Street Address*
City*
Zip Code*
Cell Phone*
Home Phone*
Work Phone
E-mail address*
example@example.com
What animal species are you interested in fostering (check all that apply)?*

CatsDogsRabbits / Small Animals
What ages of animals are you interested in fostering (check all that apply)?*

Kittens/PuppiesAdult AnimalsSenior Animals
What condition of animal are you able to foster (check all the apply)?*

Recovering from injury or surgeryAnimal that just needs a break from the shelter or an environment other than animal shelter.Nursing mother and litterKittens/puppies 0-4 weeks of ageOn treatment for ringworm or medical condition
Are you willing/ able to take photos and videos to help promote animal for adoption on social media?*

YesNo If no, why?
No If no, why?
If interested in fostering dogs, what size dogs are you able to foster (check all that apply)?

Small (5-20 lbs)Medium (20 – 50 lbs)Large (60 + lbs)
If interested in fostering dogs, what behaviors are you able to foster (check all that apply)?

EasyModerateChallenging
If interested in fostering dogs, what is your level of experience?

Never owned a dog.Owned a dog but have not completed obedience training with a dog.Have completed basic obedience w/ a dog.Have completed intermediate training w/ a dog.
Tell us about yourself so we can make a good foster match.
Are you currently or have you previously fostered for any other humane organization?*

YesNo
If yes, which organization/s/ and what animals have you fostered?
Do you own or rent?*

OwnRent
If Renting, Landlord’s Name
Landlords’ Phone #
If you rent or have a HOA, are you allowed to have animals in your home?*

YesNo
Any breed or weight restrictions on animals you can have where you live?*

YesNo
If yes, what are the restrictions?
Home environments*

ApartmentDuplexHouseTownhouseCondoLive with Parents
Yard

Enclosed BackyardYard, Not EnclosedPatioFront Screen Door
Fence Type

WoodChainBlock
Fence Height

Human Household Members*

	Name	Age	How will they be involved in care?

Please list animals currently owned:
Animal 1 - Breed
Animal 1 - Age
Animal 1 (check all that apply)

MaleFemaleNeutered/SpayedCurrent on shots
Animal 2 - Breed
Animal 2 - Age
Animal 2 (check all that apply)

MaleFemaleNeutered/SpayedCurrent on shots
Animal 3 - Breed
Animal 2 - Age
Animal 3 (check all that apply)

MaleFemaleNeutered/SpayedCurrent on shots
Animal 4 - Breed
Animal 4 - Age
Animal 4 (check all that apply)

MaleFemaleNeutered/SpayedCurrent on shots
Name of Vet Clinic You Use
Describe where you will be keeping foster animal(s), including how you will keep separate from your own animals, if applicable:*
Approximately how long, on an average day, will foster animals left alone in the home (without people to monitor eating, behavior, and elimination)?*
Where will your foster animal be kept when no one is home?*
Anything else you would like to share about yourself or your experience?
Because the Hayward Animal Shelter is a division of the Hayward Police Department, we conduct background checks (DMV and criminal history or Livescan) on volunteer applicants. Please sign below to acknowledge your understanding of this condition.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Tell us about yourself so we can make a good foster match.