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 Name Last Name

Today’s Date *

Date

CDL (CA Drivers License) # *

Date of Birth *

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)? *

Cats Dogs Rabbits / Small Animals

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

Kittens/Puppies Adult Animals Senior Animals

What condition of animal are you able to foster (check all the apply)? *

Recovering from injury or surgery Animal that just needs a break from the shelter or an environment other than animal shelter. Nursing mother and litter Kittens/puppies 0-4 weeks of age On treatment for ringworm or medical condition

Are you willing/ able to take photos and videos to help promote animal for adoption on social media? *

Yes No 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)?

Easy Moderate Challenging

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.

Are you currently or have you previously fostered for any other humane organization? *

Yes No

If yes, which organization/s/ and what animals have you fostered?

Do you own or rent? *

Own Rent

If Renting, Landlord’s Name

Landlords’ Phone #

If you rent or have a HOA, are you allowed to have animals in your home? *

Yes No

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

Yes No

If yes, what are the restrictions?

Home environments *

Apartment Duplex House Townhouse Condo Live with Parents

Yard

Enclosed Backyard Yard, Not Enclosed Patio Front Screen Door

Fence Type

Wood Chain Block

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)

Male Female Neutered/Spayed Current on shots

Animal 2 - Breed

Animal 2 - Age

Animal 2 (check all that apply)

Male Female Neutered/Spayed Current on shots

Animal 3 - Breed

Animal 2 - Age

Animal 3 (check all that apply)

Male Female Neutered/Spayed Current on shots

Animal 4 - Breed

Animal 4 - Age

Animal 4 (check all that apply)

Male Female Neutered/Spayed Current 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 *

Date

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