Foster Care Application

Foster Care Application
The decision to become a foster parent is a great one. Choosing to bring an animal into your home on a temporary basis can be very rewarding but can also be tough when it's time to bring the animal back to the shelter. We ask that you make this decision with all members of your family and that you be aware of the responsibility involved in being a foster parent. Once your application has been processed, you will be advised and the responsibilities and duties will be explained thoroughly to you. This extensive process is to ensure the protection and well-being of the animals in our care. We thank you in advance for your co-operation.
Name

First NameLast Name
Date

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Spouse / Partner's full name
Please describe your reasons for wanting to be a foster care volunteer with the L.A Animal shelter:
How long have you been at this address?
If less than 3 years, give your previous address:
Do you live in a:

HouseApartmentTownhouseRentedOwned
Are pets allowed in your residence?

YesNo
Landlord's Name

First NameLast Name
Landlord's Phone Number
Please enter a valid phone number.
Are you:

Attending SchoolWorkingRetired
If you have children living in the household full-time or part-time, please list their ages:
How many adults are in the home?
Which member of your household will be responsible for:
A) Feeding
B) Training
Have you fostered animals for this shelter or any other shelter before? If yes, please explain:
What experience do you have providing care to animals?

Are there any animals currently in your home? If yes, please describe them:

	Cat / Dog Breed	Spayed / Neutered?	Male / Female	Are they an indoor or outdoor pet?	Personality Type?
Pet #1
Pet #2
Pet #3
Pet #4

Which Veterinarian looked after your pets?
Veterinarians phone number
Do you give permission for the L.A Animal Shelter to contact your vet for more information?

YesNo
Do you have an area in your home which fostered animals can be kept isolated from other pets? If yes, please describe:
What category of animals are you interested in fostering? (click all that apply)

Orphan puppiesOrphan KittensSenior dogsSenior catsDogs with medical conditionsCats with medical conditionsDogs with behavioural issues
Do you have experience with the type of foster care you have indicated above? If yes, please explain:
Where will the animal(s) be kept:
1. During the day?
2. At night?
3. When you are not home?
How many hours a day will the animal be left alone?
If you are interested in fostering a dog, tell us how many hours a day, on average will the dog spend in each of the following situations:
1. Inside the house alone with the run of the house
hours
2. Inside the house confided to one room
hours
3. Inside the house in a crate/kennel
hours
4. Inside the house with people
hours
5. Outside in a fenced yard
hours
6. Outside tied
hours
7. Outside in a kennel or run
hours
8. Outside with people
hours
9. Other (specify)
How many times a day will you walk the dog?
Do you have a yard? Is it fenced?

I have a yard, it is fencedI have a yard, it is not fencedI do not have a yard
Are you willing/able to spend time; exercising, training and /or eliminating behavioural problems (i.e. house training, scratching, jumping)

YesNo
Do you have experience in training animals

YesNo
If yes, please provide further details (methods of technics you may use)
How would you let the animal know they are doing something wrong?
If you are interested in fostering a cat, will the cat be kept indoor or outdoors?

IndoorOutdoor
Do you have access to a vehicle?

I own a vehicleI do not own a vehicle but I have access to transportation at certain times
Are you willing/able to bring the animal to the vet or shelter as neccessary?

YesNo
Are you willing/able to bring the animal to an emergency clinic at night (if necessary)?

YesNo
Is there anyone within your household that is allergic to animals? If yes, how do you plan to manage this?

List 3 references with phone numbers, addresses, and e-mail: friends, neighbours, etc. (not relatives or your veterinarian)

	Full Name	Phone Numbers	Address	Email
Reference #1
Reference #2
Referene #3

How did you find out about the L.A Animal Shelter Foster Program:
Foster Care Agreement Upon Approval:
I understand that it is my responsibility to ensure that the animal(s) for which I provide foster care are kept safe

and secure and provided with the requirements for their daily care and well-being. In some situations, home checks may be required prior to final approval.

I fully understand that these animals are in my care on a temporary basis only, belong to the L.A. Animal Shelter, and can be brought back to the LA Animal Shelter if for any reason the animal is not a good match for the foster family. I further understand that the purpose of this foster care arrangement is solely to provide care for this animal and that any decisions regarding the animal's health, treatment, or final disposition must be made or authorized by the Shelter Manager. I also agree that when the animal is ready to be made available for adoption, I will return it to the L.A. Animal Shelter.

I understand that the L.A. Animal Shelter cannot guarantee the health of the animal(s) that are fostered out and release the L.A. Animal Shelter from any responsibilities or claims that may arise from my own animal’s exposure to them.

I hereby give the L.A. Animal Shelter authority to obtain a copy of my pet’s medical records from my veterinarian.
Foster Care Applicant / Provider

Clear
Date

MonthDayYear
Date
Vet Records
I give my permission to the following vet clinic to allow the LA Animal Shelter to have access to my veterinary records.
Name of clinic
Date

MonthDayYear
Date
Name

First NameLast Name
Signature

Clear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Name vet records are under:

First NameLast Name
Animal's name and species (cat/dog)
Should be Empty:

Foster Care Application

Foster Care Agreement Upon Approval:

Vet Records