Foster app

NAME

DATE

Date

ADDRESS

CITY

STATE

ZIP

HOME PHONE

WORK PHONE

CELL PHONE

DRIVERS LICENSE #

STATE

EMAIL ADDRESS

example@example.com

AGE

1. Do you own or rent your home? (If leasing to own, please select rent)

OwnRent

2. Do you currently live in a:

HouseApartmentCondoMobile Home

3. If you rent (or lease to own) please list the phone number and name of the landlord, president or manager of any homeowner, condo or other similar associations.

Name

First NameLast Name

4. Are you a permanent or seasonal resident?

5. What types of pets do you currently have in your household? (Please put their name, their gender, if they are spayed/neutered, their latest vaccinations, and how long you have owned them.)

6. What other animals have you owned in the past? What happened to them?

7. Have you ever surrendered an animal to a shelter or animal control facility?

YesNo

If yes, please describe the circumstances

8. Who is your Veterinarian or Vet Clinic?

Vet Clinic Phone Number

Please enter a valid phone number.

9. How many adults live in the household?

How many children live in the household?

What are the ages?

10. Does anyone in your household have known allergies to animals?

YesNo

If yes, please explain

Fostering Preferences

Age Preferred

Other preferences for fostering

Have you fostered an animal before?

YesNo

If yes, what did you foster and for what group?

If you do work outside the home, what hours do you work?

Do you have the time to offer these needy animals the extra attention and love required for their adjustment prior to adoption?

YesNo

Where will the animal be kept when you are not home?

Any and all foster homes are subject to impromptu wellness visits from the staff of Dogwood Animal Shelter.

Please verify that you are human*