Foster Care Application

H.O.P.E. Foster Care Application
Name

First NameMiddle InitialLast Name
Home Phone
Street Address
Cell Phone
City, State
ZIP
Work Phone
E mail
example@example.com
Birth Date (00/00/00)

MonthDayYear
Date
Occupation
Employer Name
Employer Address
If you rent, name of landlord/condominium manager
Landlord phone
Landlord E mail
example@example.com
Spouse/Roommate/Partner's name (if applicable)
Names and ages of children (if applicable)
Where will the foster animal(s) be kept during the day and at night?
Who will be the primary caretaker for the foster animal(s)?
Will there be another person available to take care of the foster animal(s)? If so. who?
How long do you anticipate being able to spend with the foster animal(s) each day?
How long are you willing to foster this animal(s)?
Are you comfortable giving:

PillsLiquidsInjectionsNone
How many pets are you willing to foster at one time?
Type(s) of animal you are willing to foster

DogPuppy(s)CatKittens(s)
Check if you are comfortable with:

BathingGroomingClipping NailsCaring for InjuryHousetraining a dogExercising a dogSocializing shy or scared petsBottle feeding babies
Please list current pets or pets you have owned in the past five years.
Current Veterinarian Name(s) - we do verify this info.
Vet Clinic Name(s)
Current Veterinarian Phone
and/or E mail
example@example.com
Name on account
Add'l Info:
Please provide two non-related references.
Name
E mail
example@example.com
Phone (s)
Name
E mail
example@example.com
Phone (s)
By signing this form, I/we acknowledge that the information on this form is true and correct I/we agree to all provisions indicated on this form. I/we understand that any misrepresentation of fact may result in HOPE Animal Shelter refusing adoption privileges to me/us. If my/our request for fostering is approved and later HOPE Animal Shelter discovers the above information is not true or correct, this application becomes null and void, and because of my breach of contract. HOPE reserves the right to remove the foster pet from my home, and I will be held responsible for any associated legal costs incurred as part of said reclamation process. In order to ensure the best foster homes for our rescued pets, we reserve the right to deny any foster application.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty: