Applicant Information
Please Complete All Fields. If needed you can save this application and return to it later.
Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Back
Next
Save
Foster Details
Are you over 18 years old?
*
Yes
No
Have you ever been charged with a violent crime or a crime against animals?
*
Yes
No
Do you rent or own your home?
*
Rent
Own
Are there other individuals living in the home?
*
Yes
No
Please list all people living in your household including names, ages, and relationship to you
Rows
First Name
Last Name
Age
Relationship
Person 1
Person 2
Person 3
Person 4
Person 5
Are there other pets in the home?
*
Yes
No
Please list other pets living in your home, including species, gender, estimated weight, and age
Rows
Animal Type
Gender
Estimated Weight
Age
Animal 1
Dog
Cat
Other
Male (Intact)
Male (Neutered)
Female (Intact)
Female (Spayed)
Animal 2
Dog
Cat
Other
Male (Intact)
Male (Neutered)
Female (Intact)
Female (Spayed)
Animal 3
Dog
Cat
Other
Male (Intact)
Male (Neutered)
Female (Intact)
Female (Spayed)
Animal 4
Dog
Cat
Other
Male (Intact)
Male (Neutered)
Female (Intact)
Female (Spayed)
Animal 5
Dog
Cat
Other
Male (Intact)
Male (Neutered)
Female (Intact)
Female (Spayed)
Have you fostered animals in the past?
*
Please Select
Yes, with West Valley Humane Society
Yes, currently another organization
Yes, previously with another organization
No
Please list the organizations you have fostered with either currently or in the past
Please put each organization on a new line
What is your experience fostering or working with animals?
You do not need any experience to get started!
Please list the type/s of animals you are able/willing to foster:
*
Bottle babies (kittens)
Kittens (eating on their own)
Female cat with kittens
Medical needs felines
Behavioral needs canines
Bottle babies (puppies)
Puppies
Female dog with puppies
Medical needs canines
Heartworm positive care (limited activity)
Pets diagnosed with ringworm
Emergency foster
Back
Next
Save
Terms & Conditions
Foster Program Consent Agreement
Please Upload a Photo of Your Drivers License or Government Issued ID
*
Click to Upload
Drag and drop files here
Choose a file
Cancel
of
Signature
*
The above signed has read all of the terms of the Consent Form and understands, accepts and agrees to be bound by the above conditions.
Save
Submit
Submit
Should be Empty: