DRHS Foster Application Form

Fostering Saves Lives!

Fill in the form below to apply for fostering for the Dubuque Regional Humane Society
What is a foster parent?

A volunteer foster parent assists in the rehabilitation of an animal by providing in-home care. An animal may need a foster home for a variety of reasons including age, illness, injury, socialization, or to help provide needed space at the shelter for incoming animals. Foster parents provide a clean, safe, loving environment for the animals in their homes.

Time Commitment?

The length of foster care for each animal varies depending on its needs. Fostering may last from two weeks to several months. We have a need for foster parents throughout the year and foster parents are contacted by the Foster Manager as needs arise.

Any Expenses?

The DRHS furnishes all of the supplies needed to care for foster animals. This includes food, bedding, litter, toys, and enrichment items. Additionally, the DRHS provides all medical care and related expenses. Foster parents are responsible only for the expenses traveling to and from the shelter for medical care appointments and picking up supplies when needed. Appointments vary depending on the animal and reason an animal is in the foster program.

Responsibilities

It is the foster family’s responsibility to provide a clean, safe, and loving environment for our foster animals. Being a foster parent requires the following:
- Ability to commit to routine medical appointments
- Have access to transportation
- Be accessible by DRHS staff (phone, email, text, etc.)
- Must be 18 years of age
- If fostering dogs, a safe place to walk or an enclosed outdoor area where dogs can be supervised during outside time
- While fostering does not necessarily take a lot of time, time commitments vary depending on the needs of each animal and must be considered before taking on any foster animal
- Fostering needs are dependent upon seasonal population growth and our shelter’s intake
- Patience. Foster animals, like all animals, require patience as they transition to your home and environment
Fostering is one of the most rewarding volunteer experiences; with your help, we can save more lives!

Please contact the Foster Manager at foster@dbqhumane.org if you have additional questions or require more details.
I acknowledge that I have read the information above:*

Yes

Applicant Information

Application progress: page 1/5
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Secondary Phone Number
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact:*

First NameLast Name
Emergency Contact Phone Number*
Relationship:*

Experience

Application progress: page 2/5
Occupation:*
Employer*
Regular working hours:*
About how many hours per DAY are you able to spend with your fosters? *
About how many hours per EVENING are you able to spend with your fosters? *
About how many hours per WEEKEND are you able to spend with your fosters? *
Have you ever fostered animals in the past?*

YesNo
If yes, what species and through what organization?
Please describe your previous animal handling experience: i.e. medical care, socialization, training, bottle feeding, weaning, etc. *

Fostering Interests

Application progress: page 3/5
Are you able to meet the 6 month commitment, fostering one animal or group during that time?*

YesNo
Why are you interested in fostering? Check all that apply:*
Will you be able to return the animal to the DRHS after having cared for it for an extended period of time?*

YesNo
Are you willing and able to bring foster animal(s) in for routine medical and foster appointments as scheduled by you and the Foster Manager?*

YesNo
Describe your feelings about euthanasia of animals for health or temperament problems:*

Verification and Consent

Application progress: page 5/5
We require one piece of identification (i.e. Driver's License) for all applicants
ID Type:*
ID #:*
Foster Caregiver agrees to immediately contact the Humane Society for proper care instructions in the event fostered animal(s) requires medical attention due to illness or accidental injury. Foster Caregiver agrees to assume the cost of medical care administered to fostered animal(s) due to Foster Caregiver’s gross negligence or harmful acts. Foster Caregiver agrees to immediately return the fostered animal(s) to the Humane Society upon receipt of Humane Society’s written or oral request to do so, but in no event will fostered animal(s) be held by Foster Caregiver later than the agreed upon time period as stated in this Agreement without the express written permission by an employee of the Humane Society. Foster Caregiver agrees to indemnify the Humane Society for court costs and reasonable attorney’s fees incurred by Humane Society in its attempts to regain custody of fostered animal(s) in the event Foster Caregiver refuses to return the animal(s) to Humane Society upon its written or oral request to do so, or at the agreed upon time as stated in this Agreement. Foster Caregiver agrees to immediately contact the Humane Society (563-582- 6766) and the local Animal Control Officer (563-589-4185 / City) in the event fostered animal(s) is stolen or lost while under the Foster Caregiver’s supervision and further will assist in the recovery of the fostered animal(s). Foster Caregiver agrees to provide the Humane Society with the fostered animal(s)’ remains or otherwise verifiable proof in the event the fostered animal(s) dies or is killed while under the Foster Caregiver’s supervision.
By signing below, you confirm that all information is accurate and agree to all terms and conditions listed on this application*

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Fostering Saves Lives!

Applicant Information

Experience

Fostering Interests

Household Information

Verification and Consent