Foster Application

Applicant

First NameLast Name

Co-Applicant (or any other adult in home)

First NameLast Name

Age

Address

Street Address

Street Address Line 2

CityState

Zip Code

E-mail

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Who is your employer? Please include address and phone number

Emergency Contact (name and number)

Emergency Contact (name and phone number)

Please list all persons living with you other then the above. Include their age and relationship to you.

Does anyone in your household have allergies to animals?

Please tell us how you heard about House of Hope

Do you have a gender preference for your foster dog?

Do you have an age preference for your foster dog?

Do you have a size preference for your foster dog?

Would you consider special needs fostering?

How soon are you available to foster?

How much time will the dog spend alone during the day and at night?

Do you understand that all foster dogs must be crated when no one is home & at night unless specific approval is given by our Director or Foster coordinator?

Do you live in a:

Do you:

Please indicate landlord contact information. A copy of your lease/rental agreement may be required. If you checked "other," please explain.

How long have you lived at this address?

Does your yard have a physical fence?

Fence Height?

Other

Please describe the fence: type, etc.

Are all of your windows completely screened?

I understand that I must not under any circumstances allow the dog on a terrace, balcony, deck or outside unattended.

What would you do if you had to travel and you had a foster dog at that time?

Who will be the primary caretaker of the foster dog?

Do you currently have cats?

Please list cats living in your home. Please include: name, breed, age, if altered, gender, up-to-date on vaccines, on heart worm preventative

Do you currently have dogs?

Please list the dogs living in your home. Please include: name, breed, age, if altered, gender, up-to-date on vaccines, on heart worm preventative.

Do you currently have any other pets?

Please list all other pets living in your home. Please include: Species, name, breed, age, if altered, gender, up-to-date on vaccines.

Have you owned any other pets in the past not listed above? What happened to that pet? If deceased please give circumstances of death.

Have you ever surrendered a pet to a shelter or rescue, or given a pet away?

Please explain the circumstances.

We take great care in quarantining our dogs to make sure they are properly vetted & healthy prior to their transport to us. Please understand these are shelter dogs, while we ask our vets to dog & cat test each pet we cannot guarantee they will be house trained, cat or dog freindly. It's very important you follow all safety rules implemented by House of Hope while fostering.

Are you willing to house train?

Are you willing to crate train?

Please provide your veterinarian's name and phone number. If you do not currently have pets, please provide the information for your previous veterinarian(s) if less than 10 years ago. PLEASE CONTACT YOUR VET(S) AND GIVE PERMISSION TO RELEASE INFORMATION TO HOUSE OF HOPE and be sure to include the name (first and last) the pets are listed under.

Please provide the name and phone number of three personal references not including family members. Please be sure to include phone numbers. ALSO, PLEASE LET YOUR REFERENCES KNOW SOMEONE FROM HOUSE OF HOPE WILL BE CONTACTING THEM.

Are you interested in helping with any other volunteer opportunities?

Is there any other info you want us to know about you or your preferences for fostering?

By submitting this application electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I also certify that the above is true and accurate to the best of my knowledge. I also understand that the above information will be verified.

I also certifying that I have never been convicted of animal cruelty, neglect, or abandonment.

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MonthDayYearHourMinutesAM/PM Option

Your name

Co-Applicant name (if applicable)