Newman Nation: Senior Pets United Foster Home Application

Newman Nation: Senior Pets United Foster Application

Please complete all questions to help us best match you with a senior foster pet.
Name*

First NameLast Name
E-mail*
Primary Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
HouseTownhomeCondoApartmentOther
OwnRentOther
YesNo
If you lease, please provide your landlord's name and contact information.
Marital status:*
Please provide the names, ages, and relationship of all members in your current residence:*
YesNo
If yes, please explain.
YesNo
If yes, please provide the name of your employer and the hours you work.*
YesNoSometimes
Please list the dates or tentative dates of any travel plans in 2018.*
Please list all current animals in your residence (for each, provide their name, species, gender, breed, age, and if they are spayed or neutered.*
Please name your most recent veterinarian that we can contact for a reference.*
Your veterinarian WILL be contacted for a reference. To be proactive, you can let them know ahead of time to expect a call and can give them permission to release information.
Phone Number*
YesNo
Please explain why you are interested in fostering a senior animal.*
CatsDogsEither
SeniorGeriatricHospice
YesNoOther
YesNoOther
YesNo
YesNoWilling to learn how
YesNo
YesNoOther
How long are you willing/able to commit to fostering an animal?*
Please keep in mind that by accepting a foster into your home, you are making a commitment to that animal. If things do not work out, immediate alternative placement may not be available so prepare to handle the situation.
Would you be interested in being a Forever Foster for a senior cat or dog who might have disabilities, behavioral issues or need hospice care? (Note: Newman Nation: Senior Pets United would continue to cover the costs of any needed veterinary care for the rest of the animals' life)
Have you ever fostered an animal for another organization? If yes, provide the name. *
Newman Nation: Senior Pets United does its best to screen an animal's temperament, but cannot warrant the health or behavior of any foster animal(s). I agree that (a) I will allow home visits from Newman Nation: Senior Pets United representatives, and (b) this animal is non-transferable, and will stay in the above home until Newman Nation: Senior Pets United finds a permanent home for him/her. I further understand that only Newman Nation: Senior Pets United and its representatives will make a decision regarding permanent placement of this pet and that Newman Nation: Senior Pets United has the right to reclaim this pet at any time. I agree to notify Newman Nation: Senior Pets United immediately of any kind of problem concerning this pet that arises. I understand that while Newman Nation: Senior Pets United may make recommendations concerning how to deal with this animal on a daily basis, including quarantine, training, etc, these things are under my control unless Newman Nation: Senior Pets United gives explicit instructions. I therefore take full responsibility for any damage this animal does to my living area, pets, belongings, or myself with the understanding that these things occurred because I did not properly protect my living space, pets, belongings, or myself from this animal. If, in the future, I would like to adopt this pet as my own companion, Newman Nation: Senior Pets United will give my home first priority over other adoption applications. I have agreed to the above and understand that if this foster situation does not work out for any reason, the pet will be returned to Newman Nation: Senior Pets United representatives. By signing this form, I certify that the information provided above is true and correct.*

I agree
Signature*
Signature date*
Should be Empty:

Newman Nation: Senior Pets United Foster Application