• Foster Home Application

    Animal Nation, Inc.

  • The first step in the process of becoming a foster home with Animal Nation, Inc. is to complete this application. The application provides important information. Working with you, we will be able to determine if the fostering is right for you. Please provide detailed information for all questions.
     
    Please note that all foster homes are subject to a home visit at the discretion of Animal Nation. Primary applicant must be at least 18 years of age.

  • Page 1: Applicant Information

  • Date of Birth*
     - -
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  • Are you currently (check all that apply): *

  • Page 2: Additional Applicant / Residence Information

  • Type of Home*

  • Do you own your home or rent? *

  • If you own your home you must provide proof of ownership prior to approval. If you own a condo or townhome you must provide a copy of the association bylaws which indicate pets being allowed, the number allowed and any limitations in size/weight/breed, also prior to aapproval. 

  • Does your lease permit animals?
  •  -
  • Do you have the consent of all who reside in your household to foster an animal?*

  • Page 3: Fostering Basics

  • Please let us know your fostering interests.*
  • For what length of time are you willing to foster?*
  • Where will the fostered animal reside?*
  • Are you willing to participate in training this animal if necessary (i.e.; house training a dog or litter box training a cat)?*
  • Are you willing to transport this animal to and from veterinary appointments?*
  • Are you willing to medicate the animal if necessary (including but not limited to eye drops and oral medication)?*
  • Are you willing to allow potential adopters to visit this animal?*
  • Do you currently have a relationship with a Veterinarian? *
  •  -
  • May we contact your veterinarian to discuss the well being of animal(s) in your care? *

  • Page 4: Current & Past Animals

  • Please list all animals you currently own.

  • 1. Type*
  • Spayed/Neutered?
  • Vaccinated?
  • Licensed/Registered? (Dogs Only)
  • 2. Type
  • Spayed/Neutered?
  • Vaccinated?
  • Licensed/Registered? (Dogs Only)
  • 3. Type
  • Spayed/Neutered?
  • Vaccinated?
  • Licensed/Registered? (Dogs Only)
  • 4. Type
  • Spayed/Neutered?
  • Vaccinated?
  • Licensed/Registered? (Dogs Only)

  • Page 5: References

  • Please provide the names and contact information of two personal references, excluding immediate family members and those who reside at the address listed above.

  •  -
  •  -

  • Page 6: Other Information

  • Page 7: Authorization & Applicant Signature

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    I authorize Animal Nation, Inc., its volunteers, directors and designees to investigate all statements made on this application. I understand that the misrepresentation or omission of facts is cause for denial. My signature below indicates that all statements made are true and complete to the best of my knowledge.

    Submitting this application shall constitute an electronic signature. 

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