FHRNE FOSTER CARE APPLICATION

Forever Home Rescue New England
106 Adams St, Medfield, MA 02052

FOSTER CARE APPLICATION

Forever Home Rescue New England thanks you for your interest in our Foster Care Program established to provide homeless animals with a temporary real home setting outside of a shelter environment. Completing this application will provide us with information needed to ensure the animal is entering an environment compatible to his/her emotional and physical needs.

In completing this application, I acknowledge that:
- I will be the primary caretaker of the animal(s);
- I am at least twenty-one (21) years of age;
- I will permit a Forever Home Rescue New England representative to visit my home where the animal will be residing;
- I can provide a safe, loving environment to a homeless animal, and I am able and willing to provide food, water, shelter and plenty of loving care to the animal;
- I will cooperate with adoption efforts;
Today’s Date:

MonthDayYear
Date
Date I can start fostering:

MonthDayYear
Date
PRIMARY CARETAKER INFORMATION
Your Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone:
Work Phone:
Cell Phone:
E-Mail Address:
example@example.com
Your Occupation:
Spouse’s Occupation:
Best way to contact me

E-mailHome PhoneWork PhoneCell Phone
FOSTER ANIMAL INFORMATION
Why do you want to foster?
Is there a specific animal you are interested in fostering? Yes No

YesNo
If yes, provide name and/or description of the animal:
I am interested in fostering (check all that apply):

YesNoDogsPuppies
If you are interested in fostering a dog, what size would you consider? (check all that apply)

No preferenceExtra small (up to 10 lbs.)Small (11-20 lbs.)Medium (21-50 lbs.)Large (51-75 lbs.)
Do you have an age group preference? (check all that apply)

No preferencePuppy or Kitten (up to 6 months)Adolescent (6 months - 2 years)Adult (2 years - 7 years)Senior (over 7 years)
Do you have a gender preference (all animals will be spayed/neutered prior to entering foster care)?

No preferenceMaleFemale
Please list any breed preferences:
I would consider: (check all that apply):

Special Needs (physical injuries)Special Needs (emotional/non-aggressive)Newborn puppies (bottle feeding)Pregnant or mother dog w/ puppies
I am willing/able to:

Housetrain an animalProvide frequent exercise (i.e. long walks, agility, etc.) for high energy animalsTeach basic obedience (i.e. sit, lay, walk/heel on leash, stay, etc.)Other: I would like more information on:Introducing a New Animal Into My HomeHousetraining/Crate TrainingHeartworm PreventionLeash & Licensing Laws Behavioral Problems (i.e., destruction, excessive barking, etc.)Other
List any specific personality traits you do or do not desire in a foster dog, if any:
FOSTER CARE ENVIRONMENT
Do you rent or own your home?

RentOwn
If you rent, do you have permission from your landlord to have an animal?

YesNo
Landlord’s Name:
Landlord's Phone Number:

Area CodePhone Number
Please describe your residence:

HouseApartment/CondoMobile HomeDuplexOn-Post Military HousingOther
Does everyone in your household know you are planning to foster an animal?

YesNo
If no, please explain:
Does anyone in your household have concerns or reservations about fostering an animal?

YesNo
If yes, please explain:
Please describe your yard:
Is it fenced?

YesNo (If no, skip next question).
What type of fence and how high is it?
Have you inspected and secured all potential escape routes?

YesNo
If you don’t have a fenced in yard, what are your plans for the dog’s exercise and toilet duties and how will the dog be kept confined to the yard?
FOSTER FAMILY INFORMATION
List all persons residing in your home:
Name: Relationship to primary caretaker: Age: Additional INFO : Name: Relationship to primary caretaker: Age: Additional INFO : Name: Relationship to primary caretaker: Age: Additional INFO : Name: Relationship to primary caretaker: Age: Additional INFO :
List all pets residing at your home:
Name: Breed: Age: Spayed/Neutered? How was this animal acquired? Describe Personality Name: Breed: Age: Spayed/Neutered? How was this animal acquired? Describe Personality Name: Breed: Age: Spayed/Neutered? How was this animal acquired? Describe Personality Name: Breed: Age: Spayed/Neutered? How was this animal acquired? Describe Personality
Please list all pets owned in the last 5 years, which no longer live with you:
Breed: Spayed/Neutered? Where Pet was Kept: Time Owned: Where is pet now? If deceased, please explain. Breed: Spayed/Neutered? Where Pet was Kept: Time Owned: Where is pet now? If deceased, please explain.
Who is your Veterinarian?
Veterinarian's Phone Number:

Area CodePhone Number
Do we have permission to check your vet records?

YesNo
If no, please explain:
How much time will this animal spend alone?
How do you plan to keep the animal from being bored when no one is home?
Where will he/she be kept when alone?
Where will the animal sleep at night?
For what reasons would you consider returning a foster animal to Forever Home Rescue?
Two personal references and their phone numbers!
Name: Phone: Name: Phone:
OTHER
Please contact me about the following (circle one):

VolunteeringFundraisingEventsOther
By Signing (Electronic Signature) below I agree to the terms above and that all information above istrue and accurate to the best of my knowledge.

Clear
Initial:
Date

MonthDayYear
Date
Thank you for your interest in fostering a homeless animal for Forever Home Rescue. Our foster home coordinator will contact you soon to conduct a follow-up interview and/or a site visit of your home
Enter the message as it's shown*
Should be Empty:

PRIMARY CARETAKER INFORMATION

FOSTER ANIMAL INFORMATION

FOSTER CARE ENVIRONMENT

FOSTER FAMILY INFORMATION

OTHER