Foster/Adoption Application for Until They're Home

Until They're Home foster/adoption application

Thank you for your interest in fostering or adopting through Until They're Home. Please fill out the following form and someone will reach out to you within 48 hours. **Email is our primary method of communication for most applications. Sometimes our emails go to spam. Please keep an eye on your spam folder in case any of our emails end up there.**
- First Name*
- Last Name*
  Last
- E-mail:*
- Phone Number:*
  
  Area CodePhone Number
- Co-Applicant First Name:
- Co-Applicant Last Name:
- Co-Applicant Phone:
  
  Area CodePhone Number
- Co-Applicant E-mail:
  example@example.com
- Street Address 1*
- Street Address 2
- City*
- State*
- Zip*
- Address:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- I/we are interested in:*
  
  FosteringAdopting (no animal picked out yet)Adopting (I have a specific animal I am interested in)
- Is there a specific animal you are interested in?
- Animal ID
- Do you live in a:*
- Do you:
  
  OwnRentLive with ParentsOther
- Do you:*
  
  OwnRentLive with ParentsOther
- Landlord's name
- Landlord's phone number
  
  Area CodePhone Number
- Property manager/owner email address
  example@example.com
- Household Setting:
  
  RuralCity
- If adopting, how soon were you looking to bring a new animal into your home?
  
  MonthDayYear
- Describe the Activity Level in your Home:
  
  Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests
- List all people living in the house (including yourself):*
- List all animals living in the house:
- Have any of the above animals caused injury to another animal or human that required medical attention?*
- At Until They're Home, we focus on finding a good match for you and your household. The following questions will help us determine which of our adoptables might be a good match for you. We encourage you to be as honest and realistic as possible when thinking about what type of animal you and your household are able to commit to. Our ultimate goal is to find the best match for everybody, including you!
- What size animal are you interested in fostering/adopting? (Check all that apply)*
  
  CatsSmall dogsMedium dogsLarge/XL dogsExotics (rabbits, snakes, biretc)
- Please describe the type of animal you are interested in fostering/adopting (This could include things like coat length, personality traits, energy level, etc.)*
- If fostering, are you willing to take your foster animal to vet appointments at a convenient time for you?*
  
  YesNoNA (I am adopting)
- If fostering, are you willing and able to medicate your foster, even if it is just a monthly heartworm preventative?*
  
  YesNoNA (I am adopting)
- If No please explain
- Although we do our best to verify that an animals is housebroken/litter-trained, we cannot make any guarantees. Do you feel comfortable working through any housetraining problems? (UTH's lead behaviorist is always available to help give you training resources.)*
  
  YesNo
- Have you had any experience with with an emotionally or physically neglected or abused animal?*
  
  YesNo
- If Yes please explain
- Are you willing to use a crate/kennel for an animal if recommended?*
  
  YesNo
- Do you have a fenced yard?*
  
  YesNoPartial
- If fenced, please give details on height, material, # of gates, are gates locked or lockable?
- On average, how many hours in a day would the animal be left alone?*
- What are you plans to meet your animal's play/exercise needs? Please list things such as walks per day, indoor play time/stimulation, types of play (social, hikes, etc).*
- How did you hear about us? *
  How did you hear about us?
- Please include two personal references and one veterinary reference. If you do not currently have animals, we will not call for a veterinary reference, simply put NA in the bod. If you are looking to adopt but do not currently have animals, please fill in that information with the vet that you intend to use for your new pet.
- Personal Reference #1*
  Full Name
- Phone Number*
  
  Area CodePhone Number
- Personal Reference #2*
  Full Name
- Phone Number
  
  Area CodePhone Number
- Veterinary Reference*
  Name
- Phone Number*
  
  Area CodePhone Number
- I am currently or have been a client at this vet:*
  
  YesNo
- References (please include at least one veterinary and one personal):*
- Our foster newsletter is the quickest way for us to communicate to our foster and adoptive homes. It contains fostering/adopting opportunities, tips on behavior and training and general information about our foster program.
  
  Yes, subscribe me to this newsletter.No thanks
- I agree to the following conditions:*
- I agree to the following restrictions for my foster animal(s):
- As a foster care provider, I acknowledge and agree to the following:
- By electronically initaling, signing, and submitting below, I acknoweldge that I have completely read and fully comprehend this application and questionnaire. I further certify that I have filled out this application survey honestly and to the best of my ability.
  
  I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Until They're Home animal fostered by me.
  
  I certify that the above information is correct, and I understand that the information will be verified.
  
  I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Until They're Home and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster animal.
  
  I accept full responsibility for the animal(s) actions at all times, and release Until They're Home from any liabilities or damages that may be incurred because of fostering such animal(s).
- Date
  
  MonthDayYearHourMinutesAM/PM Option
- Your name*
- Co-Applicant name (if applicable)
- Signature*
- Co-applicant Signature
- Please select*
  Please select
- Should be Empty: