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  • Foster Home Application

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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Are you a student?*
  • Format: (000) 000-0000.
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  • What type of dogs are you interested in fostering? (Select all that apply)*
  • What types of cats are you interested in fostering? (Select all that apply)*
  • I would be interested in fostering an animal that needs (Select all that apply):*
  • Are you fostering with the hope of possibly adopting?*
  • What length of time would you prefer to foster an animal? Select all that apply:*
  • Are you a current CHA volunteer who has completed both orientation and training?*
  • Do you have a separate room to keep your foster animal (such as a spare bedroom)?*
  • Are you hoping to foster animals who can free-roam with existing pets and household members?*
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  • Type of Residence:*
  • Do you own or rent?*
  • Do you live with your parents?*
  • If you live with your parents, are they aware that you want to foster?
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  • Are your pets current on vaccinations?*
  • I am interested in fostering:*

  • If Interested In Fostering A Dog/Puppy:

  • How will you keep the dog confined to your property? Select all that apply:

  • If Interested In Fostering A Cat/Kitten

  • Will the cat be allowed outside?
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  • Have you owned animals in the last 10 years?*

  • Pet History

    Please enter the information of ALL animals currently in the home or that you have owned within the last 10 years:

  • Name:
    Age:    year(s)
    Sex:          
    Species            
    Where is/was the pet housed?           
    Where is the pet now?:      
    Is/Was pet spayed/neutered?         

  • Name:
    Age:    year(s)
    Sex:          
    Species            
    Where is/was the pet housed?           
    Where is the pet now?:      
    Is/Was pet spayed/neutered?         

  • Name:
    Age:    year(s)
    Sex:          
    Species            
    Where is/was the pet housed?           
    Where is the pet now?:      
    Is/Was pet spayed/neutered?         

  • Name:
    Age:    year(s)
    Sex:          
    Species            
    Where is/was the pet housed?           
    Where is the pet now?:      
    Is/Was pet spayed/neutered?         

  • Name:
    Age:    year(s)
    Sex:          
    Species            
    Where is/was the pet housed?           
    Where is the pet now?:      
    Is/Was pet spayed/neutered?         

  • Name:
    Age:    year(s)
    Sex:          
    Species            
    Where is/was the pet housed?           
    Where is the pet now?:      
    Is/Was pet spayed/neutered?         

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  • Foster animals may need to be brought to CHA for routine care and/or exams. Are you able to bring your foster animal back to CHA for this care (if applicable)?*
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  • Optional:

  •  
  • Should be Empty: