Foster Home Application

HHPR Foster Care Provider Application
As a Pet Foster Care Family, you will be required to complete a minimum of (3) three hours of foster care training yearly. Halfway Home Pet Rescue will provide all equipment, pet supplies including but not limited to food and litter, and any medical care necessitities for the pet(s).
Date

- Month - Day Year
Date
Name *

First Name Last Name
Phone Number *

- Area Code Phone Number

Address *

Email
example@example.com
Do you or anyone in your household have a criminal record? *

Yes No
If you answered Yes to the criminal record question, please describe the conviction, the date, and if other than yourself, who.
Do you prefer to foster:

Adult cats Kittens Senior cat Special Needs
How many cats or kittens can you foster at a time?
Number
Why do you want to foster?
Please provide NAMES and PHONE NUMBERS of 3 References. One can be a Veterinarian. *
References
What date and time would be best to meet for an interview and/or home visit?
By submitting this application, I affirm that the facts set forth in it are accurate and complete. I understand that if I am accepted as a foster care volunteer, any false statements, omissions or other misrepresentations made by me on this application may result in immediate dismissal.
By placing initials in this box, you give HHPR the authority to check with the references provided above. *
Enter the message as it's shown *
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HHPR Foster Care Provider Application