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Foster Application
All sections
must
be filled out in order to be considered as a potential foster. You may also download a copy of the Foster Application
HERE
.
Contact Information
First Name
Last Name
Address
E-mail
City
State
Zip
Home Phone
Cell Phone
Work Phone
Housing
Information
Do you currently:
Rent
Own
Live with Relatives
Other
Details
Family
Information
Are there children in the home?
No
Yes
Ages
Fence
Information
Is your property fenced?
No
Yes
Type
Height
Pet History & Animal Care Background
Have you ever owned a pet?
No
Yes
If yes, please list any pets you have owned that are
not currently living with you
:
Breed
How long did you have the pet?
What happened to the pet?
Do you currently have pets in your home?
No
Yes
How many?
Name
Breed
Sex
Age
Spay/
Neuter
Current
Vacc.
M
F
Y
N
Y
N
M
F
Y
N
Y
N
M
F
Y
N
Y
N
Have you ever surrendered a pet to an animal shelter or rescue organization?
No
Yes
If yes, please explain the situation:
Is anyone in the home allergic to pets or pet hair?
No
Yes
If yes, how will you cope with the issue?
Foster Plans
What type of pet are you interested in?
Dog
Cat
Where will the pet primarily stay?
Indoors
Outdoors
How many hours a day will you be able to spend with this pet?
Where will the pet stay when you are at work or away from home?
Where will the pet sleep at night?
Personal References:
Name
Phone
E-mail
Address
Professional References:
Landlord
(required if renting)
Name
Phone
Address
Veterinarian
(required if currently have pets)
Name
Phone
Address
Verification:
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED HEREIN IS TRUE AND THAT I HAVE ANSWERED ALL QUESTIONS HONESTLY. I FUTHER CERTIFY THAT I AM AT LEAST 21 YEARS OF AGE. I UNDERSTAND THAT PROVIDING FALSE INFORMATION WILL RESULT IN THE APPLICATION BEING DENIED. I UNDERSTAND THAT HSTGC RESERVES THE RIGHT TO DENY ANY APPLICATION FOR ANY REASON FOR THE SAKE OF PROTECTING THE WELFARE OF THE ANIMAL. I UNDERSTAND THAT THIS APPLICATION IS SUBJECT TO THE APPROVAL OF THE HSTGC RESCUE AND ADOPTON COMMITTEE. IF MY APPLICATION IS DENIED I UNDERSTAND THAT HSTGC MAY OR MAY NOT DISCLOSE THE REASON(S) THE APPLICATION WAS DENIED.
I UNDERSTAND THAT I HAVE ONLY SUBMITTED AN APPLICATION TO FOSTER AND THIS IS NOT A FOSTER CONTRACT AND THAT APPROVAL IS NOT GUARANTEED.
IT IS MY INTENTION TO INTEGRATE THE ANIMAL I AM APPLYING TO FOSTER INTO MY HOME AS A PET, COMPANION AND MEMBER OF MY FAMILY. I UNDERSTAND THAT FOSTERING ANY PET IS A COMMITMENT TO PROVIDE LOVE, SHELTER AND CARE TO HIM/HER UNTIL A SUITABLE PERMANENT HOME IS LOCATED. I CERTIFY HERE THAT I AM READY TO MAKE THIS COMMITMENT WITH THE FULL KNOWLEDGE THAT THE DURATION OF MY FOSTER ARRANGEMENT IS OPEN ENDED.
I HEREBY AUTHORIZE HSTGC TO CONTACT MY REFERENCES AS PART OF THE SCREENING PROCESS FOR FOSTERING
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