Full Name:
Drivers License #:
Spouse Name:
Home Phone:
E-Mail:
Address:
City
State:
Employer (you):
Occupation:
Employer (spouse):
Occupation:
How Many Children in home?
Age of Children:
Are ALL family members willing to care for a foster animal?
Select One
Yes
No
If not, please explain
Type of residence
If you rent or lease, do you have permission from your landlord:
Landlord name and phone number
How many dogs can you foster at one time
Will the foster dog live indoors or both in and outdoors. Please explain.HSCC will not foster any animal that will live exclusively outdoors.
Is your yard fenced
Select One
Yes
No
If yes, what type of material is fence and height
If no, where will the dog be exercised and allowed to eliminate
Please list all pets in your household. (Breed, Sex, Age, Spayed/Neutered)
Name, Address and Phone of your current vet:
Have you ever used dog crates
Select One
Yes
No
Do you own a dog crate
Select One
Yes
No
How will you transport your foster dog
Why do you want to become a foster home
What do you know about rescued animals in general
Have you had experience with abandones/homeless/rescued animals
ALL of our dogs are altered BEFORE they enter a foster home environment. This action is to prevent overpopulation. With this understanding, do you have a preference as to the gender of your foster dog?
Select One
Male
Female
No Preference
Any other preferences
It is extremely important that our foster dogs be made available to the general public so that they have every opportunity to be socialized and adopted. Are you willing to periodically bring your foster dog to Humane Society of Caroline
Select One
Yes
No
Please list 2 personal references: Name, address and phone number.
Reference 1
Reference 2
