Fostering Application - Lower Mainland Humane Society

Date of Application

Name of Applicant*

First Last

Are you 21 years of age or older? (Proof may be requested.)*

Yes
No

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Place of Employment

Do you work

Full-time
Part-time

Do you have access to a vehicle?

Yes
No

Please describe your reasons for wanting to be a foster care volunteer:

What experience do you have providing care to animals?

Have you fostered before?

Yes
No

Do you have experience administering medication to a dog?

Yes
No

How long can you keep a foster dog in your care?

What type of dog(s) are you willing to foster? (Check all that apply.)

Mother w/puppies
Puppies requiring bottle-feeding
Puppies only (weaned)
Sick (contagious) dog
Sick (uncontagious) dog

Please list any limitations to your current situation (i.e. size, breed, sex, etc.):

What type of residence do you live in?

If Other, please specify:

Do you…

Own?
Rent?
Sublet?

If you rent or sublet, has your landlord given you permission to keep a pet?

Yes
No

Where would the animal be primarily housed?

Inside
Outside
Equally Inside and Outside

Do you have an area in your home where you can keep a foster animal isolated from other household pets if necessary?

Yes
No

Where would the animal stay when you are not home?

Loose inside
Crated/confined inside
Loose outside
Kennel run/fenced area outside
Tied/chained outside
Other

If Other, please specify:

Do you have a yard?

Yes
No

If yes, is it fenced?

Yes
No

If fenced, what type of fence (materials used):

Height of fence and approximate size of fenced in area:

Does the fence belong to you or the neighbors?

Are there holes or gaps in the fence?

Yes
No

If yes, will you be fixing them?

Yes
No

Number of gates to yard:

Are the gates always securely latched/locked?

Yes
No

Describe your home’s activity level:

Busy/active/noisy
Moderate comings/goings
Quiet with occasional guests

How many people live in the home?

Are there any children in the household?

Yes
No

If yes, please provide age and sex of each child:

Do the children live with your family full time?

Yes
No

Do other children visit?

Yes
No

If yes, how often?

Does your entire household know that you are considering fostering a pet?

Yes
No

If no, why not?

Does anyone in the household suffer from allergies?

Yes
No

If Yes, please explain:

Who will be responsible for feeding and caring for this pet (primary caregiver)?

Who will be responsible for the care of this pet in the absence of the primary caregiver?

Approximately how many hours each day will the animal be left alone?

Are you familiar with positive reinforcement training?

Yes
No

Are you willing to use it?

Yes
No

How do you reward/praise?

How do you punish?

What kind of games will you play with your dog for stimulation?

Tug of war
Fetch
Wrestling
Hide and seek with toys/treats
Other

If Other, please specify:

Do you understand that changing a pet's environment may cause it to have accidents?

Yes
No

Are you willing to take the time to housetrain or litter train your pet?

Yes
No

What will you do if your foster animal has a potty accident?

What will you do if your foster dog turns out to be a “barker?”

What will you do if your foster dog acts rough or plays aggressively?

What will you do if your foster dog knocks over a plant or chews something that he/she shouldn’t?

Describe those pets you currently own (type, breed, age, gender, amount of time owned, vaccinations):

Please list your current veterinarians:

If any of your pets are not spayed or neutered, please explain why:

Please list the name and phone number of two (2) personal references, including their relationship to you:

Are you willing to provide food for a foster animal, at your cost?

Yes
No

Do you consent to home visits before and/or during a foster placement?

Yes
No

Do you understand that you may be asked to provide this animal with needed medication and/or preventative medications?

Yes
No

What is the best time to call you at home to check on how the adopted animal is adjusting?