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Canine Foster Application
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* Indicates required question
Email
*
Your email
Pre-qualification Information
Are you a United States Citizen?
*
Yes
No
Applicant's Date of Birth
(You Must Be 21+ Years of Age to Foster for Heavenly Paws)
*
MM
/
DD
/
YYYY
Do you own or rent your
home?
*
Own
Rent (If you rent, you must send a copy of your Lease and Pet Addendum, specifying that you are allowed to have animals, along with how many and what type (the Addendum is part of your Lease, NOT a generic informational form).(required)
I Rent, but Do Not Have a Pet Addendum
Do not own or rent
(If Renting) I will email this information to
rescue@heavenlypawsmi.com
within 24 hours
*
Yes
No
Not Applicable
Do you have a fenced in yard? If so, what type? (4' Chain Link, 6' Privacy, etc)
*
Your answer
Are you interested in fostering:
*
Dog
Pregnant Dog
Mother Dog & Puppies
Puppy or Puppies
Canines requiring daily medication
Required
What has been your prior experience with fostering
Dog
Pregnant Dog
Mother Dog & Puppies
Puppy or Puppies
Canines requiring daily medication
Clear selection
Provide a detailed description of your experience with fostering
Your answer
Name of Applicant (first and last name)
*
Your answer
Full Address
(Include House#/Apt#, Street, City, State, Zip Code)
*
Your answer
How long have you
resided
at the
aforementioned address
?
Your answer
Driver's License Number and State Issuing
Your answer
Phone number (mobile preferred)
*
Your answer
How many adults live in your home?
*
Your answer
How many children live in your home? What are their ages?
(# of children AND age of each child)
*
Your answer
Information regarding your resident animals
:
List each pet in a separate field w/corresponding information.
(Pet Names, Owner's Name on Vet Records, Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, and whether all cats have tested negative for Feline Leukemia and Feline Aids (FEL/FIV blood testing)
c
urrently living with you)
Pet 1
(Pet Names, Owner's Name on Vet Records, Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, and whether all cats have tested negative for Feline Leukemia and Feline Aids (FEL/FIV blood testing)
Your answer
Pet 2
(Pet Names, Owner's Name on Vet Records, Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, and whether all cats have tested negative for Feline Leukemia and Feline Aids (FEL/FIV blood testing)
Your answer
Pet 3
(Pet Names, Owner's Name on Vet Records, Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, and whether all cats have tested negative for Feline Leukemia and Feline Aids (FEL/FIV blood testing)
Your answer
Pet 4
(Pet Names, Owner's Name on Vet Records, Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, and whether all cats have tested negative for Feline Leukemia and Feline Aids (FEL/FIV blood testing)
Your answer
Pet 5
(Pet Names, Owner's Name on Vet Records, Species, Breed, Sex, Age, Spayed/Neutered, Up-to-date on Vaccinations, and whether all cats have tested negative for Feline Leukemia and Feline Aids (FEL/FIV blood testing)
Your answer
If you have more than 5 pets, list extra here:
Your answer
Please provide the name, address and phone number of your current veterinarian. If you do not have a current vet, please list previous veterinarian information.(required)
(To be considered for fostering, please contact your veterinarian(s) to authorize Heavenly Paws to receive medical care information for your resident animals.)
Your answer
Where do your resident animals live
(indoors, outdoors, both)?
*
Indoor
Outdoor
Both
Do you have a separate room where
foster canines
may decompress until they feel comfortable in your home?
*
Yes
No
Other (please explain)
Explanation (If Applicable)
Your answer
Do you have a safe, quiet, dedicated room where
pregnant canines
or canines with
puppies may reside?
*
Yes
No
Other (Please explain)
Explanation (If applicable)
Your answer
Where will the dog(s)/puppy(
ies
)
sleep?
*
Your answer
Who will care for the Dog(s) or Puppy(
ies
) when you leave for a vacation or
long term
stay?
*
Your answer
How would you handle behavioral challenges such as chewing, accidents, jumping,
etc.?
*
Your answer
Would you be willing/able to take your foster animal to scheduled Vet appointments or an Emergency Care facility if
needed?
*
Yes
No
Would you be willing/able to pick up food or supplies at a designated pet food location if shipping or drop box was delayed?
Your answer
Would you be willing/able to help transport your foster animal(s) to at least one adoption event a month, if
requested
?
*
Yes
No
How many smokers live in your household?
(
*
1
2-3
None
Have you or any member of your household ever had an allergic reaction to pets? If yes, how will you address this
condition?
*
Yes
No
Explanation (If applicable)
Your answer
Please list at least
2
personal references who we may contact (include names, relation to you, phone number and email address). This information will be kept confidential.
*
Your answer
Tee shirt size (Unisex) (choose one)
Choose
S
M
L
XL
XXL
3XL
Photos
We often take pictures of our volunteers/fosters at our events. Awareness that by volunteering/fostering with us, you consent to us photographing you and using your image and likeness in our marketing, campaigns, media, etc. without any compensation due to you for use of these images.
My signature certifies that all answers and statements given here are complete and fully accurate. I also provide my consent for a Heavenly Paws of MI representative to conduct a foster home visit prior to animal placement, if requested. By typing your full name below, you have formally signed this document.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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