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Foster Application
Wow! It's GREAT that you want to be a foster pet parent!
If you have not already done so, PLEASE be sure to add
Info@bhumane.org
and
SomersetPCHSwebmaster@gmail.com
to your contacts, so that you don't miss any of our emails!
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* Indicates required question
Email
*
Your email
I understand that by volunteering to foster, my contact information will be added to the Somerset-PCHS email list so that I can stay up to date on Somerset-Pulaski County Humane Society events and programs.
Yes, I agree
No, please don't include me in this list.
Your Name
*
Your answer
Your Address
*
(Please Include House Number, Street, City, State & Zip Code)
Your answer
Home phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
How long have you lived at this address?
*
Your answer
Do you rent or own your home?
*
Rent
Own
Are there any children under 5 years old that live with you or frequently visit?
Yes
No
Clear selection
If you rent, are you permitted to have pets?
*
Yes
No
Not Applicable
If you have a yard, is it fenced?
*
Yes
No
If yes, what kind and how high?
(If no fence, just say "No Fence")
Your answer
What type of pet would you like to foster
*
Kitten(s)
Adult Cat(s)
Puppy(ies)
Adult Dog(s)
Senior Cat(s)
Senior Dog(s)
Required
Have you ever fostered a pet?
Yes
No
Clear selection
If you have fostered in the past, with which organization? (Please include organization name, contact name and phone number)
Your answer
Do you have other pets?
Yes
No
Clear selection
If you currently have or previously had other pets in the past, please provide the name, address and phone number for your veterinarian.
Your answer
If yes, please tell us what kind, age, gender, and anything else about them that might be important for us to know...
Your answer
If yes, have they been spayed/neutered?
Yes
No
I don't have any other pets
Clear selection
Have they been vaccinated?
Yes
No
Not applicable
Clear selection
If you have a dog, is he/she heartworm negative?
Yes
No
I don't have a dog
Clear selection
If yes, when was their last heartworm test done?
MM
/
DD
/
YYYY
If you have a cat/kitten, is he or she Felv/FIV negative?
Yes
No
I don't own a cat/kitten
Clear selection
Do you provide flea/tick prevention for your pet(s)?
Yes
No
I don't currently have any pets
Clear selection
If yes, what brand?
Your answer
Do you know how to crate train?
Yes
No
Clear selection
Are you familiar with our puppy training schedule? (requires letting puppy out every 4 hours, around the clock, and feeding 3 times daily)
Yes
No
Clear selection
Is this possible with your schedule?
Yes
No
Clear selection
If you foster puppies, can you keep them for two weeks or until the age of 16 weeks or longer, until they can be spayed/neutered?
Yes
No
Clear selection
If you foster a dog, can you train with basic commands?
Yes
No
Clear selection
Are you willing to work with your foster pet 10-15 minutes per day in the areas where he/she needs training?
Yes
No
Clear selection
Do you have any experience in providing special needs care? such as bottle feeding, medication, checking temperature, liquifying food, changing bandages? (Check if "yes", leave blank if "no")
Bottle Feeding
Administering medication
Checking Temperature
Changing Bandages
Other:
If you have experience with other special needs, please explain...
Your answer
Are you aware that placement in your home will be only temporary, and that you will be expected to eventually give up the pet for adoption?
Yes
No
Clear selection
Please provide Name, Phone Number and e-mail address of 2 (non-family, not living with you) personal references:
*
Your answer
Do you have access to reliable transportation, and are you willing to take a foster pet to veterinary appointments?
Yes
No
Clear selection
Would you be willing to volunteer?
Yes
No
Maybe
Clear selection
If yes, how would you like to help? (check as many as apply)
I'd like to help with the S'neuter Clinic
I would like to transport animals
I would like to set up and break down events
I would like to help with fundraising and promotions
I would like to work at events to help promote SPCHS programs, animal welfare, sell products
I would like to help with administrative stuff -- data entry & filing
I would like to help with communication & marketing (social media & email)
I would like to help by working the phones -- confirming appointments, correcting email addresses, etc.
I'd like to coordinate a fundraising activity for the Humane Society at my work, school, club, neighborhood, etc.
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