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Foster Home Application and Agreement
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Email
*
Your email
Are you filling this out for the Foster to Adopt Special, hospice foster care, or for normal foster opportunities?
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Normal fostering
Hospice foster
Required
Today's Date
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Your answer
First Name
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Your answer
Middle Name or Initial
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Your answer
Last Name
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Street Address
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Your answer
Apartment Number if Applicable
Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Cell Phone
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Your answer
Number in case of an emergency
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Your answer
How did you hear about fostering?
Facebook
Instagram
TikTok
Website
Word of mouth - Let us know in the "other" line who you hear about us from.
Drive by/Walk In
Adoption Event
Other:
Clear selection
Have you ever been convicted of animal cruelty?
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Yes
No
Have you ever had a license or permit issued under Iowa code chapter 162 or under the United States Department of Agriculture's animal care program revoked or have surrendered your license in lieu revocation?
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Yes
No
Have you ever fostered an animal before?
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Yes
No
If yes, what organization did you foster for?
Your answer
Do you own or rent your home?
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Own
Rent
Other:
If you rent, are there pet, breed, or size restrictions? If so, list what restrictions are in place. This does not disqualify you from fostering; we are able to place appropriate animals into your care if so.
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Your answer
If you rent, what is your landlord's name and number? Both are required.
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Your answer
How many adults over 18 years of age reside in your home?
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Your answer
How many children reside in your home?
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Your answer
If children reside in your home (or visit), what are their ages?
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Your answer
Do you have a fenced in yard? If not, this does not disqualify you; it assists us in placing appropriate animals in your care.
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Yes
No
If you have a fence, what type (chain link/privacy/etc.) and height is it?
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Your answer
How many hours a day are you home?
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Your answer
Where in your home will the animals you foster be kept?
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Your answer
Are you willing and able to transport foster animals to our shelter and to veterinary appointments both on a scheduled and emergency basis?
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Yes
No
Check the type of pets currently in your home.
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Dog
Cat
Bird
Rabbit
Small Animal (Guinea pig, hamster, etc.)
Other:
Required
Breakdown the number of each animal in your home (example: 1 dog, 2 cats; etc.)
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Your answer
What is your veterinary office' name if you have pets?
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Your answer
Is your pet current on their rabies vaccination?
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Yes
No
I do not have any pets.
Are your pets spayed/neutered? If not, please describe which are not in the other section.
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Yes, all are altered.
Some are altered. Explain which are and aren't in the other section.
None are altered.
I do not have any pets.
Are you willing to commit the needed time to foster an animal? We do our best to give you an estimated time of foster care, but some situations may end sooner or last longer.
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Yes
No
What type of animal do you want to foster? Check any that apply.
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Unweaned kittens without a mom ("Bottle babies" - must be fed every few hours, no exceptions))
Kittens with a mom
Weaned kittens without a mom
Adult cats
Unweaned puppies without a mom (Require feeding every few hours, no exceptions)
Puppies with a mom
Weaned puppies without a mom
Adult dogs
Small animals (rabbits, guinea pigs, birds, )
Sick/injured/hospice care animals
Animals needing behavioral rehabilitation
Required
Is there a particular animal you are applying to foster? If so, what is their name? If not, leave this blank.
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Your answer
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