Adoption Ambassador Foster Application

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Email *

Full Name *

Complete Home Address *

Phone Number *

I understand that I must be at least 18 years old to become an Adoption Ambassador. *

True

False

Driver's License Number *

Driver's License State *

Employer *

Best time of day/way to contact you *

Afternoon

Phone

Do you live in a... *

Condo/Townhouse

Apartment

Duplex

House/Mobile Home

Do you... *

Rent/Lease

Own your residence

Name of Landlord/Owner *

Phone Number of Landlord/Owner *

How long have you been at this address? *

How many adults reside in the household? *

Are there any children who reside in or frequently visit your home? *

Yes

Ages of children (if yes to above) *

Do you have any pets that reside in or frequently visit your home? *

Yes

Pet 1: Name, Age, Sex, Size (S,M,L)

Pet 2: Name, Age, Sex, Size (S,M,L)

Pet 3: Name, Age, Sex, Size (S,M,L)

Pet 4: Name, Age, Sex, Size (S,M,L)

Are you pets spayed/neutered? *

Yes

Are your pets current on vaccinations and licensed? *

*If no, they must be before fostering.

Yes

Name of Veterinary Clinic you do or did use? *

Do you have a fenced yard? *

Yes

I am interested in fostering animals who are in this program due to the following reasons: *

Long shelter stay

Under behavior modification

Under medical care

Shy/needs socialization

Not interested

Senior cats

Adult cats

Kittens

Senior dogs

Adult dogs

Puppies

Reference 1: Name, Phone Number, Relation *

People who know you and your ability to care for pets.

Reference 2: Name, Phone Number, Relation *

People who know you and your ability to care for pets.

I understand that Capital Humane Society may contact the above references when processing my application. *

Yes

When are you able to begin fostering? *

YYYY

I understand that as an Adoption Ambassador I will be responsible for the following in addition to providing basic care: promoting my foster online & in person, recruiting & screening potential adopters as well as facilitating adoption interactions & processing adoption paperwork. *

Yes

How did you hear about the Adoption Ambassador Program?

I am also interested in learning about other volunteer opportunities at Capital Humane Society.

True

False

Clear selection

By signing your name below you agree that all information provided in this application is truthful and accurate. *

Submit

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