Forgotten Animal Shelter

PO Box 46

Medina, OH  44258

(330) 723-9918

Foster Parent Application

(please use last page if additional space is needed)

Date ___/___/___

Name                             __________________________________________________________________

Co-Applicant                   __________________________________________________________________

Address                         __________________________________________________________________

City __________________ State ________________ Zip Code ______________

Phone Number (_____) ______-_________ E-Mail ______________________________________________

Are you 18 years or older?     ____ Yes ____ No

Do you own or rent?              ____ Own ____ Rent  If rent, please provide a copy of your lease agreement .

Landlord Name             __________________________________________________________________       

Address                       __________________________________________________________________

City __________________ State ________________ Zip Code ________________

Phone Number (___) ____-_______

Do you wish to foster (indicate #) ____ Cats ____ Kittens ____ Dogs ____ Puppies

Why do you want to be a foster parent? ___ ----_______________________________________________

Have you ever been a foster parent for any other animal care/rescue organization? ____ Yes ____ No

If yes, which one(s)? ________________________________________________________

Veterinarianís Name     ___________________________________________________________________

Address                      ____________________________________________________________________

City __________________ State ________________ Zip Code ________________

Phone Number (___) ____-_______

Employer Name          ____________________________________________________________________

Address                     ____________________________________________________________________

City __________________ State ________________ Zip Code ________________

Phone Number (_____) ______-_________ How many hours a day are you at work? _______________

How many hours will your foster pet be left alone during the day? _________

Where will your foster pet be left alone during the day? ______________________________________

Number of persons in household ____ How many children? ____ Ages of Children _________________

Have your children been around pets before? ____Yes ____ No

If yes, what kind? __________________________________________________________

Is anyone in your home allergic to animals? ____ Yes ____ No

Do you travel? ____ Yes ____ No If yes, how often? _____________ Normal duration of stay? ________

Will you use an outside boarding facility or pet sitting service while you are gone? __________________

Are you aware that you will be responsible for all costs charged by your alternate caregiver while

you are away? ____ Yes ____ No

 

 

Please provide the following about your alternate caregiver:

Name                     _____________________________________________________________________

Address                 _____________________________________________________________________

City _____________________ State ________________ Zip Code ________________

Phone Number (_____) ______-__________

How many pets do you currently own? ________

Types and ages? _______________________________________________________________________

Are they spayed/neutered? ____ Yes ____ No

Have current vaccinations?  ____Yes ____ No

Would you be willing to permit Forgotten Animal Shelter to access veterinary records regarding your pets?

____ Yes ____ No

Would you be willing to foster animals with health problems? ____Yes ____ No

If yes, please explain ____________________________________________________________

Are you willing to pay for daily essentials (food, litter, toys, etc.)? ____ Yes ____ No

Do you do any breeding? ____ Yes ____ No

Do you have a preference to _____ Male _____ Female

Do you understand that animals may have bathroom accidents in the house? _____ Yes _____ No

How do you feel about crating your dog? ____________________________________________________

What size is your yard? _____ Is your yard completed fenced? ____ Yes ____ No What type of fence?_______

Do you have separate rooms for new arrivals? ____ Yes ____ No

If recommended by Forgotten Animal Shelter, are you willing to take your dog to an obedience trainer?

____Yes ____ No

Do you understand that Forgotten Animal Shelter requires a home inspection prior to becoming a

foster parent and then annually thereafter? ____ Yes ____ No

Do you understand that you are required to contact Forgotten Animal Shelter in the event a foster animal

becomes ill or injured while in your care? _____ Yes _____ No

Do you understand that you will be required to seek immediate veterinary care in the event your foster pet

becomes ill or injured while in your care? _____ Yes _____ No (Note: Forgotten Animal Shelter pays for medical costs and, if possible, contact Forgotten Animal Shelter first)

Do you understand that Forgotten Animal Shelter assumes no liability for any injury caused to you or others by your foster pet(s)? ____ Yes ____ No

Do you understand that Forgotten Animal Shelter assumes no liability for any property damage caused by your foster pet(s)? ____ Yes ____ No

Are you willing to provide transportation for your foster pet in order for it to receive regular and emergency veterinary care? ____ Yes ____ No

Are you willing to provide transportation for your foster pet to attend adoptathon events? ____ Yes ____ No

 

DOGS/PUPPIES

What would you do if your dog/puppy:

  1. Chewed on inappropriate items? ______________________________________________________

  2. Had an accident in your home? _______________________________________________________

  3. Barked excessively? _______________________________________________________________

  4. Ran away/escaped? _______________________________________________________________

  5. Jumped on people or furniture? ______________________________________________________

  6. Dug holes in your yard? ____________________________________________________________

  7. Exhibited aggressive behavior? ______________________________________________________

CATS/KITTENS

Are you willing to take cats that are NOT declawed? ____ Yes ____ No

Do you understand that all foster cats/kittens must remain indoors unless otherwise specified by Forgotten Animal Shelter? ____ Yes ____ No

 

What would you do if your cat/kitten:

  1. Clawed or scratched your furniture, doors, walls or carpeting? ______________________________

  2. Had an accident outside its litter box?  _________________________________________________

  3. Jumped on your kitchen tables, counters or furniture? _____________________________________

  4. Crawled up your drapes?  ___________________________________________________________

  5. Wanted to go outside? ______________________________________________________________

PERSONAL REFERENCES (non family)

Name                 _______________________________________________________________________

Address              _______________________________________________________________________

City _____________________ State ________________ Zip Code _________________

Phone Number (_____) _______-__________

 

Name                 _______________________________________________________________________

Address              _______________________________________________________________________

City _____________________ State ________________ Zip Code _________________

Phone Number (_____) _______-__________

 

I/we agree to allow Forgotten Animal Shelter to access veterinarian records for any animal that I currently own or have previously owned. Further, I/we agree to allow Forgotten Animal Shelter to contact my landlord, employer (income will not be questioned) and the above listed references. Further, I/we certify that the answers to all questions in this application are true and realize that any false information may result in non-approval of my/our application to be a foster parent for Forgotten Animal Shelter.

____________________________________ ______________________________

Signature                                                                                 Date

 

____________________________________ ______________________________

Signature                                                                                 Date

 

************************************************************************************************

 

(This space has been left blank intentionally)

 

 

 

 

 

Forgotten Animal Shelter use:

Date Application received:                                            _________ By: _____________________________

Date Veterinarian records verified (evidence attached):   _________ By: _____________________________

Date Landlord contacted (evidence attached):                 _________ By: _____________________________

Date Employer contacted (evidence attached):                _________ By: _____________________________

Date References contacted (evidence attached):             _________ By: _____________________________

Date Application _________ Approved _________ Declined              By: _____________________________

Additional Comments/Questions:

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Home Page