Foster App

Please complete the following questions as completely as possible to help us find the perfect foster match for your home.

Part 1: Contact and Personal Information

First Name:

Last Name:

Street Address:

City:

State: Zip:

Home Phone:

Work phone:

Email:

Age: 18-20 21-25 26-40 41-50 50+ 

Occupation:

Employer:

I am interested in fostering:  Cats Dogs Other

Have you even been convicted of an offense other than a traffic violation?  Yes No

...if yes, explain:

Are you a renter?  Yes No

If you rent, does your lease allow pets?  Yes No Don't Know

Do you live with:  Spouse/Partner Children Parents Roommate Alone

How many adults (21+) in your household?

How many individuals under the age of 21?

What are their ages?

Have you received approval to foster an animal from each adult (21+) in your home?  Yes No

Part 2: Liability and Responsibility

You agree that the pet will not be used in any illegal activities.  Yes, I do No, I don't

You agree that the pet will be kept as an indoor house pet?  Yes No

You agree that foster dogs will be crated at all times when not supervised.  Yes No

You agree that you will not take foster dogs to an off-leash dog park.  Yes No

You agreed to return the animal to Sammy’s Hope upon request? Yes No

You agree that you are responsible for actions of the foster animal in your care?  Yes No

Part 3: Living situation and lifestyle

Pet's Living Situation (check all that apply)

 Pet will be in home, living inside with family Pet will live outdoors Doghouse will be provided Other - Please specify:

How many hours will the pet be left home alone?

When home alone, pet will be (check all that apply)

 Loose throughout the home. Loose in a designated room in the home. In a crate, wire cage or pen inside. In an indoor kennel In an outdoor kennel Other - Please Specify:

If fostering a dog, how will you exercise your foster dog? (Check all that apply)

 Leash walks every day. Will have cable or dog run in the yard. Will be free to run in a fenced yard. Type and height of fence:
 Will be free to run free in a yard with an invisible fence.  Will have unsupervised access to unfenced yard. Will bring to dog park. Other - please specify:

Yard size:
 small medium large

What setting is your home in?
 urban suburban rural

Do you currently have animals living in your home or animals who visit your home?  Yes No

Name: Species: Gender: Male Female Age: Spay/Neuter:  Yes No

Name: Species: Gender: Male Female Age: Spay/Neuter:  Yes No

Name: Species: Gender: Male Female Age: Spay/Neuter:  Yes No

Name: Species: Gender: Male Female Age: Spay/Neuter:  Yes No

Name: Species: Gender: Male Female Age: Spay/Neuter:  Yes No

Have any animals living in your home or animals who visit your home had any issues with other
animals?  Yes No …if Yes, please explain:

Are all dogs and cats currently in your home licensed?
 Yes No

Will you be willing to transport your foster animal for veterinary care as required?  Yes No

Part 4: Experience

Please explain your interest in fostering:

Please explain your experience as a foster:

If you have ever volunteered or fostered for another animal welfare organization, please provide that information below:

Organization #1: Year(s) Involved:  Volunteer Foster
Contact Name: Phone:

Organization #2: Year(s) Involved:  Volunteer Foster
Contact Name: Phone:

Please provide a Veterinarian Reference:

Office Name:

Primary Doctor:

City:

Office Phone:

Names of pet(s) that have been in their care:

Please provide 2 personal non-family references:

Name:

Relation:

Years Acquainted:

Phone:

Name:

Relation:

Years Acquainted:

Phone:

Is there any other additional information that you would like us to know?

I certify that all information is true and complete to the best of my knowledge.