Foster Applicationadmin2022-10-19T16:49:46-05:00 Foster Care Form Step 1 of 3 33% Thank you for applying to be a pet foster for the Humane Society of Calloway County. Completing this application will help us know which types of pets will fit into your household and family. We appreciate you wanting to help these pets by opening your heart and home and making it possible for the pets to have a forever home of their own.Date MM slash DD slash YYYY Interested in Fostering Bottle-Feeding Kittens Kittens Bottle-Feeding Puppies Puppies Pregnant Cat Pregnant Dog Adult Cat Declawed Cat Only Adult Dog Horse Birds Poultry Reptiles Small Furries (Rabbits/Gerbils...) Foster Parent's Name First Last AgeAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Why would you like to foster? What do you live in? Condo/Townhouse Apt. Duplex House Trailer/Mobile Home Do you: Rent/Lease Own Live with family/friends Do you have landlord permission to have a pet? Yes No Landlord Name First Last Landlord PhonePet PolicyAre your family/friends agreeable to fostering? Yes No How many adults live at this home?What are the ages of everyone in the home? Are there children in the home? Yes No How many children and what ages? How many hours would the pet be unsupervised during the day?Please list any current pets in your home:Type/BreedAge/SexSpayed/Neutered? Add RemoveWhat animal hospital/clinic do you (or did you) use? Vet clinic phone number? Are your pets up to date on their vaccinations? Yes No Are your pets up to date on their flea prevention? Yes No Are your dogs up to date on heartworm prevention? Yes No Untitled Approximate Date and Reason of Last Vet Visit: Have any of your cats ever been diagnosed or passed away from feline leukemia, FIV or FIP? Yes No Have any of your dogs ever been diagnosed with Parvo? Yes No Where will the foster animal(s) be when no one is home? Indoors Outdoors Other Where? Where will the foster animal(s) sleep? Indoors Outdoors Other Where? Housetraining can sometimes be a part of Foster Parenting. Are you willing to help the animal learn to be housetrained or to put up with a few accidents? Yes No If fostering a cat, are you willing to: Provide additional litter boxes Change location of litter box if needed Keep the cat/kitten indoors ONLY Provide a scratcher (horizontal and vertical) Xlean/scoop litter box daily If fostering a dog, are you willing to: Walk the dog regularly Work on basic training/commands Teach to be crate-trained What type of enclosure can you keep the dog in when outside? No enclosure-only supervised outings to go potty or walk Kennel Chained/Tied/Cabled Fenced Yard No Enclosure/Free/Live in country What type of experience do you have in keeping animals of this type?Have you ever been charged or convicted of Animal Cruelty or Neglect? Yes No Explain Have you ever engaged in the fighting of any animals (cockfighting or dogfighting)? Yes No Does anyone in your home smoke? Yes No Do they smoke indoors or outdoors? Are you allergy-free concerning pets? Yes No All of the information, which I have given is correct as written and I authorize the Humane Society of Calloway County to verify any information. I agree.Name First Last Date MM slash DD slash YYYY Additional Comments Δ
