Date Name Address City State Zip
Email
Home Phone
Work Phone
Are you 21 or older? YesNo
Have you adopted from FCHS before? YesNo
If so, when?
Why would you like to participate in this program?
Does your schedule allow you to take your foster pet to outside events? YesNo
What is the best time to reach you?
Can we call you at work? YesNo
Times available for phone interview:
Type of animal(s) you are willing and able to foster:
Please list the current animals in your household: Include: Pet name, species, sex, spayed/neutered status and age for each
Where will he/she primarily stay? InsideOutsideBoth
Where will he/she be kept when alone? Are your pets good with other animals?
Do you have an area in your home to confine foster animals? YesNo If so, where?
If you have cats, do you keep them indoors or do you let them outside?
If you have dogs, do you keep them primarily indoors or outside?
Do you have a fenced yard? YesNo If so, what type?
Does anyone in your family have allergies to pets? Explain:
Please indicate your housing status: Rent an apartmentRent a houseOwn a house or condoLive with parents
If you are renting, please provide your landlord’s name and phone number:
How many hours a day are your pets home alone?
Do you have any children in your household? YesNo If yes, how many? If yes, please list ages?
Your Veterinarian's name: Telephone Number:
Do you understand our right to choose the best possible environment for this pet and our right to approve or deny this foster application? YesNo
I give the Franklin County Humane Society permission to complete any background check(s) on myself and any other member of my household. I agree to a home visit by a representative of the Franklin County Humane Society before I begin fostering. I give the Franklin County Humane Society permission to check landlord and veterinary references before an application is considered. I also agree to keep any and all information I may receive concerning the owner/former owner of any pet I foster confidential.
I understand the pet in my care is property of the Franklin County Humane Society, and any decisions regarding the pet and the pet’s future, which may include euthanasia, is exclusively that of the Franklin County Humane Society. I further agree to return the pet to the Franklin County Humane Society upon request.
I acknowledge that the Franklin County Humane Society cannot guarantee any foster animal against parasites, diseases or destructive behavior. I will not hold the Franklin County Humane Society responsible, or seek any compensation for medical fees, or other liabilities, damages or injuries caused by the animal(s) I am fostering. I understand that any bites or injuries caused by the animal(s) I am fostering are to be reported immediately to the Franklin County Humane Society. I further agree to be personally responsible for the humane housing and care of the animal(s) I am fostering.
I affirm that I am twenty-one years of age or older. I have read the above stated application carefully and certify that the information I have given is accurate and true. I understand that the Franklin County Humane Society is relying on this information when considering my acceptance into the Franklin County Human Society’s Volunteer Foster Program. I understand that my misrepresentation of the above information authorizes the Franklin County Humane Society to deny my application and/or reclaim the foster pet that is in my home. The Franklin County Humane Society has the right to refuse any person for any reason into its Volunteer Foster Program.
I, the undersigned, certify that all of the information contained in this application is complete and accurate and any misrepresentation will cause me to be denied, or if discovered after fostering, void any further adoption and rights of fostering.
Your signature:
