EmailMe Form - Foster Application

Today's Date *

MM / DD / YYYY

When are you available to start fostering? *

How long are you available to foster (how many weeks/months)? *

Household Information

Your Name *

First Last

Your Date of Birth *

MM / DD / YYYY

Email

Day Phone *

### - ### - ####

Evening Phone

### - ### - ####

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Do You: *

Is it a: *

If renting, does your lease allow pets?

If renting, what is the name of your Landlord/Apartment Complex so we can verify their pet policy?

First Last

Landlord/Apartment phone number

### - ### - ####

Please list the other members in the household. (Name, Age, Relation to you) *

If none, N/A.

Have you discussed fostering a cat with the other members of your household? *

Does anyone in your household have pet-related allergies? *

Current Pets

Please list all other pets in the household. (Type, Name, Age, Sex) *

Ex. Cat, Shadow, 3 yrs, M

If no other animals in house put N/A.

Are all your animals spayed or neutered? If no, who and why not? *

If none, N/A

Are all your animals up to date on their vaccinations? If no, who and why not? *

If none, N/A

Are your cats allowed outside? If yes, why? *

If none, N/A

Have your cats ever been tested for FIV (Feline Immunodeficiency Virus) or FeLV (Feline Leukemia Virus)? If yes, what was the result? *

If none, N/A

CHECK any category that you are interested in fostering: *

Briefly describe any relevant experience or knowledge you have with the animals you have chosen above: *

Are you willing and have the ability to travel to veterinarians who work with Happy Endings should your foster(s) need medical care? *

Sometimes animals do not adjust to their new environments well and undesirable behaviors may arise such as house soiling and intestinal distress. Are you prepared to spend several weeks, perhaps even months, helping your new foster pet adjust to a new environment? *

We require that personal pets are kept separate from foster animals coming from the shelter for a period of five (5) days to prevent the spread of potential illness. Are you able to provide a temporary separate space within your home for a foster care animal for this purpose? *

How many hours per day will the foster animal be left alone? *

Where will your foster animal be kept when left alone (free roam of house, isolated in one room, cage, etc.)? *

Where will your foster animal be kept when you are home? *

Who will be the primary caregiver of the foster animal? *

Have you ever fostered for another animal organization before? If yes, for which organization? *

Please give us a brief summary explaining why you believe you would be a good foster care provider: *

Please let us know what situations and/or behaviors and characteristics you would find unacceptable in a foster pet,
which would cause you to return a foster animal: *

Veterinary Information

If you have taken your pets to multiple veterinarians, please list each one. *

List like so: Name of vet, number, Name of pet(s) that have been to this vet, Name of owner that the pet(s) file is under

If none, N/A

How did you hear about us? *

Foster Agreement - Please read carefully!

• I am experienced in the basic care and handling of the type(s) of animal(s) I chose to foster.
• I will contact the veterinary care coordinator for permission before taking a foster animal to a veterinarian
• I will give any records of any medical treatments and care given to the foster animal to Happy Endings staff.
• All of my animals are up to date on vaccinations and are spayed/neutered.
• Happy Endings has the right to request the return of any foster animal(s) at any time.
• Foster animals will be assigned to foster homes at the discretion of Happy Endings.
• The Foster home will sign the Happy Endings Foster Contract before taking any foster animal from the shelter.
• I understand that there are certain risks inherent in handling animals and I accept these risks. I release Happy Endings from any claims, demands or liabilities arising out of or related to this disclosure.

I certify that the above information is correct and I understand that false information may void the application.

Electronic Signature *

First Last