FOSTER APPLICATION

Incomplete applications will NOT be considered

References are required and MUST be given

If you have any questions EMAIL us

SECTION A: YOUR DETAILS  

Full legal name, first and last (no nicknames):

Street address:

City, State and Zip code:

How long have you lived at this address:

Home phone number including area code:

Work phone number including area code:

Cell phone number including area code:

Email address (required):

Have you ever fostered before?

Yes
No

SECTION B: YOUR HOME  

Your living situation:

Home
Farm/Ranch
Condo
Apartment
Mobile Home

Own or rent:

Own
Rent

If rented, your landlord's name:

Your landlord's street address:

Your landlord's City, State, Zip code:

Your landlord's phone number including area code:

SECTION C: OTHER RESIDENTS  

Number of adults living in the home:

One
Two
Three
Four or more

Number of children living in the home:

None
One
Two
Three
Four or nore

Children's ages (starting with youngest):

Number of other pets living in the home:

None
One
Two
Three
Four or more

Breed, age and gender of other pets:

Is your yard fenced:

Yes
No

SECTION D: PET MEDICAL  

Your current vet:

Your current vet's street address:

Your current vet's City, State and Zip Code:

Your current vet's phone number including area code:

Are your current pets up to date on all shots:

Yes
No

Are your current pets spayed or neutered:

Yes
No

Are your current pets on heartworm prevention:

Yes
No

What type of heartworm prevention:

SECTION E: HOUSING  

Where do you keep your pets during the day:

Where do you keep your pets during the night:

How many hours a day are your pets alone:

How many hours a day do you anticipate your foster pet will be alone:

SECTION F: REFERENCES  

Provide a minimum of three (3) references including name, address and phone number - two (2) of the referees being non family members:

Reference 1

Reference 2

Reference 3

Reference 4

SECTION H: OTHER

We often get "special needs" pets, either with physical restrictions or health problems that need homes. Are you interested in a special needs pet?

Yes
No

Explain briefly why you want to foster:

Are you willing to take a foster to obedience class:

Yes
No

Explain why or why not:

Comments:

Before submitting, please CHECK and make sure ALL fields are filled in using n/a if a question does not apply to you. Incomplete Foster Home Applications can NOT be processed and will be automatically deleted

By clicking the Submit button I declare that the above information is accurate and true and that I have read, understand and agree with the terms of Heavenly Acres Pet Rescue's ADOPTION POLICY. I hereby declare that I am financially, physically and emotionally capable of properly caring for an animal and am committed to properly caring for any animal fostered from Heavenly Acres Pet Rescue. If any information provided by me as part of this application is found to be untrue or misleading, I understand and accept that any animal in my care from Heavenly Acres Pet Rescue or any other rescue service can and will be removed from my possession

Thank You and God Bless....

Date of application: