FosteR ApplicatioN Name * First Name Last Name Email * Phone * (###) ### #### Preferred method of communication? Call Text Email Are you over the age of 18? Yes No Address Address 1 Address 2 City State/Province Zip/Postal Code Country Housing type * Rent an apartment Rent a home Own an apartment/condo Own a house Live with family Landlord name/number if applicable. * If you own, write N/A. If you rent, please note your application won’t be accepted without landlord verification. I am comfortable providing foster care for... Select all that apply Weaned Kittens Bottle Baby Kittens Pregnant and/or Nursing Moms (Cats) Cats/Kittens: *Minor* Medical Foster (including, but not limited to: URI (cold), Kennel Cough, Ear mites/Infection) Cats/Kittens: *Major* Medical Foster (including, but not limited to: Ringworm, PanLeuk/Parvo) FeLV+ cats/kittens Under socialized/semi-feral cats/kittens FIV+ cats/kittens Bottle Puppies Weaned Puppies Pregnant and/or Nursing Moms (Dogs) Dogs/Puppies: *Minor* Medical Foster (including, but not limited to: URI (cold), Kennel Cough, Ear mites/Infection) Dogs/Puppies: *Major* Medical Foster (including, but not limited to: Ringworm, PanLeuk/Parvo) Wellness Dog Foster (animals in need of a "break") With more training I would be comfortable providing foster care for... Select all that apply Weaned Kittens Bottle Baby Kittens Pregnant and/or Nursing Moms (Cats) Cats/Kittens: *Minor* Medical Foster (including, but not limited to: URI (cold), Kennel Cough, Ear mites/Infection) Cats/Kittens: *Major* Medical Foster (including, but not limited to: Ringworm, PanLeuk/Parvo) FeLV+ cats/kittens Under socialized/semi-feral cats/kittens FIV+ cats/kittens Bottle Puppies Weaned Puppies Pregnant and/or Nursing Moms (Dogs) Dogs/Puppies: *Minor* Medical Foster (including, but not limited to: URI (cold), Kennel Cough, Ear mites/Infection) Dogs/Puppies: *Major* Medical Foster (including, but not limited to: Ringworm, PanLeuk/Parvo) Wellness Dog Foster (animals in need of a "break") What's your schedule usually like? Consitent Flexible Unpredictable Have you fostered before? If so, with who? Please describe the area where your foster animals will be kept. * Please describe the pets in your residence * Please include species, age, spayed/neutered, and vaccination status. I understand that the animal(s) I would foster are property of Whitman County Humane Society. If WCHS request an animal return to the shelter, I understand that I must do so in a timely fashion. * Yes No Electronic signature: by typing my name I declare the above information is true to the best of my knowledge and belief. I will follow any and all rules set forth by WCHS in regard to my foster animal. * * Check this box to certify that you understand that by submitting this form you are agreeing to receive foster email communications for Whitman County Humane Society. Thank you!
