Foster Home Application – Appalachian Highlands Humane Society

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Personal Information

Date *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Cell Phone *

Home Phone

Work Phone

Age *

Would you like to receive our Newsletter, Humanely Speaking updates from Appalachian Highlands Humane Society? *

Your Foster Animal Preferences

Type of animal you are interested in fostering: (Check all that apply)

Dog
Cat
Rabbit
Other

If other, please specify below:

Gender *

Female
Male
No preference

Age of foster animal you would prefer: *

< 1 year
1-3 years
3-6 years
6+ years
No preference

Are you willing to foster an animal that may have behavior issues? *

Yes
No
Maybe

Are you willing to foster an requiring special care, i.e. extensive medical procedures or long term care before adoption? *

Yes
No
Maybe

About Your Home

Your residence: *

House
Apartment
Other

If other, please explain:

Do you have a

Fence
Kennel Run

If you have a fence please describe, i.e. wood, chainlink etc:

If you have a fence, what is height?

About Your Pets

Do you have, or have you had pets in the last five years? *

If yes, please list below:

List each vet/animal(s) received care over the last 10 years: *

Name and phone number, with area code, for each veterinarian: *

What owner(s) are records listed under? *

Date of last vet visit: *

Other Information

Where will your foster dog spend most of it's day? *

Where will your foster animal sleep? *

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

1-2 hours
2-4 hours
4-6 hours
6-8 hours
8 + hours

Do you understand and agree that AHHS requires all fosters to be kept an indoor animals? *

Do you understand that you will be expected to help train the foster animal with positive reinforcement behavior? *

Do you understand that you will be responsible for transporting your AHHS animal to an approved AHHS veterinarian for appointments? *

Do you understand that if you are no longer willing to take care of the foster animal that you will give AHHS ample time (at least one week) to make other arrangements? *

Do you understand that you are not permitted to adopt out the foster yourself; all adoptions must be approved by AHHS? *