Foster App

Name

Street Address 1

Home Phone

Street Address 2

Work Phone

City

Cell Phone

Zip Code

Driver's Lic. Number

What kind of pet would you be interested in fostering?          

Would you be willing to foster a nursing mother?  Yes  No  If yes,   Dog   Cat  Either

Are you willing to provide proper medical treatment as needed?  Yes   No

Comment

If yes,  how many? 

What kind?  

Are all of your animals spayed or neutered?         Yes  No

If not, please explain why   

If your foster animal is not adopted within a 4 (four) month period, would you object to returning the animal to the HES facility?  Yes  No   

 Comment 

About your home

Do you own or rent your home?   Own  Rent

If you are renting,

please give us your landlord's name and phone number

If you are renting,

does your landlord allow pets?  Yes   No

Do you have a fenced yard?  Yes  No

If yes, what is size of the area that is fenced?  

May we call you if we need an emergency foster?    Yes  No

Comment

**PLEASE ALLOW 24-48 HOURS FOR APPLICATION PROCESSING**