Foster Application

Michigan Anti-Cruelty Society
Foster Application

Date*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell #*

Home #

Email Address*

How many pets have you owned in the last 5 years?*

Dogs	Cats

How many pets do you own at the present time?

Dogs	Cats	Other

Please list pets individually below:

Dog / Cat	Sex	Sterilized	Breed	Name

Have you had a dog die on your premises of Distemper, Parvo, or unknown causes within the last 3 months?*

Have you had a cat die on your premises of Distemper, Leukemia, or unknown causes within the last 3 months?*

Do your pets live:

Indoors
Outdoors

Veterinarian's name

Veterinarian's phone

Have you ever cared for:

Young puppies
Young kittens
Injured dog
Injured cat

Do you have an area in your house to confine foster animals?

Yes
No

If so, where?

Do you:*

Rent an apartment
Rent a house
Own a house
Live with parents

If you rent, what is your landlord's name?

Lanlord's phone

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

What hours will the caretaker be home?*

Any children in the home?	What ages	Is your yard fenced?

If fostering a dog, what method will be used for house breaking?

If fostering a dog, how would you handle chewing or destructive behavior?

If fostering a cat, how will scratching or destructive behavior be handled?

Have you ever fostered an animal for another shelter, organization, or group?*

Yes
No

If so, which one(s)?

Are there any factors that may limit your foster work?*

Why would you like to become a foster parent?*

Tell us a little about yourself.

Please indicate below what you would be willing to foster:*

Sick / Injured cat
Young kittens
Mother cat and kittens
Adult cat
Sick / Injured dog
Young puppies
Mother dog and puppies
Adult dog

Additional comments:

Thank you for taking the time to fill out this questionnaire. Although these questions may seem to be intrusive, they are essential in determining the successful placement of a foster animal into your home.

Electronic Signature*

First Last

Date*

Comments

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Michigan Anti-Cruelty Society
Foster Application

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