First Name*

Last Name*

Address*

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Zip/Postal Code*
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Email*

Home Phone*

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Friends of Campbell County Animal Control Foster Care Application

Date*

Name of Applicant*

Address*

Home Phone*

Cell*

Work Number

What is the best time or method to reach you?*

Email Address*

Are you 18 years of age or older?

For any adults in the household, list their names, their employers, and their work hours.*

Do you rent or own your home?

If you are renting, please provide the name and contact information for your landlord. (This is required before we can process your application.)

Have you ever fostered an animal before?

Why are you interested in fostering a dog or cat?*

Are all members of the household in agreement about fostering a dog or cat?

Please list names and ages of everyone who lives in your home*

Do you have other pets in your home?

If yes, please list the names, ages, and types of pet

Are all of your current pets spayed or neutered?

Are all of your personal pets current with DHPP and rabies vaccinations?

Do all of your current pets receive annual wellness exams from your veterinarian?

Please provide the name and contact information of your current veterinarian, including his or her name, phone number, and your pet(s) names.*

Have you lost a pet recently (in the last five years) or had to give one up for some reason?

If yes, please explain.

Are you willing/able to provide care short term (overnight up to one week)?

Are you willing/able to provide care long term (longer than one week)?

Are you willing/able to provide care to special needs animals (for example, recovering from surgery, illness, extremely shy)?

Are you willing/able to provide puppy or kitten care?

Are you willing/able to provide care to an adult dog or cat?

If you want to foster a dog, are you willing/able to provide care to a small one (up to 25 pounds)?

If you want to foster a dog, are you willing/able to provide care to a large breed one?

Do you have a breed preference?

If yes, what breed?

Do you have a male or female preference?

If yes, which sex?

What behavioral problems would you consider unacceptable?*

How do you plan to correct or discipline your foster dog or cat?*

Please describe your lifestyle and how this animal will fit into your lifestyle*

How many hours a day will your fostered dog or cat be home alone?*

Do you have a fenced in yard? (A fence is not required.)

Where will the foster dog or cat be when you are not home?*

How will you ensure that the foster dog or cat receives adequate exercise?*

Who will care for the foster dog or cat if you are out of town?*

Are you willing to provide transportation for your foster dog or cat for vet care, adoption events, or to meet a rescue transport?

Crates are a useful tool for training dogs and are provided to foster families for their use. If you foster a dog, are you willing to crate train the dog?

Please provide at least two personal references (with phone number and email address) who are not family members*

The Foster Care Program is not a means to temporarily own or try out a dog. It is an important and often life-saving alternative to shelter life for the animals. Although we temperament test and provide preventive health care prior to placement, Friends of Animal Control Campbell County cannot guarantee the temperament or health of the dogs placed in foster care.

Please read the following statements about the Foster Care Program and initial next to them to indicate that you understand and agree to abide by them.

Your foster dog or cat may not be house trained. You understand that he or she may have accidents in your home.*

Your foster dog or cat may chew or claw on furniture, clothing, or other objects. You are comfortable working with this behavior.*

If you foster a dog, you agree to keep him or her on a leash or enclosed in a fenced-in yard or home at all times. If you foster a cat, you agree to keep him or her inside the home at all times.*

Representatives of Friends of Animal Control Campbell County may contact or visit you to discuss the foster dog or cat. You understand that you may be asked to complete evaluation forms on the dog or cat. You agree to be entirely honest and forthright regarding the dog’s or cat's behavior, be it positive or negative. *

If medical treatment is needed for the animal you are to contact the Foster Home Coordinator or other representative from Friends of Animal Control Campbell County, and they will assess the problem and decide if medical attention will be provided. *

Do you have any questions for us?

I certify that information entered on this application is true (please enter your name and date):

Signature*

Date*