HHOMELESS PETS LIFELINE
FOSTER HOME APPLICATION
A Foster Home is a temporary home for a dog until our organization finds a permanent home for the dog. If you are interested in potentially providing a foster home for one of our dogs you should fill out the application below.
Thank you for offering to become a foster home for our organization! To be considered as a foster home for our organization, you must:
* Be 21 years of age or older
* If you rent your home you must have a consent from your landlord to have a dog.
* Have all dogs and cats in the home spayed or neutered, if they are 6 months or older, unless medical reasons for not doing so.
* Have all dogs in the home up to date on vaccinations.
* Agree to have a home visit done by one of our volunteers. The volunteer will need to see the areas of the home where the dog will be allowed and also visit with family members and current pets. Distance is a factor in whether or not the required home visit can be completed. We are a 100% volunteer run organization. Although we do have volunteer contacts in many areas, some areas may be difficult for us to locate a volunteer to conduct the home visit. We will let you know ASAP if your application needs to be denied due to our inability to find a volunteer to conduct the home visit.
You must also agree to the following conditions, which are included in the foster home agreement contract:
* Agree to have the dog wear a Homeless Pets Lifeline ID tag on its collar at all times when in public or outdoors.
* Agree to never allow the foster dog to be off leash when it is outdoors, unless it is in a securely fenced in area.
* Agree to have the foster dog reside in the home, not outside. The foster dog may not be left outdoors if you are not at home.
This includes outdoor kennel runs.
* Agree to never allow foster dog to be left unattended with young children.
Our rescue organization is an all (unpaid) volunteer organization. For each application we receive it takes us approximately 3 hours to review, contact all personal and veterinary references, and make a decision on approval of it. Depending upon volunteer availability, this can take us several days to accomplish especially when we receive may applications or if we have difficulties reaching references.
To continue wit the foster home application process initial here _____________ to indicate that you have read, understand and agree to the above.
FOSTER HOME APPLICATION
NAME:_________________________________________________________________
STREET ADDRESS___________________________________________
CITY:______________________STATE:__________ZIP:______________
PHONE: HOME:___________________________CELL:______________________
E-MAIL ADDRESS: ______________________________________________________
DO YOU REGULARLY MONITOR THIS EMAIL ADDRESS AND AGREE TO PROIDE US WITH TIMELY RESPONSES TO OUR EMAILS? You may need to monitor your email’s spam folder for emails from our organization.
Yes_______ No_________
IF WE NEED TO FOLLOW-UP WITH YOU ABOUT YOUR APPLLICATION, WHAT IS THE PREFERRED METHOD(S) FOR CONTACTING YOU?
HOME PHONE _____ WORK PHONE _______ CELL PHONE______ E-MAIL_______
OCCUPATION:______________________________________________
EMPLOYER’S Name/Address/Phone:__________________________________________
_________________________________________________________________________
ARE YOU 21 YEARS OF AGE OR OLDER? NO________ YES____________
TYPE OF HOME YOU LIVE IN:
HOUSE_____ CONDO/TOWNHOUSE_______
TRAILER HOME_______ APT.______
DO YOU HAVE A FENCED YARD: YES_________ NO__________
IF YOU ANSWERED YES LIST TYPE:
WOOD_____ CHAIN LINK_____OTHER__________ HEIGHT OF FENCE________
DO YOU RENT OR OWN YOUR HOME: OWN_________ RENT_______________
IF YOU RENT OR ARE A ROOMMATE OR CHILD OF THE HOME OWNER, PLEASE PROVIDE THE LANDLORD’S OR OWNER’S NAME AND PHONE NUMBER. You must have approval to have a dog from your landlord, rental agency or home owner. We also need to know if there are any restrictions, such as size or breed of dog, etc. Please provide the below information so that we may contact them.
NAME; _____________________________________________
PHONE # ___________________________________________
PERSONAL REFERENCES: Please provide contact information for 3 personal references (someone that knows you and can provide insight on you character, how you feel about pets, how you treat pets, etc). These references cannot live in your home.
Please contact your references and let them know that someone from our organization will be contacting them and ask them to return our calls if we leave a message.
1st PERSONAL REFERENCE:
NAME:____________________________________________________________
PHONE: ___________________
E-MAIL:_________________________________
HOW THEY KNOW YOU:____________________________________________
2nd PERSONAL REFERENCE:
NAME:_____________________________________________________________
PHONE:___________________
E-MAIL:_________________________________
HOW THEY KNOW YOU:____________________________________________
3rd PERSONAL REFERENCE:
NAME:_____________________________________________________________
PHONE: ___________________
E-MAIL:_________________________________
HOW THEY KNOW YOU:____________________________________________
VETERINARIAN REFERENCE: Please provide the contact information for the Vet’s clinic that can verify the vaccination/spay/neuter status of current or recent pets.
NAME: ____________________________________________________________
PHONE: ___________________________________________________________
NUMBER OF PEOPLE LIVING IN HOME:___________________________________
NUMBER OF PEOPLE UNDER 21 YEARS OLD:_______________________________
IF CHILDREN UNDER 21 LIST THEIR AGES:_________________________________
DOES ANYONE LIVING IN THE HOME HAVE ALLERGIES? YES______ NO______
IF YES WHAT ARE THE ALLERGIES AND ARE THEY BEING CONTROLLED AT THIS TIME WITh MEDICATION.__________________________________________
ARE ALL IN HOME IN FAVOR OF FOSTERING A DOG FOR OUR ORGANIZATION? YES________ NO__________
IF NO LIST THEM AND THEIR REASON:_____________________________
___________________________________________________________________
HAVE YOU BEEN A FOSTER HOME FOR ANOTHER RESCUE ORGANIZATION BEFORE:
YES_______________ NO______________
If yes please list organization________________________________________________
WHY DO YOU WANT TO BE A FOSTER HOME FOR US?_____________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
IS THERE A PARTICULAR DOG(S) THAT YOU ARE INTRESTED IN FOSTERING? PLEASE LIST THE NAME OF DOG:_______________________________________
LIST THE SIZE OR BREED PREFERENCE AND THE QUALITIES IN A DOG THAT WOULD BEST SUIT YOUR HOME:
_________________________________________________________________________
LIST ANY QUALTIES IN A DOG THAT WOULD NOT SUIT YOUR HOME:
_________________________________________________________________________
DO YOU HAVE PETS LIVING IN YOUR HOME NOW? DOGS________CATS______
OTHER:__________________________________________________________________
ARE ALL YOUR PETS CURRENT ON VACCINATIONS? YES_______ NO_________
ARE ALL YOUR DOGS/CATS SPAYED OR NEUTERED? YES_______NO_________
HAVE YOU EVER GIVEN AWAY, SOLD, ABANDONED, SURRENDERED, OR PUT A PET TO SLEEP? YES__________ NO_______________
IF YES PLEASE EXPLAIN:_________________________________________________
________________________________________________________________________________________________________________________________________________
WHERE WILL YOUR FOSTER DOG BE WHEN EVERYONE HAS LEFT THE HOUSE? CRATE OR KENNEL________________GARAGE______________
OUTSIDE___________OTHER_______________________________________
HOW MANY HOURS A DAY WILL THE ANIMAL BE LEFT A LONE:_____________
WHERE WILL YOUR FOSTER DOG SLEEP?__________________________________
HOW WILL YOUR FOSTER DOG BE EXERCISED AND HOW OFTEN?___________
_________________________________________________________________________
ARE YOU WILLING TO WORK WITH YOUR FOSTER DOG ON ANY ISSUES IT MAY HAVE: YES__________ NO___________
HOW LONG DO YOU FEEL A NEW PET AND PETS ALREADY LIVING IN THE HOME SHOULD BE GIVEN FOR AN ADJUSTMENT PERIOD?_______________
DO YOU ACKNOWLEDGE THERE CAN BE DISAGREEMENTS AND WILL YOU STRIVE TO EASE THE TRANSITION AND PROVIDE CARE AND GUIDANCE AS NEEDED? NOTE: Small disagreements are expected and typical behavior when a new dog is brought into a home where a dog or cat is already living. There can be fear and anxiety and you must be willing to work with your new dog during the transition time (which can be anywhere from days to weeks to months) until the dog is comfortable in your home. At that time you’ll be able to see your dog’s true personality.
YES___________ NO_____________
HOW LONG WILL YOU BE ABLE TO PROVIDE A FOSTER HOME FOR A DOG? (Dogs can find their new homes in as little as few weeks to several months and more. We need foster homes for the long haul and even emergency foster homes for a week or two while we set up transport of a dog to another rescue):
AS LONG AS IT TAKES ______6 MONTHS TO A YEAR_______SEVERAL MONTHS________EMERGENCY FOSTER ONLY 1 - 2 WEEKS.
I HAVE ANSWERED ALL QUESTIONS AND PROVIDED ALL NEEDED REFERENCES TRUTHFULLY AND HONESTLY TO THE BEST OF MY KNOWLEDGE. I WILL DO MY BESTTO COMPLY WITH HOMELESS PETS LIFELINE ORGANIZATION FOSTER HOME REQUIREMENTS, WHICH INCLUDE PROVIDING A LOVING AND SAFE ENVIRONMENT FOR MY FOSTER DOG.
YES___________ NO_________________
SIGNATURE:__________________________________ DATE___________________
SIGNATURE OF HOMELESS PETS LIFELINE REP:__________________________
HOMELESS PETS LIFELINE DIRECTOR:
SHARRON GOODNER
WALDRON, ARKANSAS
479-637-2530
FOSTER HOME APPLICATION
A Foster Home is a temporary home for a dog until our organization finds a permanent home for the dog. If you are interested in potentially providing a foster home for one of our dogs you should fill out the application below.
Thank you for offering to become a foster home for our organization! To be considered as a foster home for our organization, you must:
* Be 21 years of age or older
* If you rent your home you must have a consent from your landlord to have a dog.
* Have all dogs and cats in the home spayed or neutered, if they are 6 months or older, unless medical reasons for not doing so.
* Have all dogs in the home up to date on vaccinations.
* Agree to have a home visit done by one of our volunteers. The volunteer will need to see the areas of the home where the dog will be allowed and also visit with family members and current pets. Distance is a factor in whether or not the required home visit can be completed. We are a 100% volunteer run organization. Although we do have volunteer contacts in many areas, some areas may be difficult for us to locate a volunteer to conduct the home visit. We will let you know ASAP if your application needs to be denied due to our inability to find a volunteer to conduct the home visit.
You must also agree to the following conditions, which are included in the foster home agreement contract:
* Agree to have the dog wear a Homeless Pets Lifeline ID tag on its collar at all times when in public or outdoors.
* Agree to never allow the foster dog to be off leash when it is outdoors, unless it is in a securely fenced in area.
* Agree to have the foster dog reside in the home, not outside. The foster dog may not be left outdoors if you are not at home.
This includes outdoor kennel runs.
* Agree to never allow foster dog to be left unattended with young children.
Our rescue organization is an all (unpaid) volunteer organization. For each application we receive it takes us approximately 3 hours to review, contact all personal and veterinary references, and make a decision on approval of it. Depending upon volunteer availability, this can take us several days to accomplish especially when we receive may applications or if we have difficulties reaching references.
To continue wit the foster home application process initial here _____________ to indicate that you have read, understand and agree to the above.
FOSTER HOME APPLICATION
NAME:_________________________________________________________________
STREET ADDRESS___________________________________________
CITY:______________________STATE:__________ZIP:______________
PHONE: HOME:___________________________CELL:______________________
E-MAIL ADDRESS: ______________________________________________________
DO YOU REGULARLY MONITOR THIS EMAIL ADDRESS AND AGREE TO PROIDE US WITH TIMELY RESPONSES TO OUR EMAILS? You may need to monitor your email’s spam folder for emails from our organization.
Yes_______ No_________
IF WE NEED TO FOLLOW-UP WITH YOU ABOUT YOUR APPLLICATION, WHAT IS THE PREFERRED METHOD(S) FOR CONTACTING YOU?
HOME PHONE _____ WORK PHONE _______ CELL PHONE______ E-MAIL_______
OCCUPATION:______________________________________________
EMPLOYER’S Name/Address/Phone:__________________________________________
_________________________________________________________________________
ARE YOU 21 YEARS OF AGE OR OLDER? NO________ YES____________
TYPE OF HOME YOU LIVE IN:
HOUSE_____ CONDO/TOWNHOUSE_______
TRAILER HOME_______ APT.______
DO YOU HAVE A FENCED YARD: YES_________ NO__________
IF YOU ANSWERED YES LIST TYPE:
WOOD_____ CHAIN LINK_____OTHER__________ HEIGHT OF FENCE________
DO YOU RENT OR OWN YOUR HOME: OWN_________ RENT_______________
IF YOU RENT OR ARE A ROOMMATE OR CHILD OF THE HOME OWNER, PLEASE PROVIDE THE LANDLORD’S OR OWNER’S NAME AND PHONE NUMBER. You must have approval to have a dog from your landlord, rental agency or home owner. We also need to know if there are any restrictions, such as size or breed of dog, etc. Please provide the below information so that we may contact them.
NAME; _____________________________________________
PHONE # ___________________________________________
PERSONAL REFERENCES: Please provide contact information for 3 personal references (someone that knows you and can provide insight on you character, how you feel about pets, how you treat pets, etc). These references cannot live in your home.
Please contact your references and let them know that someone from our organization will be contacting them and ask them to return our calls if we leave a message.
1st PERSONAL REFERENCE:
NAME:____________________________________________________________
PHONE: ___________________
E-MAIL:_________________________________
HOW THEY KNOW YOU:____________________________________________
2nd PERSONAL REFERENCE:
NAME:_____________________________________________________________
PHONE:___________________
E-MAIL:_________________________________
HOW THEY KNOW YOU:____________________________________________
3rd PERSONAL REFERENCE:
NAME:_____________________________________________________________
PHONE: ___________________
E-MAIL:_________________________________
HOW THEY KNOW YOU:____________________________________________
VETERINARIAN REFERENCE: Please provide the contact information for the Vet’s clinic that can verify the vaccination/spay/neuter status of current or recent pets.
NAME: ____________________________________________________________
PHONE: ___________________________________________________________
NUMBER OF PEOPLE LIVING IN HOME:___________________________________
NUMBER OF PEOPLE UNDER 21 YEARS OLD:_______________________________
IF CHILDREN UNDER 21 LIST THEIR AGES:_________________________________
DOES ANYONE LIVING IN THE HOME HAVE ALLERGIES? YES______ NO______
IF YES WHAT ARE THE ALLERGIES AND ARE THEY BEING CONTROLLED AT THIS TIME WITh MEDICATION.__________________________________________
ARE ALL IN HOME IN FAVOR OF FOSTERING A DOG FOR OUR ORGANIZATION? YES________ NO__________
IF NO LIST THEM AND THEIR REASON:_____________________________
___________________________________________________________________
HAVE YOU BEEN A FOSTER HOME FOR ANOTHER RESCUE ORGANIZATION BEFORE:
YES_______________ NO______________
If yes please list organization________________________________________________
WHY DO YOU WANT TO BE A FOSTER HOME FOR US?_____________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
IS THERE A PARTICULAR DOG(S) THAT YOU ARE INTRESTED IN FOSTERING? PLEASE LIST THE NAME OF DOG:_______________________________________
LIST THE SIZE OR BREED PREFERENCE AND THE QUALITIES IN A DOG THAT WOULD BEST SUIT YOUR HOME:
_________________________________________________________________________
LIST ANY QUALTIES IN A DOG THAT WOULD NOT SUIT YOUR HOME:
_________________________________________________________________________
DO YOU HAVE PETS LIVING IN YOUR HOME NOW? DOGS________CATS______
OTHER:__________________________________________________________________
ARE ALL YOUR PETS CURRENT ON VACCINATIONS? YES_______ NO_________
ARE ALL YOUR DOGS/CATS SPAYED OR NEUTERED? YES_______NO_________
HAVE YOU EVER GIVEN AWAY, SOLD, ABANDONED, SURRENDERED, OR PUT A PET TO SLEEP? YES__________ NO_______________
IF YES PLEASE EXPLAIN:_________________________________________________
________________________________________________________________________________________________________________________________________________
WHERE WILL YOUR FOSTER DOG BE WHEN EVERYONE HAS LEFT THE HOUSE? CRATE OR KENNEL________________GARAGE______________
OUTSIDE___________OTHER_______________________________________
HOW MANY HOURS A DAY WILL THE ANIMAL BE LEFT A LONE:_____________
WHERE WILL YOUR FOSTER DOG SLEEP?__________________________________
HOW WILL YOUR FOSTER DOG BE EXERCISED AND HOW OFTEN?___________
_________________________________________________________________________
ARE YOU WILLING TO WORK WITH YOUR FOSTER DOG ON ANY ISSUES IT MAY HAVE: YES__________ NO___________
HOW LONG DO YOU FEEL A NEW PET AND PETS ALREADY LIVING IN THE HOME SHOULD BE GIVEN FOR AN ADJUSTMENT PERIOD?_______________
DO YOU ACKNOWLEDGE THERE CAN BE DISAGREEMENTS AND WILL YOU STRIVE TO EASE THE TRANSITION AND PROVIDE CARE AND GUIDANCE AS NEEDED? NOTE: Small disagreements are expected and typical behavior when a new dog is brought into a home where a dog or cat is already living. There can be fear and anxiety and you must be willing to work with your new dog during the transition time (which can be anywhere from days to weeks to months) until the dog is comfortable in your home. At that time you’ll be able to see your dog’s true personality.
YES___________ NO_____________
HOW LONG WILL YOU BE ABLE TO PROVIDE A FOSTER HOME FOR A DOG? (Dogs can find their new homes in as little as few weeks to several months and more. We need foster homes for the long haul and even emergency foster homes for a week or two while we set up transport of a dog to another rescue):
AS LONG AS IT TAKES ______6 MONTHS TO A YEAR_______SEVERAL MONTHS________EMERGENCY FOSTER ONLY 1 - 2 WEEKS.
I HAVE ANSWERED ALL QUESTIONS AND PROVIDED ALL NEEDED REFERENCES TRUTHFULLY AND HONESTLY TO THE BEST OF MY KNOWLEDGE. I WILL DO MY BESTTO COMPLY WITH HOMELESS PETS LIFELINE ORGANIZATION FOSTER HOME REQUIREMENTS, WHICH INCLUDE PROVIDING A LOVING AND SAFE ENVIRONMENT FOR MY FOSTER DOG.
YES___________ NO_________________
SIGNATURE:__________________________________ DATE___________________
SIGNATURE OF HOMELESS PETS LIFELINE REP:__________________________
HOMELESS PETS LIFELINE DIRECTOR:
SHARRON GOODNER
WALDRON, ARKANSAS
479-637-2530
