Animal You're Interested in Fostering
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Applicant's Name
              
                * 
              
             
          
                
                
                  
                     
                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Applicant's Job/Employer
              
                * 
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Spouse's Name
              
             
          
                *If applicable
                
                  
                     
                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Address
              
                * 
              
             
          
                
                
                  
                     
                    Address 1 
                   
                
                
                  
                     
                    Address 2 
                   
                
                
                  
                     
                    City 
                   
                
                
                  
                     
                    State/Province 
                   
                
                
                  
                     
                    Zip/Postal Code 
                   
                
                
                  
                     
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone Number
              
                * 
              
             
          
                
                
                
                  
                     
                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Type of Property
              
                * 
              
             
          
                
                
                
                  
                    House 
                  
                    Townhouse 
                  
                    Apartment 
                  
                    Condo 
                  
                    Mobile Home 
                  
                    Other 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If you rent, name of landlord/complex
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              Number of Adults in Household
              
                * 
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Full Names of Any Other Adults in the Household
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Ages of Children in Household
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please List the Name, Breed, Gender, and Age of all Animals You Have Owned in the Past Five (5) Years. 
              
             
          
                If the animal is deceased, please write "DECEASED" after the age they passed away. 
EXAMPLE:
Zeus, Boxer, Male, 5
Hera, Poodle, Female, 8 DECEASED
Loki, Cat, Male, 1
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Were All of the Above Listed Animals Spayed or Neutered?
              
             
          
                
                
                    Yes
                
                    No
                
               
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If You Answered "No," to the Previous Question, which animal(s) were NOT Spayed or Neutered?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are All of the Above Listed Animals Kept in the House?
              
             
          
                
                
                    Yes
                
                    No
                
               
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If You Answered "No" to the Previous Question, Which Animals Were NOT Kept in the House? Where were they kept?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Describe Your Ideal Pet.
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Why Do You Want to Foster?
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What Kind of Pet Are You Looking For?
              
                * 
              
             
          
                
                
                  Outdoor Only
                
                  Outdoor/Indoor
                
                  Indoor Only
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              How Much Time Are You Prepared to Allow for Your New Foster to Adjust to Your Home?
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Under What Circumstances Would You Return This Foster?
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have You Ever Turned an Animal in to a Shelter?
              
                * 
              
             
          
                
                
                
                  
                    Yes 
                  
                    No 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If Yes, Why?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              How Will You Entertain/Exercise Your Foster?
              
             
          
                Dogs only, applicants interested in cats please ignore.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Do You Have a Fenced In Yard?
              
             
          
                Dogs only, applicants interested in cats please ignore.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Where Will the Foster Be When You Are Home?
              
             
          
                Dogs only, applicants interested in cats please ignore.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Where Will the Foster Be When You Are Not Home?
              
             
          
                Dogs only, applicants interested in cats please ignore.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Where Will the Foster Be When You Are Asleep?
              
             
          
                Dogs only, applicants interested in cats please ignore.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              How Will You House Train Your Foster?
              
             
          
                Dogs only, cat applicants please ignore.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Why Do You Want to Foster for HBW? What Makes You the Best Foster Home We Can Find For This Animal?
              
                * 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              By checking the below box, I certify that the above information is complete and accurate and that I am at least 18 years of age.   I realize that any misrepresentation of fact may result in my losing the privilege of adopting an animal.  I understand that Homeward Bound Waggin, Inc has the right to deny my request for adoption.  I authorize verification of all statements on this application, including but not limited to prior vet medical history.  I understand that this application is the property of Homeward Bound Waggin, Inc who reserves the right to share this information with other shelters and rescue organizations.
              
             
          
                
                
                  Agree
                
                  Disagree