FOSTER APPLICATION

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Work Phone
x

Cell Phone*

What is your age range*
Choose one: Under 18 years old 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65-74 years old 75 years or older

How would you like to be contacted?*
Choose one: Call Text Email

Have you ever been convicted of animal abuse/neglect/fighting/or domestic abuse?*
Choose one: Yes No

Employer Name*

What is your occupation and your work schedule?*

Do you own or rent your home?*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have a pet?*

If you rent, please enter your landlord's name and phone number (Otherwise answer N/A):*

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Other

How long have you lived at this address?*

If you have been at your current address for less than one (1) year, please provide previous address:

Do you plan to move in the next year?*

Are you going through any life changes (e.g. divorce, having a baby, changing jobs, adopting a new pet, etc)?*

If yes, please explain

How many adults, including you, reside in your household? Please provide names, ages:*

How many children (under 18) live or stay in the home on a regular basis? Please provide age/gender of each child in the home*

Do all household members agree to having a cat/dog in your home?*

Does anyone smoke inside the house?*

Does anyone have allergies to animals?*

Describe your home's activity level (check all that apply):

Please describe any previous experience or training you have had working with animals

Have you ever fostered animals before?*

If yes, please provide details:

Why are you interested in fostering?*

Do you currently have pets?

How many?

Please provide information on your current pet(s) - name, breed, sex, age,spayed/neutered

Are any of your cats declawed?*

Where do your pets live?*
Choose one: Indoors Only Outdoors Only In / Out Crated Basement Garage Porch Separate Room Other

What kind of food do you feed your pets and when do you feed them?*

Veterinarian's Name and Phone Number*

Do you give permission to H2H to verify with your veterinarian that pet vaccinations are current?*

How many rooms in your home?*

Are there screens in all the windows?*

Describe the area where the animal you are fostering will be kept:*

What type(s) of animal(s) are you interested in fostering? (check all that apply)

Where will this animal be kept during the day?*

Where will the animal sleep?*

How much time will the animal spend alone during the day?*

Will you have time to give your foster animal attention and socialization time?*

Do you have extra pet supplies? (litter pan, food dishes, bed, etc.)*

Are you willing to incur the expense of good quality food and litter for your foster?*

Are you familiar with the techniques of introducing another animal into the household?*

Are you comfortable giving an animal medication? (training can be provided)*

Are you willing to take an animal to a specified veterinarian if necessary?*

Are you willing to work with a special needs animal that has been abused, stressed or neglected?*

Are you willing to socialize a feral cat?*

Do you have limitations on how long you can keep a foster animal?*

Are you willing to transport an animal to adoption events?*

Are you willing to have an H2H representative and/or potential adopters visit your home?*

Are you willing to talk to people on the phone about your foster?*

Do you have any questions or concerns about the responsibility of being a foster animal parent?

Please provide names and contact information of two references, include relationship to you.*

Are you interested in having an H2H representative as a mentor (someone to call with questions or for advice)? *

Would you like to be an emergency foster home in cases when an animal comes in unexpectedly with no foster care immediately available?*

Are you interested in short-term foster of an animal recovering from surgery?*

If you need to return this animal before the designated time, do you agree to give H2H at least three days' notice to make space for this animal elsewhere?*

How do you hear about Hart 2 Heart Animal Rescue?*

Is there anything else you would like us to know?

A virtual home visit is required as part of our application process. 

Hart 2 Heart requires you to present a government issued Photo ID upon adoption. We do not collect the information for any purposes other than to verify your identity. However, we understand if you're not comfortable sharing your driver's license number.

STATEMENT OF UNDERSTANDING All of the information provided in this application is true and correct. I understand that any knowingly false or incomplete answers may cause my application to be denied. If any of the information changes during the application process, I will advise you promptly. I give permission for Hart 2 Heart to conduct a background check, contact my landlord, veterinarian and personal references to verify supplied information. I understand that Hart 2 Heart is considered the guardian of the animal in question and has the right, in its sole discretion, not to approve this application. Completion of an application does not guarantee approval. There may be multiple applicants for an animal. Applications are processed in order of receipt. Approval is based on a background check and confidential guidelines in order to obtain accurate and truthful information. Do you accept this Statement of Understanding?*

Hart 2 Heart Animal Rescue provides equal opportunities to all applicants without regard to race, color, religion, sex, national origin, age, disability or genetics. H2H expressly prohibits any form of harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. H2H may use the information provided, including applicant's name, address and pets' information in order to evaluate your suitability to adopt an animal from H2H in accordance with our guidelines and policies, and this information may be shared with third parties. This information may also be used by H2H for promotional, public relations and fundraising purposes.

Thank you for your interest in our animals! We will be in touch with you as soon as possible.