Fostering Hope

Foster Application Form
 All applicants must be at least 18 years of age. Thank you for your interest in becoming a foster home with your local shelters.

 

     Please Select  From the shelters listed, which you would be willing to foster from:

Humane Society of Southeast Missouri Rainbow Ranch Rescue Bootheel Area Animal Rescue Bollinger County Stray Project
Greyhound Pets of American - Cape Chapter Scott Co Stray Project Caruthersville Humane Society Perry Animal welfare (PAWS)
Silverwalk Beagle & Hound Sanctuary Cape Co Stray Project  Safe Harbor Animal Sanctuary  
Sikeston Area Humane Society Pit Bull Rescue/Advocate The Other Side Of The Fence  

        
    General Information About You

  Name:           

  

  Address:       
  City:           State:      Zip
  Your Age:21-30 31-40 41-5051-60 61 and up
 
   

  Home Phone:     

  Business Phone:

 Email:

  Cell Phone:        

  Fax Number:      

 
  How often do you check e-mail? 

  Best Time to Call:

  Preferred Way to contact:

 

  About Your Residents

  You Live In:
  		   Do You Rent or Own?
   		  How long have you lived
   there?  

  Household setting:  Rural  Suburban   Urban
   If renting: do you have permission from your landlord to keep pets? 
     Yes No  N/A
  Can we contact your landlord? We need to know if there are any restrictions, such as size of dog, etc.
   Yes No
  Landlord  Phone:     
   If no, why, not ?

          
 

    About Your Yard & Neighborhood

   Do You Have a Fenced in Yard?
 Yes No		    If yes: fence's height   If fenced, number of gates: 
 Are the gates always securely latched and/or locked?    Yes No   Type of fence   Approximate size of fenced-in area:
  ft  X  ft
  Approximate size of Front yard:
  ft  X  ft		   Approximate size of Back yard:
  ft  X  ft		 Distance of house from road
 Traffic volume around your Home
 		   Traffic Speed around your Home
  		Type of traffic Around your Home

  About Your Home Atmosphere & Activity Level

  Home Atmosphere
  		 Neighbor hood activities levels: Click All that applies  (Push control and Click)
  

  Total number of people living in the home?

 Adult males:          

 Number of Males over 18    
 Adult females:            Number of Females over 18 
 Number of children:   Number of children under 18

  Tell Us About the Dogs You currently Have

   Do you currently own dogs?
  Yes No		   What Breeds do You Have?
 

  How Many?                  
  How many are Males       How Many are Neutered 
  How many are Females    How Many are Spayed   
 How many dogs have you owned in the last 10 years?    If not spayed/neutered, please provide the reason  why:

   What type of  Dog are you willing to foster? Please check all that apply.

Puppies, 2 to 8 Months   Males are you willing to foster at a time?
0 1 2 3 4 5 or more 		 
Older Puppies, 8 Months to 1 Year   Females are you willing to foster at a time?
0 1 2 3 4 5 or more
Active Young Adults, 1 to 2 Years List Breeds that you will not foster
 
Active Young Adults, 2 to 3 Years
Adults dogs, 3 to 6 Years
Mature dog, Over 6 years
No Preference
     
     

Are you willing to foster a dogs with special needs

Injured/Sick Pregnant Females  
Dogs with medical conditions Mothers with Puppies
daily medication Litters of Orphaned Puppies
physical therapy Very Young Puppies
   
What  medical problems do you feel you cannot deal with in a foster dog?    

Dogs with some behavior problems?

Abused/Neglected  

obedience training?  
   
What behavioral  problems do you feel you cannot deal with in a foster dog?  
     

 

  Where will your foster dog spend the day?

 

  Where will your foster dog spend the night?

 

  Check types of confinement can you  provide

 

     

What behavioral or medical problems do you feel you cannot deal with in a foster dog?

Are there any characteristics that you are not willing to work with?

 

Tell Us About the Cats You currently Have

   

  Do you currently own Cats?
  Yes No		  Are the Cats familiar with dogs? Yes No
  How Many?                  
  How many are Males       How Many are Neutered 
  How many are Females    How Many are Spayed   
   If not spayed/neutered, please provide the reason why:

 What type of  Cats  are you willing to foster? Please check all that apply.

Kittens (s) 2 to 8 Months Males   Males are you willing to foster at a time?
1 2 3 4 5 or more 		Pregnant Females
Older Kittens 8 Months to 1 Year Females   Females are you willing to foster at a time?
1 2 3 4 5 or more 		Mothers with Kittens
Active Young Cats 1 to 2 Years   Litters of Orphaned Kittens
Active Young Cats 2 to 3 Years Very Young Kittens
Adults Cats 3 to 6 Years
Mature Cats Over 6 years
No Preference  
   
 

Are you willing to foster a Cats with needs

Injured/Sick daily medication obedience training?
Cats with medical conditions physical therapy
Abused/Neglected

Cats with some behavior problems?

     
     
     

 

  Where will your foster Cat spend the day?

 

  Where will your foster Cat  spend the night?

 

  Check types of confinement can you  provide

 

     

What behavioral or medical problems do you feel you cannot deal with in a foster dog?

Are there any characteristics that you are not willing to work with?