Humane Society Fargo Moorhead | Foster Application

Thank you so much for considering to become a foster family for us! Please take a few moments to fill out this foster home application.

If you have any questions about fostering, please read our foster information or give us a call during business hours.

Your Contact Information
Name First Last
Address
Street Address

City

State / Province

Postal / Zip Code
Email
Driver's License Number
Date of Birth
Employer
Home Phone - (###) - ### ####
Work Phone - (###) - ### ####
Cell Phone - (###) - ### ####
Name of Co-Applicant First Last
Co-Applicant's Employer
Co-Applicant's Work Phone - (###) - ### ####
Co-Applicant's Cell Phone - (###) - ### ####

About You & Your Household
Please indicate the type of you home live in? House - Own House - Rent Mobile Home - Own Mobile Home - Rent Apartment - Rent Condo - Rent Live with Parents - Parent's phone number:
If you own, you may be asked to provide proof of home ownership (ie. copy of tax statement) or we may contact your town's business office.

If you rent, Landlords/Rental Agencies will be contacted to verify permission to own pets. This includes mobile home parks. Please provide the following:
Name of apartment complex or mobile home park
Landlord's or Rental Agency's Name
Landlord's or Rental Ageny's Phone Number
Do you have a fenced yard? No Yes - type/height
How many people live in your household?
If there are any children under the age of 18 in the household, please list their ages here.
Are all household members in agreement with fostering a pet? Yes No
If No, please explain who is not in favor and why.
Do you run a daycare in your home? No Yes
If yes, please list the ages of the children in your care.
Current & Previous Pets

Please list all animals in your care in the last 5 years (include roommate's or relative's pets currently residing in your home).

Name of Animal	Species (dog,cat,other)	Breed	Age	Spayed / Neutered?	Still living with you?	If not, please explain why

Name of Veterinary Clinic used for your pets

Veterinary Clinic Phone Number
Are there any special considerations to the temperament or health of your current pets that we need to consider before placing a foster pet in your home? No Yes If yes, please explain
Have you ever adopted a pet from the Humane Society Fargo Moorhead (previously known as FM Humane Society)? No Yes
If yes, please indicate whether you still have this pet. If you no longer have this pet, please explain why.
Personal References

Please provide contact information for two references who are not related to you.
Reference #1 Name First Last
Reference #1 Relationship (friend, neighbor, co-worker,etc.)
Reference #1 Phone Number - (###) - ### ####
Reference #2 Name First Last
Reference #2 Relationship (friend, neighbor, co-worker,etc.)
Reference #2 Phone Number - (###) - ### ####
Your Fostering Interests
Are you willing to foster Cats? Please check all that apply. No - Not willing/able to foster cat Yes - Short term cat foster due to lack of space at shelter Yes - Long term foster until the cat is adopted Yes - Injured cat Yes - Pregnant/Nursing cat Yes - Orphaned/Bottlefed kittens until old enough for adoption Yes - Cat with minor contagious medical condition Yes - Willing to foster a cat belonging to someone who is ill or temporarily can't have/take care of the cat
Are you willing to foster a dog? Please check all that apply. No - Not willing/able to foster dog Yes - Short term dog foster due to lack of space at shelter Yes - Long term foster until the dog is adopted Yes - Injured dog Yes - Pregnant/Nursing dog Yes - Orphaned/Bottlefed puppies until old enough for adoption Yes - Dog with minor contagious medical condition Yes - Dog/puppy that is NOT housebroken Yes - Small dog only (under 25lbs) Yes - Willing to foster a dog belonging to someone who is ill or temporarily can't have/take care of the dog
The Safe Paws Program is a collaborative effort partnership between the Humane Society Fargo Moorhead, the Rape and Abuse Crises Center, YWCA of Cass Clay and a local veterinary clinic in order to provide temporary housing for pets impacted by domestic violence. You may read more about the Safe Paws program here. Are you willing to be a foster for the Safe Paws Program? Yes No
During the day, where will your foster pet(s) be kept? (Check all that apply) Indoors Outdoors Crate Garage Kennel Other, please specify
During the night, where will your foster pet(s) be kept? (Check all that apply) Indoors Outdoors Crate Garage Kennel Other, please specify
Your foster pet(s) will be without human companionship for how many hours per day and how many days per week?
Hours per day

Days per week
Who will be responsible for the care of the foster pet?
What training methods would you use to handle potential problems like crying, barking, chewing, scratching, etc?
Submit Application
I understand that any false statements on this application constitute grounds for denial of the application. The Fargo Moorhead Humane Society reserves the right to refuse to foster to any person(s). Check this box to indicate that you understand and agree to the above.
By typing my name below and submittinig this application, I hereby authorize the Humane Society Fargo Moorhead, located at 1201 28th Avenue North, Fargo, ND, to contact the veterinarian(s) listed above to verify veterinary care history.

Foster Application

Your Contact Information

About You & Your Household

Current & Previous Pets

Personal References

Your Fostering Interests

Submit Application