Foster Form for Dogs: The Humane Society of Greater KC

Thank you for your interest in becoming a foster parent! To be considered for fostering dogs, you must: Be 21 years of age • Have the knowledge and consent of all adults living in your household • Have a valid ID with current address • Have the knowledge and consent of your landlord • Understand that The Humane Society of Greater Kansas City must approve your application before a pet is placed in your care.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Best Phone Number *

Second Phone Number

Do you text? *

No

Yes. Please indicate phone #: Yes. Please indicate phone #:

Email Address (list best email to reach you by) *

Confirm Email Address *

Your age: *

What type of dog are you able to foster? (check all that apply after reading the HSGKC Frequently Asked Foster Questions document posted online) *

Why would you like to foster a shelter pet? *

Have you provided foster care for an animal in the past? *

No

Yes. Please explain, and for which animal organization? Yes. Please explain, and for which animal organization?

Do you volunteer or work with any other animal organizations? *

Where do you live? *

Do you: *

Own

Live with parents

Rent. Please list landlord's name, phone number and pet policy: Rent. Please list landlord's name, phone number and pet policy:

Do you have a completely fenced yard? If yes, describe the type and height: *

Please list the names and ages of all other adults and children living in your home: *

Are there any persons who regularly visit the home (grandchildren, family members, etc)? *

No

Yes, please explain and list their ages: Yes, please explain and list their ages:

Is anyone in your home allergic to dogs? *

No	Yes, please explain: Yes, please explain:

How many hours each day will your foster dog be home alone (without human companionship)?
*

Where will your foster dog be kept during the day/evening when you are home? *

Where will your foster dog be kept during the day/evening when you are NOT home? *

Where will your foster dog be kept overnight? *

Would you be willing to crate your foster dog if recommended or required for medical or behavioral reasons? (HSGKC can provide a crate) *

Yes	Not sure. I need more information about crate training.
No	Other Other

Does your home have a dog or cat door? *

No	Yes. Please explain: Yes. Please explain:

Please provide the following info about your current pets:

	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Sex	Spayed or Neutered?
1	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Sex	Spayed or Neutered?
2	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Sex	Spayed or Neutered?
3	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Sex	Spayed or Neutered?
4	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Sex	Spayed or Neutered?
5	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Sex	Spayed or Neutered?
6	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Sex	Spayed or Neutered?

Please list any pets you have had in the past 10 years but who no longer live with you:

	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Spayed or Neutered?	Reason no longer with you
1	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Spayed or Neutered?	Reason no longer with you
2	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Spayed or Neutered?	Reason no longer with you
3	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Spayed or Neutered?	Reason no longer with you
4	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Spayed or Neutered?	Reason no longer with you
5	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Spayed or Neutered?	Reason no longer with you
6	Pet's Name	Type/Breed	Inside or Outside Pet	Age	Spayed or Neutered?	Reason no longer with you

Do your current pets get along with other dogs? *

Do you vaccinate your pets annually? *

Yes

No

N/A

Other: Other:

Who is/was your veterinarian for the above pets? List name and phone number: *

Are there any dogs or cats who visit your home regularly? *

No	Yes, please explain: Yes, please explain:

Are you hoping to adopt your foster pet if all goes well? *

Yes

No

Unsure: Unsure:

Are you a volunteer with The Humane Society of Greater KC, or affiliated with our organization, or know someone affiliated? If yes, please explain. *

Please list 3 references: *

	Name	Phone	Relationship
1.	Name	Phone	Relationship
2.	Name	Phone	Relationship
3.	Name	Phone	Relationship

Please check the box after reading each statement below: *

Is there any additional info you’d like to provide?

0/500 characters

How did you hear about us?

By submitting this form, I certify that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of fostering an animal. I authorize investigation of all statements on this application. I understand that this application is property of the Humane Society of Greater Kansas City. *

I agree

House	Apartment	Condo
Duplex	Mobile	Other Other