Thank you for your interest in the Humane Society of Weld County’s Foster Program!


Personal Details


Emergency Contact


Household Details


Animal Handling & Allergies

1. Is everyone in your household familiar with the proper handling of animals? (Yes / No)

2. Is anyone in your household allergic to animals? (Yes / No)

If yes, what kinds? Please explain:



Personal Pets

Do you currently have pets? (Yes / No)

If yes, please list species, breed, and sex:



Personal Pets - Details

1. Are all your pets current on all their vaccinations? (Yes / No)

*You must show vaccination records for each animal in your household at time of home inspection.

2. Are all of your pets spayed/neutered? (Yes / No)

If no, which ones and why?

*You must show proof of spay/neuter for each altered animal at time of home inspection.



Fostering Interest

1. What do you think would be most enjoyable when fostering for the humane society?

2. What do you think would be most difficult when fostering for the humane society?

3. Have you ever raised, handled, cared for, or fostered (for organizations) animals in the past? Currently?



Fostering Interest 2

Please indicate the types of Foster Care circumstances you are interested in:



Employment

Have you ever been employed here? (Yes / No)

If yes, what position and when?



Employment 2

1. Are you presently employed? (Yes / No)

If yes, please list the name of your employer, their title at work, and their phone number.

2. May we contact you at work? (Yes / No)



Disease

Have you had a dog, cat, puppy or kitten sick at/in your household from an infectious disease (Parvo, leukemia, distemper, etc) within the last 6 months? (Yes / No)

If yes, please explain:



Criminal Charges

Excluding traffic violations, have you ever been convicted of any criminal offense?

If yes, what were the charges? What was the outcome?



Confirmation

I confirm that all the information supplied on this profile is true and correct. A HSWC representative will visit my home to inspect the living conditions which the animal(s) will be placed in. I understand that the HSWC is not responsible for any property or personal damage, wounds or illness caused by foster animal(s) in my care.


By submitting this form, I attest that the information I have provided on the form is true and accurate.