Please complete the following application. Read each section carefully and make sure to answer every question.

***Each of the narrative questions MUST HAVE A RESPONSE*** Incomplete applications will not be considered.

After completing all fields, click continue at the bottom of the page.

Personal Information

First name:

Last name:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

Email address:

Demographic Information

Date of birth:

How did you hear about us?:

T-Shirt size:

Gender:

Are you over the age of 16?:

Education:

Occupation:

Company:

Pronouns:

Foster Preferences

Rental Property Restrictions

If you are currently renting, have you approved fostering animals with your landlord or condo association?

Are there any restrictions on number of animals, size, or breed from your landlord?

Please provide the name and phone number for your landlord below.

Midcoast Humane Experience

Have you previously volunteered or fostered for Midcoast Humane, Coastal Humane Society, or Lincoln County Animal Shelter? If yes, in what role?

Animal Experience

Please explain any and all prior animal experience.

Household

Please list all other members of the household, their age, their relation to you, and how they will help with foster duties.

Other Pets In The Home

Please provide the name, species/breed, age, and sex of any pets in the home, as well as the name of your veterinarian, then answer the following questions.

Are all your pets up to date on their vaccines? (You will need to provide proof)

If you have dogs, are they vaccinated for kennel cough (Bordatella)?

Are all pets either spayed or neutered?

Statement of Interest

Please tell us why you would like to become a foster parent with Midcoast Humane

Foster Parent Selection and Interview

Applicants are reviewed on an individual basis, and selection of foster parents is based on the current needs of Midcoast Humane and the skills, interests, and experience of the foster parent. Please be aware that a period of several weeks may be required to set up your interview and to begin care for your first foster pet.

Application Agreement

By checking this box, I am certifying that all information provided in this application is true and accurate.

I Agree