Foster Application

Personal Information

First name:

Last name:

Pronouns:

Nickname:

Street 1:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

Email address:

Date of birth:

How did you hear about us?:

Occupation:

Company:

Why are you interested in fostering a Midcoast Humane animal(s)?

Availability

Please indicate when you are available to start fostering and indicate if there is a date when you will need to stop fostering.

Your Pets

Gender:

Pronouns:

Please list all animals currently living in your home (include name, species, breed(s), and age).

Animal Handling Skills

While we welcome volunteers of all skill sets, it would be helpful to know any experience and comfort level you might have with certain types of animals.

Are you over the age of 16?:

Education:

Do you have any past experience working with animals? If so, please explain:

Fostering Experience

If you have fostered before, please describe the experience and list the agency that hosted the program.

About Your Household

Please list the names and ages of the people currently living in your home.

References

Please list two personal references.

1

2

Employer name:

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Relationship:

Legal Guardian (if volunteer is under 16)

Midcoast Humane welcomes children and youth to participate in the care of foster animals. However, we do require a legal guardian to attend our Foster Orientation, sign waivers, and to oversee the care of foster animals in the home.

Name, Relationship, Phone and Address:

Application Agreement

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

I Agree