Please complete this application form if you are interested in becoming a Humane Society of Portage County foster care giver. Once you complete the form, click the submit button at the bottom.


Name and address


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Residence

Please describe your residence. Check all items that apply.



Employer / Employment

Please tell us about your current employment. What are your normal working hours? Do you travel for work?



Other adults in your household

Please tell us about other adults (18 years old or older) living in the household (do not include the applicant name)



Current pets


Vaccination verification

We will need to verify your pet's vaccination status for both your animal and our foster animal's protection. Please provide your veterinarian clinic name and phone number.



Disclosure

Have you ever been convicted of any law violation (except minor traffic violations)? Yes or No

If yes, please provide details.

Please note: Disclosure of a criminal record will not necessarily disqualify you from volunteering for the Humane Society. However, failure to disclose such information may result in disqualification of your application or termination of your volunteer service.



Volunteer Experience

Please describe any volunteer experience you have at HSPC and when you volunteered (month/year).



Availability