Mercer County Humane Society :: Foster Application

Mercer Humane Society
Foster Application

Your application will be processed as quickly as possible. Our target is within 2 working days(M-F). You will be notified of acceptance or denial. Please make sure you have filled out this application in its entirety, this enables us to process the application in a timely fashion. Blanks may result in denial.

Name: Age:
Address:
City: State: Zip Code:
Phone number:
Email:
(If you supply an email address, please check it frequently for updates on the status of your application)

About your foster interests... Type(s) of animals you are interested in fostering:
Dog Cat Other
Breeds: Ages:
How long can you keep a foster animal?
Do you want to foster long term or short term?

About where you live... Type of dwelling: House Apartment Mobile Condo
Other

Do you: Rent Own
If you rent, please list Landlord's name and phone number
Landlord's Name: Phone:

How many hours a day is someone home?

Briefly describe your home:

Is the yard fenced? Yes No
If yes, what type of fencing?
Chainlink Privacy Other
If no, please describe how your animal will get exercise?

Homeowners/Renters Insurance Carrier:

Are you aware of breed specific exclusions on your insurance plan?:

About your family... Are there any children in your household? Yes No
Ages:

Pet History Please list any pets you currently own:

Pet's Name	Type of Pet	Spayed/ Neutered	If you still own the animal, how old?	If you no longer have the animal, what happened to it? At what age? When?
	Cat Dog	Yes No
	Cat Dog	Yes No
	Cat Dog	Yes No

Additional questions...

What food(s) are you currently feeding your other pets?

Have you ever surrendered a pet to this or any other shelter?
Yes No
Why?

List your current or most recent veternarian's name and phone number:
Name: Phone number:
How long have you been a client?

Thank you so much for your time and interest. It is not our intention to invade your privacy. It is our goal to place our pets in the situation that suits them best and to find you a pet that will work with your family, in your environment.

It is very important that you understand that by offering to foster, you recognize that you need to keep this animal safe and in your possession until a home or rescue is found. Returning it back to the shelter puts that pet at risk for euthanasia.

By submiting this application, you are giving the Humane Society permission to call your veterinarian about your application.

Mercer Humane Society Foster Application

Mercer Humane Society
Foster Application