Foster Application

"*" indicates required fields

Thank you for your interest in fostering an animal from the Brown County Humane Society (BCHS). In an effort to ensure the best possible foster placements for the animals in our care, we ask that you fill out the following application completely. All information will be kept confidential. Please note that you must be at least 18 years of age or older to foster an animal for BCHS. Email your completed application to: director@bchsohio.org.

What animals are you interested in fostering?*

Dogs/Puppies

Cats/Kittens

Other small animals (rabbits, guinea pigs, birds, etc.)

PERSONAL INFORMATION

Your Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Alternate Phone

Email*

Are you at least 18 years old?*

HOUSEHOLD INFORMATION

Type of home you live in:*

How long have you lived at this residence?*

Do you own/rent your home?*

If you chose other arrangement, please explain

If you do not own the home, does homeowner allow the type of animal you will be fostering?*

Please provide homeowner information below.

If your name is not listed as owner of property, provide name and phone # for property owner:

First Last

Phone

How many adults live in your house?*

Ages of children in house:*

CURRENT ANIMALS IN YOUR HOUSEHOLD

Are there currently other animals in your home:*

If yes, list the species and ages. For dogs, also list the breed(s):

Are all of the animals in your home up-to-date on vaccinations?*

Are your current pets spayed/neutered?*

Are your current pets on flea prevention?*

If any of your current pets are not up to date on vaccinations, flea prevention, or not spayed or neutered, please explain:*

Type N/A if not applicable

If seeking to foster cats/kittens, are your current cats negative for FIV/FeLV?*

Where are your current pets kept?*

Do you have indoor space away (spare room, office, etc.) where foster pets could be housed away from your current pets, if needed?*

Who will be responsible for the care/feeding/handling of the foster pet?*

Can a representative from BCHS conduct a home visit?*

If seeking to foster a DOG, please complete the following few questions:

Where will your foster dog be when you are home?*

How many hours will your foster dog be alone during the day?*

Type N/A if not fostering a dog

Where will your foster dog be when no one is home?*

Do you have a fenced yard?*

If yes, what type and height of fence?*

Type N/A if not fostering a dog or you do not have a fence.

If not, how will you keep the foster dog on property when outside?*

Type N/A if not fostering a dog.

ANIMAL RELATED EXPERIENCE

What do you consider your level of experience caring for/handling pets? Check level that applies:*

Never owned a pet but feel I can handle the basic needs of a foster pet

Current or past pet owner with knowledge of basic pet needs and handling

Experienced with many types of pets (ex: vet tech, groomer, life experience)

Please check any of the following that you have experience with and/or are interested in fostering:*

Adult dog(s) (over 6 mos. old)

Puppy/puppies (under 6 mos. old)

Pregnant dog

Mother dog with puppies

Dog with medical needs (such as injury)

Special needs dog (blind, deaf, mobility impaired, etc.)

Adult/adolescent cat(s)

Young kitten(s)

Pregnant cat

Mother cat with kittens

Cat with medical needs (such as injury)

Special needs cat (blind, deaf, mobility impaired, etc.)

Orphaned kittens (bottle feeding)

Do you have experience administering medicine?*

If yes, what type?*

Topical (on skin)

Oral

Eye Drops

Injection

Sub Q fluids

N/A

It is often necessary for the foster to transport the foster pet to meet potential adopters, or to adoption events, and vet appointments. Are you able to help transport the animal?*

References

Veterinarian Name*

First Last

Phone*

Personal Name*

First Last

Phone*

BCHS Foster Policies

Please click the box below each statement indicating you understand and agree

I acknowledge that fostered animals are the legal property of the Brown County Humane Society (BCHS) and I understand I may not sell, trade, give away, or otherwise dispose of the animal.*

I agree with BCHS policy.

I agree to provide safe indoor space, humane care, and attention to the animals I foster. I agree to ensure that anyone who comes in contact the foster animal(s) will treat them with love and respect.*

I agree with BCHS policy.

BCHS retains ownership of the foster animal(s). If the foster animal is not being properly cared for - including neglect, physical abuse or mental abuse - BCHS will seize the animal. If a foster animal is found to have been abused or neglected, BCHS will prosecute to the fullest extent of the law following recovery of the animal.*

I agree with BCHS policy.

If for any reason I am unable to care for and need to return the foster animal, I will contact a BCHS representative immediately.*

I agree with BCHS policy.

I understand that I can cancel the foster contract, and that BCHS can cancel the foster contract, at any time without cause.*

I agree with BCHS policy.

BCHS reserves the right to conduct site inspections to check on the condition of the foster animal(s) without advance notice, but typically BCHS will provide advanced notice.*

I agree with BCHS policy.

I fully recognize that any foster animals under my care are actively being advertised for adoption and can be placed in forever homes at any time. I understand that anyone interested in adopting the foster animals (including myself or family members) must go through the standard adoption approval process and placement of animals is up to the BCHS. (Of course, BCHS welcomes referrals)*

I agree with BCHS policy.

I agree to make every effort to provide the needed transportation for the animal(s) to BCHS-approved veterinarian appointments and to the BCHS shelter as needed for health checkups, vaccinations, adoption meetings, etc.*

I agree with BCHS policy.

I acknowledge that I have no right to authorize any health care or well-care unless an absolute emergency – without the express permission of BCHS. If I do so, I understand that I will be financially responsible for all unauthorized expenses. BCHS will pay or reimburse for pre-approved veterinarian expenses.*

I agree with BCHS policy.

I understand that although the BCHS takes reasonable care to screen animals for foster care placement, BCHS makes no guarantees about the animal’s health, behavior or actions. I understand that I receive foster animals at my own risk and can reject or return any animals for which the BCHS has asked me to provide care.*

I agree with BCHS policy.

I understand that BCHS is not responsible for any damages or injuries to myself, family members, personal pets or property caused by my foster animal.*

I agree with BCHS policy.

I understand that I will not be reimbursed for pet food, toys, cat litter or other pet supplies that I purchase. BCHS will attempt to provide needed pet supplies to fosters as the items are available at the shelters. However, I understand that BCHS is a 501c3 nonprofit organization that relies almost entirely on donations and grants for dogs in their care, and solely on donations/grants for cats and all other animals in their care.*

I agree with BCHS policy.

I agree that if I move residences, or change phone numbers, it is my responsibility to notify BCHS immediately of those changes.*

I agree with BCHS policy.

I agree to send photos of the animal(s) I foster when asked by BCHS management. I also agree that BCHS may use those photos in advertisements and other types of communications (i.e., Facebook, BCHS brochures, etc.).*

I agree with BCHS policy.

By signing below, I am applying to foster animals for BCHS and I am stating that I have answered all questions completely and truthfully. My signature below also indicates that I have read, understand, and agree to all the foster policies.

Applicant’s Signature*

Date*

* Office Use Only *

Application approved?

If not, why?

Approved by

Date

PERSONAL INFORMATION

HOUSEHOLD INFORMATION

CURRENT ANIMALS IN YOUR HOUSEHOLD

ANIMAL RELATED EXPERIENCE

References

BCHS Foster Policies

*** Office Use Only ***

* Office Use Only *