Buckeye’s Mission Foster Application
4866 Center Road, Brunswick, OH 44212
Thank you for your interest in fostering for Buckeye’s Mission. Once your application is approved, a volunteer will contact you to schedule a home check and/or meet and greet. All persons living in the home mustbe there when scheduled. This will be the best opportunity for us to answer any questions or concerns you may have about fostering. We suggest creating a list of questions for this visit, if any. If you have or have had other pets, a veterinary reference will be required; please make sure you contact your vet to release information to a representative
Date: Pet you’re interested in fostering:
First and Last Name:
Street address (No PO Boxes please):
City: State: Zip:
Home phone number: Alternate number: ______
Email address:
How many years have you lived at above address?
Please describe your residence: Single home Double home Mobile Condo/Apartment
Do you: Own Rent*Live w/parents or roommate**
*If renting, we will need landlords contact information as well as a copy of the lease agreement with animal notice
**If living with parents or roommate, contact information for them must be provided as well as their signature on this document.
Landlord’s first and last name:
Phone number:
Parent/Roommate’s first and last name:
Phone number:
Are you over 21 years of age? Yes / No
Place of employment:
Work phone number:
Number of adults in home:
Number of children in home: Their age(s):
Who will be primary caretaker and trainer of foster pet:
Have you ever owned and/or been financially responsible for pets in the past?
Yes NoIf so, what kind of pet?
How many hours per day will the pet be home alone?
Please describe where the pet will be when you are NOT home, i.e. which room of house, doghouse, garage, crate, basement, etc. Please be specific.
______
Please describe where the pet will be when you are home, i.e. which room of house, doghouse, garage, crate, basement, etc. Please be specific.
______
Current Pets:
Name Breed Age Sex Spayed/Neutered
PLEASE contact your veterinarian to allow them to release all medical records to a Buckeye’s Mission representative – We cannot proceed without vet confirmation.
Veterinarian’s Name:
Veterinarian’s phone number:
Are you available daily via any of the following: Email Cell Home phone
Do you have the ability to take and send digital pictures? Yes / No
Do you own a working scanner? Yes / No
Can you open and print Microsoft Office programs? Yes / No
Are you willing to provide basic training, including house breaking if needed? Yes / No
If willing to train, who will be responsible for this and how will this be accomplished?
If needed, are you willing to work on crate training? Yes / No
Do you have a fenced yard? Yes / No Type of fencing:
If no fence, how will foster pet obtain potty breaks and exercise (please be specific)
Where will the foster pet sleep?
Please provide two references:
First and last name:
Phone number: Best time to call:
First and last name:
Phone number: Best time to call:
Foster’s signature:
Buckeye’s Mission Representative approving application (please print) ______
Buckeye’s Mission Representative’s signature:
______
Thank you!
Buckeye’s Mission
4866 Center Rd
Brunswick OH 44212
440-344-2686