Metro East Humane Society

Foster Parent Application Requirements

Volunteers for this program:

1.  Must be at least 18 years old.

2.  Must complete our attached application, and participate in an interview and training session.

3.  Must agree to a home visit by our shelter staff.

4.  Must provide requested medical information for all personal pets.

5.  Must sign the foster agreement pertaining to the animal you are fostering.

6.  Must provide in-home care for MEHS animals assigned under the foster program and return animals to MEHS on the date requested.

7.  Must keep appropriate weight, medication and/or behavioral records on the foster animal while in you care, and present a profile of the animal to MEHS upon return to us.

This program is an opportunity for you to:

·  Give love and affection to an animal that is so young that yours will be the first safe human interactions for that animal and will give a lasting foundation for human interaction to that baby.

·  Provide a safe environment for frightened or unsocialized animals that have not learned humans can be trusted. You can help them lean new behaviors and better ways to interact.

·  Help MEHS maintain a disease free shelter by caring for at-risk or sick animals until it is safe for them to return to the shelter.

·  Help MEHS save more animals by freeing up space in shelter facilities.

Thank you for your interest! If you would like to receive additional information, please email the program coordinator, Charlette Jauch, at . Or you may complete the attached application.

Note: The Foster Program is entirely staffed by volunteers. Services performed by an individual are of a voluntary nature and are without express or implied promise of salary, compensation, employment, or payment of any kind.


Metro East Humane Society Foster Parent Application

Personal Profile:

Name: ______Home Phone: (___) ______

Address: ______Work or Cell Phone: (___) ______

City/State/Zip: ______Email: ______

Housing Status (please circle): Own Rent Live with parents

Landlord Name: ______Phone Number: (____) ______

Are you allowed to house animals? YES NO

Please describe any restrictions on the number or type of animals that you are allowed to house:

______

______

Number of adults in household:______Ages of children in household (if any): ______

Personal Pet Profile:

Please list ALL pets currently a part of your household:

Name / Dog/Cat / Breed / Age/Sex / Altered
Y/N / Vaccines (Type and Date last given) / Sleeps
(Inside/Outside)
1
2
3
4
5

List history of medical issues of the above pets, by line number:

______

______

______

Your veterinarian’s name: ______Phone number: (___) ______

List two personal references:

Reference #1 Name:______Phone (____) ______

Reference #2 Name:______Phone (____) ______

Before fostering, I agree to provide documentation from my vet showing that my animals are vaccinated against the following diseases:

Canine: DHPPC/Bordetella, Rabies, Fleas, Internal Parasites, Heartworm Disease

Feline: FVRCP/Bordetella, Rabies, Fleas, Internal Parasites

(Signature required) ______


Relevant Experience/Information:

List all other foster or rescue groups that you are a part of (including caring for feral cats):

______

______

Is your property fenced? YES NO How high is it at its lowest point? ______

Foster animals must be kept separate from your pets. Describe area where foster animal(s) will

be kept:______

______

How many hours a day will the animal be alone on a regular basis?______

Briefly describe your experience with very young, ill, injured, and/or unsocialized animals: ____

______

______

Choices:

Describe the minimum and maximum time frames to which you are committed for one or more

foster animals:______

______

Which animals are you interested in fostering (circle all that apply)?

Weaned healthy kittens Weaned healthy puppies

Cats/kittens with a cold Dogs/puppies with a cold

Mom with kittens Mom with puppies

Ill/Injured cat Ill/Injured dog

Orphaned kittens Orphaned puppies

Cat behavior cases (non-aggressive) Dog behavior cases (non-aggressive)

Describe why you want to be a foster parent:______

______

______

I certify that the above information is true and accurate. I understand that any falsification of the above information may be grounds for denial of this application or termination of my volunteer status. I acknowledge that this application remains the property of Metro East Humane Society. I authorize MEHS to conduct an on-site inspection of the premises where the animal(s) will be kept.

Signature: ______Date: ______

Please send completed application to:

MEHS, Attn: Foster Program, 8495 State Route 143, Edwardsville, IL 62025

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