Foster Application

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1About you

2About your home

3Existing pets

4Your new foster pet

5References & Acknowledgements

Your Name *

First

Last

Are you over 18? *

HAVA is only able to foster animals to adults 18 and over. Please have a parent or guardian complete this application!

Email *

Phone *

Mailing Address *

Address Line 1

City

State

Zip Code

Different Physical Address

My Mailing address and physical address are the same.

Physical Address *

Address Line 1

City

State

Zip Code

Household setting *

Do you live in a *

HAVA does not usually conduct home checks, although we reserve the right to do so before foster placement. We may also need to confirm home ownership (or landlord approval) before finalizing foster placement.

Do you own or rent? *

Own
Rent
Other

Please explain your living situation: *

Please provide your landlord's name and contact number: *

What is your home's activity level?

Busy / Noisy
Moderate Comings / Goings
Quiet with occasional guests

Please list all people living your household. (Include Name, Relationship, Gender, and Age) *

Family Agrees

Click here if all members of your household agree to fostering a pet?

Does anyone in your household have allergies to animals? *

Are you a current pet owner? *

How many? *

Tell us more! List any pets you have living or deceased. (Please include name, breed, age, altered, sex, UTD Vaccines, Heartworm, living/deceased) *

Are all your current pets fixed (spayed/neutered) *

Are all your current pets vaccinated? *

Please check any diseases your household pets may have or had:

Parvo
Distemper
Feline Leukemia
FIV
Other

What other Diseases?

Please provide details & dates: *

Vet Authorization

I authorize my vet to speak with a HAVA representative for a reference check.

Select your current veterinary *

Please provide your veterinary name and contact information: *

Select the species you're interested in fostering (select all that apply) *

Cats
Dogs

I'm interested in: (select all that apply) *

Adult Cats
Kittens
Nursing Cat Moms with Kittens
Bottle Fed Babies

I'm interested in: (select all that apply) *

Adult Dogs
Puppies
Nursing mom with puppies
Bottle Fed Babies

Do you have a gender preference of pets you are willing to foster? *

Female
Male
No Preference

Is there a size limit you can take home? *

If the dog could fit in the palm of my hand, I'd be thrilled. (miniature)
I'd love if my foster pooch could snuggle perfectly in my lap. (small)
If my foster dog can fit in the backseat of my car, it fits perfectly with me (medium)
As they say, go big or go home! (large)

Where will your foster live?

Both indoors & outdoors
Mostly indoors
Mostly outdoors
In a fenced yard
Running free
Kennel/crated

Where will your foster cat sleep at night?

Nothing like sleeping under the stars
Curled up in bed with me
I have a cat bed for them in my house
The window is open so either inside or out

On a normal day, how many hours will your foster dog be left alone? *

On a normal day, when left unattended, where will your foster dog be kept? *

Do you have a fenced in yard? *

Yes
No
Partial

Please give details on height, material, # of gates, are gates locked or lockable? *

It is difficult for us to determine if a dog is housebroken in a shelter environment. Would you be able to tolerate a few accidents? *

Yes
No
Depends

What are your plans to exercise your foster dog? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility. *

What plans do you have in place to provide for your foster pet during extended absences (deployment, business trips, vacations, etc.)? *

Have you had any experience with an emotionally or physically neglected or abused dog? *

Please provide details *

Anything else you think we should know that wasn't covered above?

How long will you be able to foster an animal or litter? *

Please list up to three personal references that can tell us how wonderful your home would be for a pet, and a way to contact them.

How did you hear about us? We would like to know who to thank!

By submitting this application electronically, I agree to the following:

I have completely read this questionnaire and comprehend it fully.
I certify that the above information I have given is accurate and truthful.
I authorize a HAVA member to verify any and all information in this application, including reference call checks and if needed, conducting an in-home visit inspection, to be able to approve my foster application.
I agree to release and covenant to hold harmless HAVA and its members from any claims, damages, costs, or actions incurred because of the care or actions of the pet.
I accept full responsibility for the pet(s) actions at all times, and release HAVA from any liabilities or damages that may be incurred.
I acknowledge that HAVA cannot guarantee any animals against parasites, diseases, or destructive behavior
I agree that if I'm unable to continue fosting the HAVA animal(s), I will notify HAVA immediately to have them returned.

I understand that applying does not ensure approval and I certify that I have accurately and truthfully answered all questions on this application.