Neshama Animal Rescue Foster Application
Email address *
Name *
Address *
Please include city, state and zip
City *
State *
ZIP Code *
Home Phone *
Work Phone *
Best hours to call *
Applicant's Age *
Applicant's Occupation *
Number of male adults in the household *
Number of female adults in the household *
Number of children under 18 years of age in the household *
Ages of children in the home
If no children in household, how often will the animal come in contact with children? *
Are there children under 18 years of age who frequently visit the household (i.e., grandchildren, stepchildren, frequent houseguests, neighbors, babysitters)? *
If yes or other, please list by name, age, relationship, and frequency of visitation *
Please list your current pets by name, breed/type/species, age, gender, spay/neuter condition, and current health *
If you currently have more than one animal, please describe how they get along
When alone, where are your pets kept? *
If you answered "other" to the previous question, please explain
Where do your pets stay at night? *
Are all members of your household aware that you will be fostering? *
What are you interested in fostering? *
Do they support your desire to aid Neshama Animal Rescue and foster an animal? *
What type of home do you live in? *
If you answered "other" to the previous question, please explain
Do you own or rent your home? *
If you rent, does your landlord allow pets?
Clear selection
Do you have a yard or patio? *
If yes, is it fenced? *
If fenced, of what material is the fence made? *
If other, please specify
Height of fence in feet
Have you inspected the fence for holes that an animal could crawl or dig through?
Clear selection
When are your dogs outside? Check all that apply. *
Required
Are you able to provide leashed walks? *
If needed, how would you isolate a rescue? (i.e. do you have babygates? Crate?) *
Where do you plan to keep your foster when it first arrives? *
Where will you keep your foster once it has settled in? *
Will anyone be home during the day? *
If so, who will be home and what will their responsibilities be? *
If you have children in the household, how much responsibility will your children have in the care of the foster?
Clear selection
If you have children in the household, how much supervision will the foster and children have?
Clear selection
How would you encourage or reinforce the foster's appropriate ("good") behavior? *
How will you deal with behavior problems in a rescue? (i.e. aggression, urination?) *
Please describe your experiences with obedience classes: *
If needed, would you be willing to take a rescue dog to obedience training (at Neshama's cost) or to provide behavior modification? *
Please check all that apply *
Required
If you checked any of the above, please explain
How long can you foster? *
What gender of dog can you foster? *
What gender of cat can you foster? *
What ages are you willing to foster? *
Required
Are you willing to foster an animal that is not housebroken yet? *
Required
In an emergency, would you be willing to take an animal that does not fit these criteria? *
How many animals are you willing to foster at once? *
Would you be willing to foster any of the following special needs animals? (Check any that apply) *
Required
Would you be willing to travel to pick up a rescue? *
If yes, how many miles one way?
Name of Practice *
Doctor's Name *
Address of Vet *
City *
State *
ZIP Code *
Phone *
E-mail *
Does this vet offer rescue discounts? *
If so, please provide details *
Have you fostered an animal for a rescue organization before? *
If yes, how many animals have you fostered and for which organizations?
Personal Reference #1 Name *
Personal Reference #1 Address *
City *
State *
ZIP Code *
Home Phone *
Work Phone *
E-mail *
Relationship *
Best time(s) to call *
Personal Reference #2 Name *
Personal Reference #2 Address *
City *
State *
ZIP Code *
Home Phone *
Work Phone *
E-mail *
Relationship *
Best time(s) to call *
Would you be willing to have your home visited by a Neshama representative? *
By submitting this form, I certify that I have never been convicted of animal cruelty, neglect or abandonment by a court of law or other appropriate governmental authority. *
Required
A copy of your responses will be emailed to the address you provided.
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