FOSTER CARE – VOLUNTEER APPLICATION
Thank you for your interest in becoming a foster volunteer for the Humane Society of Cowlitz County (HSCC). Please fill out this application accurately as it will best help us match you to the most appropriate foster animal. Please note that foster care volunteers MUST be at least 18 years old and live inside Cowlitz County. Background checks are required by WA state law.
Email address *
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Aliases/Maiden Name(s)
Your answer
Street Address *
Your answer
City *
Your answer
State *
Required
Zip *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
Do you consent to a background check? *
Washington State law requires us to conduct background checks on volunteers who will or may have unsupervised access to vulnerable individuals. We may not accept volunteers who have been convicted of a crime under this law. Our volunteers work in a variety of different programs that may bring them into contact with these individuals; therefore, it is a requirement that every volunteer provide the necessary information to conduct the background check. Your application, any additional information you provide, and the results of the background check are kept confidential. We will contact you with the results if there is a conviction result. If you do not hear from us, there is no result but you may check in with us at any time to inquire. The record information is furnished solely on the basis of name and/or description similarity with the applicant of inquiry. If necessary, we may ask for a fingerprint for positive identification or non-identification. Request for Criminal History Information: Child/Adult Abuse Information Act, RCW 43.43.830 through 43.43.845
How did you hear about our volunteer program?
Please list all children in the household and their ages:
If none, do not fill out.
Your answer
Please list all animals currently in the home or that you’ve owned in the past 3 years:
Please fill out Type/Breed - Sex - Spayed/Neutered - Age. If none, do not fill out.
Your answer
Please select all animals that you’re interested in fostering: *
Required
How many are you willing to foster at one time? *
Your answer
Do you rent or own your home? *
If you rent, please provide name and contact info for your landlord:
If none, do not fill out.
Your answer
On average, how many hours a day would you leave your foster animal(s) home alone? *
Your answer
If you are considering fostering Dogs/Equine/Livestock, do you have a secure fenced area?
If yes, please describe the type of fencing and size of your secure yard area. Please note that a securely fenced yard is not required for all animals going to foster, but may be a requirement for some.
Your answer
Do you have a designated area at your home/property where your foster animal(s) could be isolated? *
If yes, please describe the area.
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Humane Society of Cowlitz County, S.P.C.A.. Report Abuse