Foster Application Foster Application Step 1 of 5 20% Please answer each question as completely and candidly as possible. This information will help us to determine which foster animal(s) will be most compatible with your home and lifestyle.I am interested in providing foster care for* Select All Adult Dogs - Behavioral or Medical Adult Cats - Medical Puppies Kittens Please check all that apply* Select All Dog - Mother with Litter Dog - Small Litter Dog - Large Litter Cat - Mother with litter Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Occupation and EmployerPersonal Phone*Work Phone Living Accommodations* Rent Home Own Home If renting please give landlord's name and phoneDoes your lease allow pets? Yes No Describe the area where our foster animal(s) will be kept:*Do you have a fenced yard?* Yes No Are your windows screened?* Yes No How many adults live in your home (self included)?*Do you live with Parents Roomate How many children live in (or regularly visit) your home?*What are their ages?Do any members of your household have any allergies to pets?* Yes No If yes, whom?How will you cope with allergies? How much time can you devote to foster care in during the day* 0-2 hours 2-4 hours 4-8 hours How much time can you devote to foster care in during the evenings* 0-2 hours 2-4 hours 4-8 hours How much time can you devote to foster care on weekends* 0-2 hours 2-4 hours 4-8 hours How much time can you devote to foster care in during vacations/holidays* 0-2 hours 2-4 hours 4-8 hours Do you have pets of your own?* Yes No Please list the pets you currently own at this time. Include species, breed, sex, age and if spayed/neuteredName and address of your present veteranarianWhat experience have you had in caring for sick or orphaned animals?Fostering infant animals, litters or animals recovering from illness or surgery requires a time commitment of 1-8 weeks or more. How many consecutive weeks are you prepared to care for fosters?Are you currently a volunteer or employee of YHS? Volunteer Employee Neither Were you recommended by a previous or current employee or volunteer of YHS? If so, please enter thier name below: Contact Info Address 1625 Sundog Ranch RdPrescott, AZ86301 Phone (928) 445-2666 Search Site
