While this application is primarily for those interested in fostering dogs, we’re always looking for homes willing to foster a variety of animals and provide a variety of care (either now or in the future). If that’s you, please make sure to express your interest in the “Fostering at WAHS” section at the end of this form.

Are you applying to foster a specific animal?

If so, please list their name and/or description below.

Your Name *

First Name

Last Name

Do other adults live in the home with you? *

Yes

If you answered 'yes' that other adults live in the home, list their full name (including middle initial) and date of birth.

For multiple adults, press 'enter' to list each person and their DOB on a new line.

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

Is this phone number a cell or landline?

Cell phone

Landline

Email *

Preferred method(s) of contact regarding your application:

Text

Call

Have you previously adopted a pet from the Winona Area Humane Society?

Yes

Your Date of Birth (used only for a basic background check) *

YYYY

Please type your full name below to authorize the Winona Area Humane Society to run a background check. *

HOUSING INFORMATION

Type of Residence *

Do you: *

Rent

Own

Live with the homeowner

How many adults live in your home? *

Do children live in your home? *

Yes

If children live in your home, please list their age(s).

How many rooms are in your home? *

Do you have a separate room for foster animals? *

Yes

CURRENT PETS

Have you owned any pets within the last five years? *

Yes

Please provide the name of any veterinary clinic that you've used in the past five years:

What is the owner's name listed on the veterinary account?

First Name

Last Name

If you have any current pets, or have owned pets in the past five years, please list them below.

Enter a line of text for each animal. Please indicate the following: pet’s name, type of animal, pet's age, male or female, if spayed/neutered, kept where (inside or outside), if you still have the pet. If you no longer have the pet, please briefly indicate why (passed away, surrendered, lost, etc.)

If a pet is not spayed/neutered, please briefly explain.

Are all of your current animals up-to-date on rabies and distemper vaccinations? *

Yes

Unsure

I do not currently own any pets

Have your cats been tested for FeLV? *

Yes

Unsure

I do not currently own cats

Do you have any declawed cats living with you? *

Yes

I do not currently own cats

FOSTERING AT WAHS

What types of animals are you interested in fostering? *

Check all that apply.

Puppies

Adult dogs

Kittens

Adult cats

What kind of foster care can you provide? *

Check any that apply.

Bottle-feeding kittens

Bottle-feeding puppies

Mother cats with kittens

Mother dogs with puppies

Orphaned kittens

Orphaned puppies

Pregnant cats

Pregnant dogs

Senior cat care

Senior dog care

Cats: behavior rehabilitation or socialization (especially needed for shy cats)

Dogs: behavior rehabilitation, training, or socialization

Cats recovering from sickness/illness (possibly requiring medication)

Dogs recovering from sickness/illness (possibly requiring medication)

Cats with FIV (feline immunodeficiency virus)

Dogs being treated for heartworm

FOSTER APPLICATION SUBMISSION

By typing your name below, you certify that the above information is accurate. You understand that to misrepresent any information grants the Winona Area Humane Society the authority to refuse approval for Foster Home status. You authorize investigation into all previous statements.

Please type your name below to sign this foster home application *

Today's Date *

YYYY

Thank you for applying to foster animals at WAHS! We’re grateful for kind folks like you who want to help pets in need.

If your foster application is approved, one of our Directors will contact you to discuss in further detail.