Your Name
*
First Name
Last Name
Do other adults live in the home with you?
*
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?
Email
*
Preferred method(s) of contact regarding your application:
Have you previously adopted a pet from the Winona Area Humane Society?
Your Date of Birth (used only for a basic background check)
*
Please type your full name below to authorize the Winona Area Humane Society to run a background check.
*
Type of Residence
*
House
Duplex
Apartment
Condo
Mobile home
Do you:
*
How many adults live in your home?
*
Do children live in your home?
*
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?
*
Have you owned any pets within the last five years?
*
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?
*
Have your cats been tested for FeLV?
*
Do you have any declawed cats living with you?
*
What types of animals are you interested in fostering?
*
Check all that apply.
What kind of foster care can you provide?
*
Check any that apply.
Do you have previous experience fostering animals?
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This can be prior experience through WAHS, or through another shelter/rescue.
If you have previous foster experience, please use the space below to share the type(s) of animals you've helped and any specialized care you've provided (orphaned litters, neonates, special needs, pregnant animals, those undergoing medical treatment, etc).
Please type your name below to sign this foster home application
*
Today's Date
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MM
DD
YYYY
