Missaukee Humane Society: Foster Home Application Prospective foster parents/families should fill out the application below completely and be sure to submit. We will reach out within a couple of days. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name of Applicant *FirstLastAge of Applicant *Name & Age of Other Household MembersPhone *Alternate PhoneEmail *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour Home: *OwnRentLive with ParentsOtherFor Renters Only - List Landlord Name & Phone NumberHousehold Setting *Busy / NoisyModerate Comings / GoingsQuiet with Occasional GuestsDoes anyone in your household have allergies to animals? *YesNoAre all members of your household agreeable to fostering a pet? *YesNoDo you have a fenced in yard? *YesNoFence type & height?Are gates locked / lockable?Please list any pets you have living or deceased within the last 5 years. Please include name, breed, age, spayed or neutered, etc:Would you be willing to have an MHS Representative call your veterinarian for a reference check? *YesNoVet's NameVet's Phone NumberFor a foster pet, do you prefer? *MaleFemaleNo PreferenceWill you foster a mother cat with babies? *YesNoAre you willing to foster a pet of any age? *YesNoWhat size of dog are you willing to foster? (Select all that apply) *SmallMediumLargeAre you willing to foster puppies or kittens? *YesNoPlease describe what type of pet you are willing to foster. We want to make sure we have the best fit for our foster homes. *Are you willing to take your foster pet to vet appointments at a convenient time for you? *YesNoAre you willing and able to medicate your foster pet(s)? *YesNoWe cannot guarantee a pet is housebroken. Are you equipped to train with love and patience? *YesNoAre you willing to use a crate for a dog if recommended? *YesNoDo you have any experience with emotionally or physically neglected or abused pets? *YesNoHow many hours in a day would your foster pet(s) be left alone? *What are your plans to exercise your foster pet(s)? *Are you willing to have an MHS Representative schedule home visits prior to fostering and schedule visits as needed during the duration you are fostering? *YesNoApplicant's Name *FirstLastApplicant's Signature *Co-Applicant's NameFirstLastCo-Applicant's SignatureAny questions or concerns please list here:By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that apply does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Missaukee Humane Society animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Missaukee Humane Society and its employees, board of directors or agents from any claims, damages, costs, or actions incurred because of the care or actions of the foster pet(s). I accept full responsibility for my foster pets while in my care, and release Missaukee Humane Society from any liabilities or damages that may be incurred because of fostering such pet(s). I agree and authorize Missaukee Humane Society to complete reference checks and conduct a home visit prior to fostering and schedule visits as needed. I agree that if I am unable to foster, I will return the animal(s) to Missaukee Humane Society. *AgreeSubmit