Foster Care Application Step 1 of 6 16% Foster Parent's Information If you haven't heard back from us after 2 weeks, please email foster@sahumane.org to check on the status of the application. Thanks Fields marked (*) are mandatory.Name:*(Required) First Last Date of Birth:*(Required) MM slash DD slash YYYY Address:*(Required)City:*(Required)State:*(Required)AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip:*(Required)Home Phone:*(Required)Cell Phone:Work Phone:*(Required)Email:*(Required) How many adults reside in your home?*(Required)Children:*(Required)Ages of Children:*(Required)Would anyone be home during the day?*(Required) Yes No Do any members of your household suffer from allergies?*(Required) Yes No Do you have reliable transportation?*(Required) Yes No What type of housing do you live in?*(Required)----HouseTownhouseDuplexApartmentMobile HomeDo you:*(Required)----OwnRentLive with parentsOtherIf other, please describe:Do you have a fenced yard?*(Required) Yes No Have you fostered an animal before?*(Required) Yes No If yes, for which organization and how long ago:How do you intend to keep our animal(s) physically separated from your personal animals during the initial 14 day quarantine period?*(Required)Where will the foster animal(s) be kept when no one is home:*(Required) Indoors Outdoors Please describe:*(Required)Where will the foster animal(s) sleep?*(Required) Indoors Outdoors Please describe:*(Required)Why do you want to foster?*(Required)Are there any factors that might hinder your ability to foster animals that we should know about?*(Required) Pet HistoryDo you have any pets at home:*(Required) Yes No How many dogs reside in your home:*(Required)Please tell us more about your pets (Name of Pet, Breed, Age, Sex, Altered, Licensed or Microchipped)We will need to verify that all your animals are current on their vaccinations. Please provide your veterinarian’s name and phone number so that we may contact them.Veterinarian's Name:*(Required)Veterinarian's Phone Number:*(Required)Are your pets's medical records under your name? If not, please list the name under which the medical records are kept:*(Required)Do your pets get along with other animals:*(Required)YesNoSometimesHave you had any other pets in the past five years:*(Required) Yes No If yes, please provide (Breed, Age and Reason you no longer have the pet(s)): What types of animals are you interested in fostering?Cats:Adult Cat(s):*(Required) Definitely Possibly No Momma Cat and Kittens:*(Required) Definitely Possibly No Orphaned Kittens (bottle fed, over 3 wks):*(Required) Definitely Possibly No Orphaned Kittens (not bottle fed)*:(Required) Definitely Possibly No Ringworm (contagious):*(Required) Definitely Possibly No Sarcoptic Mange (contagious):*(Required) Definitely Possibly No Upper Respiratory Illness (contagious):*(Required) Definitely Possibly No Demodex Mange:*(Required) Definitely Possibly No Malnourished:*(Required) Definitely Possibly No Injured:*(Required) Definitely Possibly No Under Socialized Cat(s)/Kittens*:(Required) Definitely Possibly No Military Cat(s):*(Required) Definitely Possibly No Are you a medical foster interested in learning how to administer subcutaneous fluids and medical injections?(Required) Definitely Possibly No What types of animals are you interested in fostering?Dogs:Adult Dog(s):*(Required) Definitely Possibly No Momma Dog and Puppies:*(Required) Definitely Possibly No Orphaned Puppies (bottle fed, over 3 wks):*(Required) Definitely Possibly No Orphaned Puppies (not bottle fed)*:(Required) Definitely Possibly No Ringworm (contagious):*(Required) Definitely Possibly No Sarcoptic Mange (contagious):*(Required) Definitely Possibly No Upper Respiratory Illness (contagious):*(Required) Definitely Possibly No Demodex Mange:*(Required) Definitely Possibly No Malnourished:*(Required) Definitely Possibly No Injured:*(Required) Definitely Possibly No Under Socialized Dog(s)/Puppies*:(Required) Definitely Possibly No Military Dog(s):*(Required) Definitely Possibly No Event Dog(s):*(Required) Definitely Possibly No Are you a medical foster interested in learning how to administer subcutaneous fluids and medical injections?(Required) Definitely Possibly No Foster Care AgreementPlease read and mark yes or no:I certify that my own pets are currently licensed and up to date on their vaccinations, including rabies. I understand that my vet records will be requested.*(Required) Yes No I agree to keep my pets separated from the foster animal(s) for at least 14 days. If the foster animal is incubating any diseases, this separation will minimize the chance of my own pets becoming ill.*(Required) Yes No I agree to keep the foster animal(s) indoors, unless I'm advised I may do otherwise by the Foster Care Coordinator.*(Required) Yes No I agree to never leave the foster animal(s) unattended while chained, tied, or leashed for any period of time.*(Required) Yes No Should the animal become ill while in my care, I agree to follow any and all instructions I am given for the foster animal's further care, including bringing the animal(s) into the Humane Society or the designated emergency veterinary clinic for treatment.*(Required) Yes No I agree to bring the foster animal(s) for their scheduled deworming and vaccination appointments.*(Required) Yes No I fully understand that foster animal(s) are always the property of the San Antonio Humane Society. As such, I agree that any decisions made by the Foster Care Coordinator regarding their care and treatment will be followed by me, including their return.*(Required) Yes No I agree to return the foster animal(s) as instructed. I agree to make an appointment in advance for the animal's return.*(Required) Yes No I understand that the San Antonio Humane Society is not responsible for any property damage or injuries that may occur while the foster animal(s) are in my care.*(Required) Yes No The San Antonio Humane Society is held harmless should my own pets become ill from foster animal(s). I further agree to be responsible for and pay for any veterinary expenses incurred for my own animal(s).(Required) Yes No Have you ever been convicted of a crime causing harm to a person or animal?*(Required) Yes No Excluding minor traffic violations, have you ever been convicted of any criminal offense?*(Required) Yes No Do you understand that fostering for the San Antonio Humane Society does not offer any preference when bringing in stray and/or injured animals into the shelter? You must still abide by the stated policies regarding intake of any animals to the San Antonio Humane Society.*(Required) Yes No I agree that all of the information I have provided herein (this form) is correct as written (answered) and I authorize the San Antonio Humane Society to verify any information. I also understand that a background check may be conducted before I can foster any animals.*(Required) Yes No There is a possibility that in the future, the San Antonio Humane Society will start requiring background checks for all foster parents new and existing, (it is not in effect at the moment). These background checks are $15 and will be the responsibility of the foster parent to pay. I agree to cover the cost of my background check.*(Required) Yes No I agree to return any and all borrowed Humane Society equipment upon the foster animal's return.*(Required) Yes No Media Liability Photo & Video Release Form I understand that the Department of Communication is an important aspect of the San Antonio Humane Society. On behalf of myself, my heirs, personal representatives, and executors, I hereby allow SAHS to use any photographs and/or videos taken of me and/or information given by me, for use in public relations efforts (SAHS website, Facebook, Twitter, MySpace, YouTube, newsletters, brochures, flyers, etc.) as it is property of the SAHS.I understand.*(Required) Yes No CAPTCHA Foster Stories Foster Wish List Before Fostering