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Sr. Project Fostering Program
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This program is designed specifically for Seniors in High School who need to complete a volunteer project for graduation. The fostering program allows the student to foster a shelter animal in their home for a specific length of time. As our age requirement for fostering is 21, a parent or guardian would need to sign the animal out for foster and remain the supervising adult for the entire term of foster. The parent or guardian will ultimately be held responsible for the animal’s welfare. Animals are placed into foster for one of three reasons; health issues, behavior issues, or space issues. You will be provided the proper resources for the care of the animal you are fostering. This project will require a 1- hour Orientation before fostering and all foster homes must first be approved as an acceptable environment for fostering. Please print out and complete the following application then return to:
Beverly Matthews 412/321-4625 x246 beverly.matthews@wpahumane.org
Application for Foster Care- Sr. Project Program
Name of Senior___________________________ School _________________________________
Personal Information (parent/guardian to complete) Date:___________ Driver’s License #__________________ Social Security # _________________(optional) Name:______________________________ DOB: ________________ Email ___________________ Street Address ________________________________ City __________________ Zip ___________ Home Phone ( ) ________________ Work Phone ( ) ______________ Fax ( ) ____________ Name of Spouse/Significant Other ________________________________________________________ Do you have children? ______ Yes _______ No If yes, list names and ages ____________________________________________________ __________________________________________________________________________ Is anyone is the household allergic to or afraid of animals? ________Yes _______No If yes, what kind of animal (s) ________________________________________________ Do you currently own any animals? ________ Yes ________No If yes, how many, what types, and what age _____________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Are they compatible with other animals? ________Yes _______No Explain____________________________________________________________________ Are all your animals spayed or neutered? ________Yes _______No Are your animals’ vaccinations current? ________Yes _______No Who is your veterinarian? ___________________________________ Ph. # ( )___________________ Household Information How many people live with you? _______Adults _______Children Do you live in a _______House _______Apartment _______Other (Please Explain) _______________ Do you _______Own _______Rent Landlord’s Name _______________________________ PH. # ( )________________________ Do you have a yard? ________Yes _______No Is it private? ________Yes _______No Is your yard fenced? ________Yes _______No _______Completely _______Partially How high is the fenced? _______ft. Does it lock? ________Yes _______No What material is the fence made of? ________________________________________________________ Do you have adequate space available to house the animal comfortably? ________Yes _______No Animals must be kept indoors in a warm, dry area with appropriate bedding. Are you capable of providing such an environment? ________Yes _______No Sick animals may need to be isolated from other animals. Would you able to effectively isolate an animal in your home? ________Yes _______No Fostering Information Have you ever fostered an animal before? ________Yes _______No If yes, please explain _______________________________________________________________ _____________________________________________________________________________________ Are you currently fostering any animal’s ________Yes _______No If yes, please list how many and what types _____________________________________________ _____________________________________________________________________________________ Do you foster for any other organizations? ________Yes _______No Are you willing to give medication to an animal you are fostering? ________Yes _______No What are some possible reasons you may have for returning a foster animal? _______________________ _____________________________________________________________________________________ Are you able to track and record the foster animals’ treatment record? ________Yes _______No Are you willing and able to purchase on your own a city license for any dog you have in foster for more than 14 days? ________Yes _______No Are you able to provide the necessary supplies outside of medicine to care for your foster animal? ________Yes _______No What type of animals and situations would you be available to foster or shelter at home? Please mark all that apply: _______Cats _______Dogs _______Kittens _______Puppies _______Nursing mom with kittens _______Nursing mom with puppies _______Exotic animals _______Cats/Kittens with URI _______Dogs/Puppies with Kennel Cough _______Animals that are recovery from surgeries or illness _______Animals with Behavior issues _______Neglected or abused animals _______Healthy animals How long would you be willing to foster or shelter at home? Please mark all that apply: _______long-term _______short-term _______weekend Additional Comments: __________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ |
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North Side • 1101 Western Ave Pittsburgh PA 15233 Kennels open Weekdays 10:00 to 7:00 |