Short-term Foster Care

Your Name (required)

Your Email (required)

Date

Address (required)

City (required)

State (required)

Zip (required)

Home Phone (required)

Work Phone

Cell Phone

Which is the primary number where you can be reached between 8 am-5pm?
 Home Phone Work Phone Cell Phone

How did you hear about our Foster Care Program?

What kinds of pet(s) are you interested in fostering?
 Dog-Large/Small Puppy/Litter Cat Kitten/Litter Bottle Babies - puppies or kittens orphaned, in need of bottle feeding until 4-5 weeks of age Mother w/nursing young? (Mother needs to remain/kittens or puppies until weaned). Injured or sick animals: (Medication would be provided. Recuperation following illness or surgery, i.e., broken limbs, amputations, kennel cough or upper respiratory infection) Cats/Dogs needing socialization (Animals needing socialization before being ready for adoption, or observation/rehab in a home environment, a change of scenery from kennel environment.)

How many pets would you consider fostering at a time?
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 Short Term Long Term

(Explain if you have any limits or special conditions)

What are your reasons for wanting to foster a pet? (required)

Do you have prior experience with the type of foster care that you are willing to provide?
 Yes No

If yes, please explain

Do you have preferences as to breed, gender, age, size, length of fur, high/low energy, etc?

How would you describe the activity level in your home?
(On a scale of 1-5 where 1 = very quiet, 3 = varies, 5 = very active)

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How many dogs or cats have you had in the past 10 years?
dogs:
cats:

Do you still have any of these pets?
 Yes No

Does your current dog/cat get along with other dogs/cats?
 Yes No

Please list the pets you currently have in your household, including: Name, Species, Breed, Spayed/Neutered, Age, Current Vaccinate

Who is your veterinarian (name & phone #)?
Name:
Phone:

What type of home do you currently live in?
 House Apartment Condo Townhouse Mobile Home

Do you own or rent? (required)
 Own Rent

If you rent, does your lease allow pets?
 Yes No

If you rent, what is your landowner’s name and phone number?
Name:
Number:

Do all household members agree to your fostering animals?
 Yes No

List all members of your household, including ages:

Please describe your yard (fence type and height(s), gates, shelter, grass, gravel, etc.)

Do you have a doggie door?
 Yes No

Are your windows fully screened?
 Yes No

Where will your foster pet(s) stay in the daytime?

Where will your foster pet(s) stay at night?

Are you willing and able to bring the foster care animal to occasional special adoption events?
 Yes No
(and explain any potential conflicts other than occasional out-of-town trips, etc.)

Work/School Schedule

 35 + Hours a week 20 - 34 Hours a week Less than 20 Hours Do not work

Our Foster Program requires a home visit. Do you agree to this home visit? (required)
 Yes No

Do you understand that fostering animals is a temporary situation and you will be asked to return the animal to AHANM for adoption? (required)
 Yes No

In the event you foster a Foster2Home pet do you understand that the animal is the property of Animal Humane until it is adopted from your home? (required)
 Yes No

By checking below, I certify that the information I have provided is accurate. I understand that intentionally providing inaccurate information can result in denial or termination of the Foster Care Agreement with Animal Humane | New Mexico.
I accept:  Yes No