Middleburg Heights Animal Foundation

FOSTER CARE APPLICATION

Middleburg Heights Animal Foundation has no affiliation with the City of Middleburg Heights nor does it receive any funding or support from the City. MHAF is a not-for-profit, volunteer run organization working to improve the lives of homeless animals. To become a foster care volunteer and help our animals please fill out and submit the form before.

Name:	E-mail:
Phone Number:	Today's Date:
Address:	City:
Zip Code:

You Currently: Choose one... Rent Own Choose one... House Apartment
If you rent you must present written proof showing you have permission to have pets in your residence. If renting, please provide the following... Landlord's Name: Landlord's Phone Number:

I would like to foster: Until Adopted Over a Weekend For a Day Other: (please explain)

If weekend or long-term fostering; how many hours will the foster care pet be alone each day?

Prior experience with foster care: (please be sepcific) For whom did you foster?

Do you have any experience with a pregnant pet & birthing and would you consider fostering one? Explain: You will be expected to foster the pregnant pet until delivery and then foster mother and babies at least 8 weeks after birth.

Age / Stage Preference: Baby (<1) Adolescent (1-3) Adult (3+) Senior (7+)

What pets do you currently have? Please list type and age.

Age(s) of any children in your home:

Vet's Name:	Phone:

May we contact them for a reference? Yes No If no, why?

Have you ever been convicted or accused of animal cruelty; felony or misdemeanor? Yes No If yes, explain.

Does anyone in your home have allergies or other problems with pets? Yes No

Do you have experience working with / training pets with behavior disorders? Explain:

Why do you want to be involved with this foster care program?

Will you allow a Foster Care Representative to perform "Drop-In" visits? Yes No

Complete this section only if you are interested in fostering dogs/puppies:
Certain breed dogs can only go to homes with a fenced yard. Do you have a fenced yard? Yes No	If you answered YES: Fence Height: Type:

Can you take your foster dog on daily walks, weather permitting? Yes No

Pet Size (height, weight, breed, etc.) Please keep in mind that certain breeds have a variance in their age/stage.

Have you ever attended Formal Obedience Training classes with a dog? Yes No If yes, please list where, when and class title below.

You will be expected to: Comply with MHAF guidelines for the care of the pet. Socialize your foster pet to the best of your ability and communicate about his or her progress and behavior. Work with & teach the Manners / Obedience according to the Foster Care Program Guidelines (for dogs only). Provide transportation for Vet appointments and health care (MHAF pays for the cost of vet care). Provide food, bedding, toys and other necessary items for your foster pet (MHAF can assist with supplies). Provide guidance as to when Adoption Interviews can be held and when the pet is available for meet and greets. What will be provided by Middleburg Heights Animal Foundation: Medical care for the foster pet. Once your application is received and reviewed, we will contact you for an in-home visit to be scheduled and performed by Foster Care Representative. This will give everyone a chance to ask questions and we can help you determine what items / equipment will be needed to prepare you and your home for a new pet. We will also review any guidelines for specific foster animals and the guidelines for training and manners will be reviewed. Middleburg Heights Animal Foundation, their employees, Board of Directors, and volunteers can not be held responsible for any injury or property damage incurred by your Foster Care Pet. As a volunteer foster home, you accept full responsibility and expenses of any injury or damage caused by your foster pet while they are in your care.

Do you accept the above conditions? Yes No

I, the undersigned have read this application and understand all of its terms, and I execute it voluntarily and with full knowledge of its significance. Foster Applicant Signature: