Foster Application Please enable JavaScript in your browser to complete this form.Thank you for your interest in fostering!Your answers to the following questions will help us to match potential foster animals to your home.Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *EmailConfirm EmailYour HomeDo you: *RentOwnIf you rent, please provide landlord’s name and phone:How many adults are in your household? *How many children? *Children’s ages:Your PetsPlease list your current personal pets: *(Include species, breed, age, and spay/neuter status)Who is your veterinarian? *Are all your pets currently vaccinated? *YesNoIf No, why?Your InterestsPlease check the types of animals you are interested in fostering: *CatsDogs (Large)RodentsKittensPuppiesReptilesLitters of kittensLitters of puppiesBirdsBottle-baby kittensBottle-baby puppiesIllnessDogs (Small)RabbitsInjuryDogs (Medium)Do you have an indoor area to confine or isolate the animal(s)? Please describe: *If interested in fostering dogs or puppies, please answer the following:Where, specifically, will the foster animal be kept during the day?During the night?Do you have a fenced yard?YesNoIf yes, how high is your fence?Please describe your outdoor area:Additional QuestionsHow would you feel with a decision that the animal you are fostering or had fostered had to be euthanized? *Is there anything you would like us to know about you and your family or resident pets?Things To Consider All animals will need to be returned to Humane Society of Lebanon County at the end of the foster period. Animals brought into your own home may have contagious diseases that can infect your own animals, if exposed. We will need frequent updates from you, by phone or email, throughout the foster period. Foster animals often have behavioral issues that need to be corrected. These animals may, for a time, be destructive. Some foster candidates may need a foster home for up to several months. I confirm that all information supplied on this profile is true and correct. I understand that the Humane Society of Lebanon County is not responsible for any property or personal damage, wounds inflicted, or illnesses caused by the foster animal(s). *YesNoSignature *By typing your name in the signature box and clicking Submit, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.Submit