2. IREDELL COUNTY ANIMAL SERVICES FOSTER APPLICATION
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Phone*
16. Email*
18. Check one:

    1. Citizen XXX

    1. ICAS Volunteer

    1. ICAS Employee
20. Please list which animals that you would consider fostering below (dogs, cats, puppies, kittens, mothers with litters, other): *
22. Describe Yourself - your energy level, your interests, your job, and your favorite activities:*
24. Please list the names and ages of anyone in your family and extended family or friends with whom a fostered animal will frequently come in contact. Include name, relationship, age, gender, and frequency of contact:*
26. Do you currently own another pet or pets? If so, how are they doing? (List type of animals, breed, names, ages and sex, spayed/neutered or not?) *
28. If you do currently own other pets, please list your family veterinarian whom we may contact for current vaccination records: *
30. Do you understand that foster animals should be kept separate from your own companion animals for a period of 7-10 days? Do you have a place in your household to keep your foster animals separate from your own if necessary? *
32. Do you have experience working with dogs with behavioral issues? If yes please describe:*
34. Have you ever been charged with animal cruelty/neglect? *

    1. Yes
    2. No
36. Have you ever surrendered an animal to Iredell County Animal Services or any other animal shelter? *

    1. Yes
    2. No
38. Please explain why.
40. I understand that if I am approved for fostering, I will also need to carefully read the “Foster Care Agreement,” which is a separate document from this “Foster Care Application.” The Foster Care Agreement represents the legal contract between a foster caregiver and Shelter. I understand that if I am approved to foster an animal, I must Review the Foster Care Agreement before I can take my foster animal home. I further understand that I will be asked to agree to the terms of the Agreement and sign the Agreement before I can take my foster animal home.

     

    I have read this Application in its entirety, and I agree that all statements contained in this document are made by me, and are truthful. I make this statement with the understanding that any false or misleading information I give may result in the declination of my foster application and any future adoptions through Iredell County Animal Services.

     

    *

    1. By checking this box you agree to the terms above.
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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

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