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Equine and Small Animal Foster Care Application

To be considered as a foster parent, you must:

- Be 21 years of age or older

- Have identification showing your current address

- Have the knowledge and consent of your landlord (if applicable)

- Be able and willing to spend the time necessary to provide proper care for the animal

Date *

// (mm/dd/yyyy)

First Name *

Last Name *

Street Address *

Suite / Apt #

City *

State *

Zip *

Phone *

Email *

Why do you want to become a foster parent?:

What type of animal do you want to foster:

Equine
Small Animal
Livestock

Is there a particular animal you wish to foster?

Yes
No

If YES, please provide the animal's name and a brief description:

If you currently have pets, how do you feel they will adapt to a foster?:

How many animals are you interested in fostering at the same time?:

Are all of your pets (excluding equines) spayed or neutered?:

Yes
No
I don't have pets

Are all of your pets current on recommended vetting including vaccinations?:

Yes
No
I don't have pets

Please list the total number of people living in your home and their ages:

How many hours a day will the animal be without human companionship? Please explain:

What type of home do you live in?:

House
Condo
Apartment
Mobile Home
Other

If you rent, we must have your landlord's permission for you to foster. If you rent, please put your landlord's name and phone number here:

Tell us a little bit about your fencing:

Are you willing and able to follow Noah's Ark Society's guidance on the best way to work with your foster animal, including but not limited to having trainers and/or evaluators meet with you and your foster at your home?:

Yes
No

For Equine Foster Homes ONLY - Please check the boxes next to the types of equines you are able to foster:

Mares
Geldings
Stallions

For Equine/Livestock Foster Homes ONLY - How many acres do you have in pasture?:

Less than 5
5 to 10
10 to 15
15 to 25
25+

How long are you able to foster your foster animal (i.e. short term, 1-3 months, however long it takes)?:

Would you ever consider fostering a special needs animal or a senior?:

Yes
No

If you have any special skills in training or rehabilitation, please explain:

Do you require food assistance to allow you to care for your foster animal?:

Yes
No

Have you ever been convicted of abuse of an animal or a child? If YES, please explain:

Additional comments/questions:

I certify that the above information is true. I also understand that giving false information on this application is grounds for denying foster care. *

Yes

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Equine and Small Animal Foster Care Application