Foster Program Application & Agreement Survey

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1. Contact Information

First & Last Name: *

Name of spouse or other adult (18+ years) fostering in home:

Address: *

Address 2:

City/Town: *

ZIP: *

Email Address (Can add secondary email too): *

Phone Number (Can add secondary phone number too): *

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2. Are you 18 years or older?

Yes

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3. We believe our foster animals deserve the best possible care including regular vet visits. Foster parents should expect frequent transportation to and from the adoption center for pickups, vet visits, and drop offs. Will you have consistent, reliable transportation?

Yes

If answered no, please explain:

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4. We would not expect a foster parent to drive longer than an hour for a vet visit, or in case of needing an emergency vet appointment, we would like for you to be close. Do you live within one hour of one of our three main MH locations (Detroit, Rochester Hills, or Westland)?

Yes

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5. What type of animal you decide to foster, how old they are, or what medical needs they have, will depend on how often you need to bring them to see the vet or for a routine care appointment. Most appointments are available M-F between 9-5, with limited appointments on Wednesday evenings and Saturdays. How often will you be able to commit to traveling to the animal care centers for appointments?

Twice a week

Once a week

Bi-weekly

Once a month

Less than once a month

I cannot make the commitment

If you cannot make the commitment, please explain:

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6. Which MH facility would you prefer to use for primary vet care?

Detroit

Rochester Hills

Westland

Comments:

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7. Animals may come into the shelter with different types of parasites (worms, fleas, etc.). While our shelter medicine team does their best to identify and treat all parasites upon arrival to the shelter, it can take more than one treatment to completely resolve an infestation. If you choose to foster, your personal pets at home may be exposed to fleas or other parasites. We recommend your pets at home receive regular preventatives. Do you understand and accept this risk associated with fostering?

Yes

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8. MH recommends keeping your animals separate from foster animals for a 10-day quarantine period prior to any introductions. However, these precautions still cannot guarantee that illness may not still spread. Do you understand and accept the fact that pets in your home (if any) may become ill by exposure to a foster animal?

Yes

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9. Foster needs, appointments, and pick-ups are regularly scheduled through email. Do you have reliable access to the internet for obtaining information about available foster animals?

Yes

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10. From the list below, please select the option that best applies to you:

I am a current active MH volunteer and have viewed the online orientation within the last 12 months.

I am NOT a current MH volunteer and do need to view the online orientation.

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11. Are you a staff member of Michigan Humane?

Yes (currently on staff)

Used to be on staff with MH

No (never worked for MH)

If you are a previous MH staff member, please provide the location and time period for which you were active:

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12. Do you rent or own your residence?

Own

Rent

If renting, please provide your landlord's name and contact number.

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13. In which kind of residence do you reside?

Single family home

Duplex, townhome or condominium

Apartment

Mobile home

Assisted living complex

If renting, are pets allowed?

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14. Describe your backyard

I do not have a backyard (Apartment/condo/etc.)

My backyard is not fenced in.

My backyard is fully fenced in with chain-link or see through fence

My backyard is fully fenced in with a private fence (Animals cannot see through)

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15. Who do you live with?

Live alone

Live with one or more other adults

Live with children ages newborn - 5 years

Live with children ages 6 years - 10 years

Live with children ages 11+ years

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16. Are all members of your household aware and supportive of your interest in fostering?

Yes

I haven't asked, yet

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17. How did you learn about the MH Foster Volunteer role?

Michigan Humane Website

Friend

MH volunteer

MH Staff

Online Media (Facebook, Instagram, Twitter, etc.)

Other local Media (MichigAnimals, etc.)

Email Campaign

MH Event

other (please specify)

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18. If you are applying to foster a specific animal, what is the animal's name, how did you hear about this animal, and why are you interested in fostering this specific animal? (If not for a specific animal, do not answer)

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19. Why are you interested in fostering?

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20. Do you currently or have you ever fostered animals from another rescue/ animal group? Please note: MH asks that you do not have a foster animal from another group in your home at the same time as a foster from MH.

Yes

If yes, which group(s) & types of animals? Please list dates.

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21. The MH foster caregiver role requests that you are able to foster regularly, trying not to take a break between fosters longer than 6 months at a time. Would you be able to make this commitment?

Yes

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22. Please list any factors that may limit your foster work.

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23. Which species of animals are you most interested in fostering? Please note: the majority of the animals' needing foster care are canine and feline.

Adult cats

Mom cats with unweaned kittens

Kittens (under 4 mos.)

Neonate Kittens (unweaned kittens without mom)

Large dogs (50 lbs. and up)

Medium dogs (25 to 50 lbs.)

Small dogs (Under 25 lbs.)

Mom dogs with unweaned puppies

Puppies (under 4 mos.)

Domestic rabbits

Guinea pigs/hamsters/gerbils/mice

BIrds

Lizards/snakes/other reptiles

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24. The animals who need foster care often have medical conditions or may need behavioral modification in order to prepare them for adoption. Please indicate below which special needs you are able to take into your care. Please note: any canine or feline is at risk of URI, and those cases make up the majority of the need, so we ask that you are willing to care for this condition.

Upper respiratory illnesses (URI)

Weight gain

Surgery recuperation

Treatable skin conditions

Specific Behavior Training (Feline)

Specific Behavior Training (Canine)

Socialization

Heartworm Treatment (dogs)

Short-term (<2 wks) event fostering

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25. Would you be interested in fostering an animal for an owner who is temporarily unable to care for them due to a medical condition or hospital stay?

Yes

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26. Do you have pets of your own?

None

Cat(s)

Dog(s)

Small animal(s)

Other (farm animals, birds, reptiles, etc.)

If yes, please provide specifics (i.e. 1 cat, 2 fish)

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27. If you own pets please provide your veterinarian's name and contact number.

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28. Are all of your current personal pets (dogs and cats only) altered (spay or neutered)?

Yes

N/A

If no, please explain why the animal is not altered.

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29. Are all of your current personal pets (dogs and cats) up to date on vaccinations?

Yes

N/A

If no, please explain why not.

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30. Have any animals in your home ever been diagnosed with a serious contagious disease like parvo virus? If so, when?

Yes

Other (please specify)

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31. Please list any special training or experience you may have in animal handling or care.
(Example: Sunrise Vet Center, 2006-2007, vet tech)

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32. If you do not have animal handling experience, would you be interested in doing an in-person training for signs of stress and animal handling? This could also include showing how to administer different types of medication to animals.

Yes

Other (please specify)

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33. MH requires a phone call orientation for all new foster volunteers. Please check the box that best represents your availability.

I have a flexible schedule and can make most days and times work

I will need an evening or weekend phone call

I have a very hectic schedule and will have to schedule carefully

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34. Would you like to be notified when your foster animal has been adopted?

Yes

Comments:

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35. MH must opt for Humane Euthanasia in cases of severe illnesses or behaviors that are unsafe to go into the community. In some circumstances, foster animals may become extremely sick or have serious behavioral concerns leading MH to determine humane euthanasia is the best option for them. Would you like to be notified of this decision beforehand? Please note: we do our best to contact foster caregivers that prefer to be notified, however, some cases are time sensitive, and MH reserves the right to proceed at any time in the best interest of the animal.

Yes, I want to be contacted in this situation

No, I do not want to be contacted

Comments:

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1. Contact Information

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2. Are you 18 years or older?

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3. We believe our foster animals deserve the best possible care including regular vet visits. Foster parents should expect frequent transportation to and from the adoption center for pickups, vet visits, and drop offs. Will you have consistent, reliable transportation?

Question Title

4. We would not expect a foster parent to drive longer than an hour for a vet visit, or in case of needing an emergency vet appointment, we would like for you to be close. Do you live within one hour of one of our three main MH locations (Detroit, Rochester Hills, or Westland)?

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6. Which MH facility would you prefer to use for primary vet care?

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9. Foster needs, appointments, and pick-ups are regularly scheduled through email. Do you have reliable access to the internet for obtaining information about available foster animals?

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10. From the list below, please select the option that best applies to you:

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11. Are you a staff member of Michigan Humane?

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12. Do you rent or own your residence?

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13. In which kind of residence do you reside?

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14. Describe your backyard

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15. Who do you live with?

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16. Are all members of your household aware and supportive of your interest in fostering?

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17. How did you learn about the MH Foster Volunteer role?

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18. If you are applying to foster a specific animal, what is the animal's name, how did you hear about this animal, and why are you interested in fostering this specific animal? (If not for a specific animal, do not answer)

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19. Why are you interested in fostering?

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20. Do you currently or have you ever fostered animals from another rescue/ animal group? Please note: MH asks that you do not have a foster animal from another group in your home at the same time as a foster from MH.

Question Title

21. The MH foster caregiver role requests that you are able to foster regularly, trying not to take a break between fosters longer than 6 months at a time. Would you be able to make this commitment?

Question Title

22. Please list any factors that may limit your foster work.

Question Title

23. Which species of animals are you most interested in fostering? Please note: the majority of the animals' needing foster care are canine and feline.

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25. Would you be interested in fostering an animal for an owner who is temporarily unable to care for them due to a medical condition or hospital stay?

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26. Do you have pets of your own?

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27. If you own pets please provide your veterinarian's name and contact number.

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28. Are all of your current personal pets (dogs and cats only) altered (spay or neutered)?

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29. Are all of your current personal pets (dogs and cats) up to date on vaccinations?

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30. Have any animals in your home ever been diagnosed with a serious contagious disease like parvo virus? If so, when?

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31. Please list any special training or experience you may have in animal handling or care.(Example: Sunrise Vet Center, 2006-2007, vet tech)

Question Title

32. If you do not have animal handling experience, would you be interested in doing an in-person training for signs of stress and animal handling? This could also include showing how to administer different types of medication to animals.

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33. MH requires a phone call orientation for all new foster volunteers. Please check the box that best represents your availability.

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34. Would you like to be notified when your foster animal has been adopted?

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36. Do you have any questions or concerns about the foster volunteer role?

31. Please list any special training or experience you may have in animal handling or care.
(Example: Sunrise Vet Center, 2006-2007, vet tech)