Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Home Type

Apartment

House

Condo

Townhouse

Do you rent or own?

If you rent, we will require proof that you can have foster animals.

If you rent, please provide landlord's name and phone number:

How many adults are in your home?

How many children are in your home? What is the age range of the children?

Does anyone in your home have allergies? If yes, please explain:

Who will be the primary caregiver? What is the caregiver's age?

What is the primary schedule of the caregiver?

How long will the animal be alone, how often will the animal be with people, etc.

Do you currently have other pets?

Yes

Please provide a brief description of your existing pets.

EX: Species, Breed, Size, Sex, Age

Are they up-to-date on vaccinations?

Are your pets spayed/ neutered?

Please provide your veterinary clinic and phone number:

Are you able to keep the foster animals separate from your own animals?

I agree that if I allow my personal pets around the foster animal(s) and my pets contract something, Noah's Ark Animal Sanctuary Inc. is not responsible for any medical expenses.

Yes

I don't have pets.

Have you ever surrendered or given up an animal before? If yes, please explain:

Where the animal(s) be kept primarily? While alone? Overnight?

Do you have fostering experience?

Do you have any other relevant experience with animals? If yes, please explain:

Any restrictions to what type, breed, age, species, etc that you would be willing to foster:

Do you have experience with bottle-feeding animals?

Yes

No, I am not comfortable bottle-feeding.

No but I would love to learn how!

Do you have a reliable vehicle?

We may require transportation of the foster animals to the vet, sanctuary or emergency clinic.

References:

Please list 2 business, education or volunteer-related references (must be unrelated to you) we may contact:

Contact One:

Name

First Name

Last Name

Organization/ Business

Phone number or email address:

Contact Two:

Name

First Name

Last Name

Organization/ Business

Phone number or email address:

I understand that the foster animal(s) belong to Noah's Ark Animal Sanctuary, Inc. and I must keep them at the listed address. I will not rehome the animals myself.

Yes, I understand

I understand that Illinois Department of Agriculture reserves the right to visit foster homes for inspection.

Yes, I understand

Disclosure:

Please understand that Illinois Department of Agriculture reserves the right to visit foster homes for inspection. I certify that the statements made in this application are true and have been given voluntarily. I understand that this information may be disclosed to any party with legal interest, and I release that agency from any liability whatsoever for supplying such information. I also understand that I will not be paid for my services as a volunteer. In consideration of Noah's Ark Animal Sanctuary, Inc accepting my application for participations in Noah's Ark Animal Sanctuary, Inc. from and against any and all loss, damage, claims, liability, costs and expenses of any nature whatsoever, including with limitations, attorney's fees and disbursements, arising from or occasioned by my participation in Noah's Ark Animal Sanctuary, Inc. I understand that animals are unpredictable, that I must use reasonable care when working around animals, and if I am injured by an animal, it is my fault and not the animal's. I understand that Noah's Ark Animal Sanctuary, Inc. does not offer insurance coverage for volunteers and cannot be held liable in the event of an injury.

Please sign your full name in agreement with the above statements (Electronic Signature):

Foster application

Thank you for your interest in fostering at Noah's Ark. The information from this application will help us match you with the best possible foster animal(s). Once your application is submitted, you will receive a confirmation call.