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Animal Shelter Application & Agreement for Foster Care Provider

  1. Phone Numbers:
  2. Is this address (please check one):*
  3. Do you (please check one):
  4. If you rent, do you have permission from your landlord to foster?
  5. If yes, please provide your landlord's name and phone number below
  6. Foster families must be able to provide transportation for fostered animals to scheduled and emergency vet appointments. Do you possess a valid driver's license?*
  7. Do you currently have pets?*
  8. Total number of:
  9. Are they current on their rabies vaccination?
  10. Are they current on their distemper vaccinations?
  11. What veterinarian do you use for your personal pets?
  12. Please check any diseases your household pets have or had within the last six months:
  13. Foster Exprience
  14. What special needs animal(s) are you able to care for? (Please check all that apply)
  15. A separate room is required to isolate fosters from any resident pet(s). If no resident pet(s) exist, it’s still important to house them in a small room for the first week of their stay in your home. Do you have a room available for this? *
  16. Foster animal(s) require fresh food and water a minimum of two times a day, or more if they are ill or neonatal kittens. Are you able to accommodate this?*
  17. Neonatal and orphaned kittens may require feeding every 2-3 hours, including throughout the night. Are you able to accommodate this? (Mark “NO” if you do not wish to foster orphans less than 6 weeks old)
  18. To best accommodate these two needs, please provide your availability below.
  19. I agree that my service as a Foster Care Provider are provided on a strictly volunteer basis. I shall receive no pay, benefits, or compensation of any kind from the Story County Animal Shelter for my foster care of animals. I agree to provide foster care in strict compliance with the policies and procedures of the Story County Animal Shelter and The Iowa Department of Agriculture and Land Stewardship Department Iowa Administrative Code Chapter 67 “Animal Welfare”. This includes but is not limited to: i. Provide adequate food, water, shelter, safe containment and humane treatment for the animal(s) at all times. ii. Monitor the animal(s) and provide proper care and socialization to increase their possibility for adoption. iii. All adoptions and euthanasia of animal(s) placed in foster care homes shall be the responsibility of the Story County Animal Shelter and shall not be performed by the foster care home. iv. All emergency medical care must follow the steps laid out in the foster care manual, and is at the discretion of the Story County Animal Shelter. v. All deaths, injuries, or emergency euthanasia occurring within a foster care home or the animal being lost shall be reported to the foster oversight organization within 24 hours of the event. vi. Agree to represent yourself professionally. vii. Agree to return the Story County Animal Shelter foster animal(s) for sterilization on the agreed upon date by the Story County Animal Shelter staff.
  20. Please initial to the right of each statement after you have read it.
  21. Indemnity
  22. If at any time you have questions, please feel free to reach out and connect with us! Hannah Litke Volunteer & Foster Care Coordinator Phone: 515.382.3338 Email: hlitke@storycountyiowa.gov Anna Henderson Story County Animal Control Director Phone: 515.382.3338 Email: ahenderson@storycountyiowa.go
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  24. This field is not part of the form submission.