Central Oklahoma Humane Society
9300 N. May Ave. Suite 400-281
Oklahoma City, OK 73120
ph. 405.286.1503

Board of Directors

Christy Counts - President

Steve Bentley - Chairman

Cheryl Vaught - Vice-Chairman

Cass Hayes-Townsend - Secretary

Don Bobzien - Treasurer

Cynthia Armstrong

Louise Bennett

John Calhoun DVM

Sheryl Colton

Julie Hall

Rita Hoch

Jim Klepper

Gerald Marshall

Dana McCrory

Lisa Price

Lyndon Taylor

Legal Counsel:

Michael E. Joseph

Vet Advisory Board:

Kristy Bradley DVM
John Calhoun DVM
Aaron Heintz DVM
Roger Johnson DVM
Beth Ruby DVM
Doug Ruby DVM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foster Application

Your name:
Are you over 18 years of age?
Yes   No
Home phone:
Work phone:
Cell Phone:
Address:
Apt #:
City:
State:
Zip:
Email address:
Referred by:
Emergency Contact person:
Phone number:
Other people living in your home and their ages:
Do you live in:
Do you:
If renting, do you have approval from your landlord to have animals?
Yes   No
Landlord's name:
Landlord's Phone number:
Is your yard:
Do you have a fenced yard?
Yes    No
How High?
Type of fence:
Where will the animal be kept during the day?
Where will the animal be kept at night?
If the animal will be kept outside, what type of shelter will be provided?
What accommodations will their be for hot/cold weather?
Is anyone in your house allergic to animals?
Yes   No
Who will be primarily responsible for the care of the animal?
Have you ever had a pet before?
Yes   No
Other pets you have owned:
List any other pets you current have (breed, age, sex)
Have ALL your pets been spayed or neutered?
Yes   No
If not, why?
Are they current on their shots?
Yes   No
Do they get along with dogs?
Yes   No
Do they get along with cats?
Yes   No
Have you ever adopted from a humane group or shelter?
Yes   No
If yes, from what group?
Have you ever sold, given away or gotten rid of a pet?
Yes   No
If yes, please describe the situation:
Have you had a pet die because of age, illness or accident?
Yes   No
If yes, please describe the situation:
Will your foster animal:
If other, please explain and be specific.
Are you familiar with the use of a dog crate to train and/or confine your dog when you are not there?
Yes   No
Are you willing to crate train?
Yes   No
Have you ever taken an obedience course with a pet?
Yes   No
Will the animal be walked daily?
Yes   No
Exercised in a fenced yard?
Yes   No
Allowed to run free?
Yes   No
Are you aware that animals may be very active and shed all year long?
Yes   No
Do ALL members of your household want to foster?
Yes   No
What is your household activity level?
What is your occupation?
How many hours a day are you gone from your home?
What do you like the LEAST about having a cat or dog in your home?
How soon would you like to start fostering?
How often or how long will you be able to foster?
What kind of animals would you be able to foster? (Puppies, kittens, adult cats, adult dogs, male, female, sick animals, nursing mothers, etc.)
Size of animal you are willing to foster (choose all that apply):
Small
Medium
Large
Extra Large
Are you willing to let a Central Oklahoma Humane Society representative visit the animals in your home?
Yes   No
Name of your veterinarian:
Clinic Name:
Clinic address:
Phone number of your veterinarian:
May we call your veterinarian?
Yes   No
Can a prospective adopter call and/or email you regarding your foster animal?
Yes   No
As a foster parent you will be required to sign a foster agreement contract. This includes the requirements of care and procedures for Central Oklahoma Humane Society fosters. This is only a foster application to help us get to know you and your home. We will contact you about your application within a week of receipt.


Copyright 2008 Central Oklahoma Humane Society. All Rights Reserved.