Support NHS

1.

Applicant information

*

Name:

First Required	Last Required

*

Email: Required

*

Street 1: Required

Street 2:

*

City/State/ZIP:

City Required	State Required	ZIP Required

*

Phone Number: Required

*

Date of Birth: Required

Date of Birth:

If you respond and have not already registered, you will receive periodic updates and communications from Nebraska Humane Society.

Yes, I would like to receive postal mail from Nebraska Humane Society

Keep me logged in. What's this?

*2.

Question - Required - List up to three dogs with which you are interested. Please include their identification numbers.

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Do you live in a:

(Select one of the available choices or enter a different value.)
Question - Required -

*4.

Question - Required - Do you own or rent your home? If you rent or are not the owner of the home, please list the owner or landlord's contact information and the name of the apartment complex.

(Maximum response 255 chars, approx. 5 rows of text)

*5.

Question - Required - Does your home have a fenced in yard? If so, what type of fence and how high is it?

(Maximum response 255 chars, approx. 5 rows of text)

*6.

Question - Required - How many adults live in your home?

(Maximum response 255 chars, approx. 5 rows of text)

*7.

Question - Required - List the number and ages of any children who live in the home.

(Maximum response 255 chars, approx. 5 rows of text)

*8.

Question - Required - Do you have frequent visitors in your home? Adults or children? If they are children, please list their ages and how often they visit.

*9.

Question - Required - Please list any cats, dogs, or other animals in the household. Include the type/breed of animal, age, sex, and whether or not they are spayed or neutered.

(Maximum response 255 chars, approx. 5 rows of text)

*10.

Question - Required - Have you owned dogs in the past? If so, tell us about with what kinds of dogs (breed, size, age, etc.) you have experience.

(Maximum response 255 chars, approx. 5 rows of text)

*11.

Question - Required - Why are you interested in fostering a shelter dog?

(Maximum response 255 chars, approx. 5 rows of text)

*12.

Question - Required - Have you ever fostered an animal before? If so, for what shelter or rescue organization?

*13.

Question - Required - How long are you able to foster an animal?

*14.

Question - Required - On an average day, how many hours at a time will the animal be left alone?

(Maximum response 255 chars, approx. 5 rows of text)

*15.

Question - Required - Do you have any particular preferences or exclusions regarding what types of dogs you would be open to fostering (e.g., breed, sex, size, age, energy levels, etc.)?

(Maximum response 255 chars, approx. 5 rows of text)

*16.

Question - Required - Are you comfortable fostering unruly dogs, fearful dogs, or dogs that might need a lot of training? If so, please describe your experience with these types of dogs.

(Maximum response 255 chars, approx. 5 rows of text)

*17.

Question - Required - Our foster care coordinators schedule appointments Monday through Friday between 12:15 and 5:30, and Saturday between 10:15 and 3:30. Do you have flexibility in your schedule to pick up your foster dog or bring them in for appointments during these time frames?

*18.

Question - Required - Have you, a family member, or any member living in the home where the animal will be fostered ever been convicted of any animal related misdemeanor or felony offense?

(Maximum response 255 chars, approx. 5 rows of text)

19.

Question - Not Required - If you answer yes to the previous question, please describe.

(Maximum response 255 chars, approx. 5 rows of text)

*20.

Question - Required - Please list the vaccinations on which your pet is current and provide your veterinarian's name and phone number so we may contact them to verify the status.

(Maximum response 255 chars, approx. 5 rows of text)

I certify that the above information is true,and that I have read the information regarding the requirements and responsibilities of being a foster parent, and feel capable of performing these duties.

I understand that there may be expenses involved in fostering, and will abide by the guidelines set forth by the Nebraska Humane Society for reimbursement of certain expenses. I further understand that there is an inherent danger in handling animals, and I agree to hold harmless and indemnify Nebraska Humane Society from any injuries or loss sustained by me or others, which may be caused by the animal(s) I am fostering.

*21.

Question - Required - By typing your name below, you agree to the above statement.

*22.

Question - Required - Date:

Foster a long-term dog

E-Newsletter Signup

Get Social With Us!

For Pet Owners

For Adopters

For Community

Contact Animal Control