APPLICATION TO TEMPORARY LOVING CARE PROGRAM
Animal Rescue League of Iowa, Inc.
5452 NE 22nd St.
Des Moines, IA 50313
515-262-9503
The goal of the fostering program is to provide a temporary in-home environment for certain animals that, due to their physical or
behavioral challenges, would benefit from the “special” care. To ensure that the experience is safe and pleasant for both you and
the animal, please complete the following application. This application can be printed, completed and scanned back, mailed back to
attention: TLC Foster Program, or you can complete it on line and email it back to Foster@arl-iowa.org.
Foster Applicant Information
Name:
First
Last
Address:
Street
City
State
Zip Code
Phone:
Home
Work
Cell
E-Mail:
Have you attended Volunteer Orientation?
YES
NO if yes, please provide month and year
Have you attended Foster Orientation?
YES
NO if yes, please provide month and year
How did you hear about our foster program?
Do you own your home?
YES
Are children living in the home?
NO If no, we need landlord’s authorization. Please provide name, address, phone #.
YES
NO
How many?
# of pets currently sharing your home? Dogs
Cats
Ages?
Other (specify)
Are your pets current with their vaccinations & preventive maintenance (Flea treatment & Heartworm)?
Are your pets spayed/neutered?
YES
YES
NO
NO
Do any of your pets have any medical or behavioral issues?
Why are you interested in fostering for the Animal Rescue League of Iowa?
APPLICATION, TLC Foster Program for House Pets 1.10.12
What type of fostering situations are you interested in? (please check all that apply)
Dogs
Weaned Puppies
Unweaned Puppies
Mother Dog & Puppies
Cats
Weaned Kittens
Unweaned Kittens
Mother Cat & Kittens
Guinea Pigs
Rabbits
Birds
Horses
Other (specify)
Small Critters
(rats, mice, gerbils, hamsters)
Behavior Challenges: Dogs
Cats
Horses
Crisis Foster: Dogs
Cats
Horses
Please complete if you are interested in fostering dogs and/or puppies:
Do you have a fenced yard?
YES
NO
If no, please explain how you will keep the pet on your property:
Where will the pet stay? Day:
Evening:
For what period of time will the pet be left alone?
Additional Comments:
NOTE: The Animal Rescue League of Iowa, Inc. requires that all persons fostering an ARL animal comply with the leash laws of the city
in which they reside. All dogs/puppies must be in a fenced yard or on a leash at all times when outside. The Animal Rescue League of
Iowa, Inc. requires cats in foster care be kept indoors at all times.
REFERENCES:
Please list three references. If you own or have owned pets, one must be your most recent veterinarian.
Name:
First
Last
Address:
Street
Phone:
City
State
Zip Code
State
Zip Code
Relationship:
Name:
First
Last
Address:
Street
Phone:
City
Relationship:
APPLICATION, TLC Foster Program for House Pets 1.10.12
Name:
First
Last
Address:
Street
Phone:
City
State
Zip Code
Relationship:
The information provided in this application is true and complete. My signature below, or my email submission, authorizes the
persons named above to discuss my general qualifications as a Foster Care Provider with representatives of the Animal Rescue
League of Iowa., Inc.
Applicant Signature:
(Please type name if submitting application by email):
Date:
APPLICATION, TLC Foster Program for House Pets 1.10.12