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About
Adopt
Foster
- Foster Application
Get Involved
- Volunteer Application
Events

About
Adopt
Foster
- Foster Application
Get Involved
- Volunteer Application
Events

foster application

1 PERSONAL INFO

2 HOUSEHOLD INFO

3 PET CARE

4 REFERENCES

Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone*
Secondary Phone
Email*
Marital Status*
Education Level*

Household Information
Do you have family members or roommates living with you?*
- YES
- NO
Number of Adults*
Number of Children*
Ages of Children*
Do all of the adults work outside the home?*
- YES
- NO
Type of Dwelling*
Do you have a completely fenced in yard?*
- YES
- NO
Do you own or rent?*
- OWN
- RENT
Rental Information
Landlord's Name*
First Last
Landlord's Phone*
Rental Length*
Prior Landlord's Name
First Last
Prior Landlord's Phone
Foster Environment
Please tell us about your home environment and your neighborhood (i.e. rural, lots of children, senior-citizen neighborhood, dog oriented neighborhood)*
Why are you interested in fostering an animal for RPSM?*
Please tell us about your experience caring for animals*
Would you be willing to care for a rescue animal that has substantial medical issues that require a heavy level of attention?*
- YES
- NO
Would you be willing to care for a rescue animal that has behavioral / socialization issues which may require extra attention?*
- YES
- NO
How many RPSM dogs are you able to accommodate in your home for fostering?*
Is there a particular type dog that you are interested in fostering? Also are there any types or breeds that you are unwilling to foster?

Personal References
Reference #1
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Relationship to this person*
Reference #2
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Relationship to this person*
How did you hear about RPSM?
Other
Foster Release
*
I agree*
As a member of RPSM, I pledge the following: 1. To abide by the by-laws and operating procedures of RPSM. 2. To conduct any activities related to RPSM in a volunteer capacity, receiving no compensation or substantial personal gift for it. 3. To educate potential adopters, the general public and current pet owners about issues regarding spay and neuter, I.D., temperament, health, training, care, etc. 4. To complete any RPSM volunteer activities as promptly as possible and to promptly notify RPSM leadership if unable to complete a volunteer activity. 5. To conduct myself in a courteous manner in all facets of RPSM work such that my behavior brings credit to the image of RPSM and animal rescue in general. 6. To support the spay/neuter policies of RPSM and attempt to educate the public as to the importance of spaying and neutering. I have read and fully understand the above Code of Ethics and the Bylaws of Refurbished Pets of Southern Michigan. I understand that a breach of these may result in my removal as a volunteer in good standing.
Name*
If you would like to be considered as a possible foster family for one of our rescued pets, please sign and date below: I HERE BY ACCEPT RESPONSIBILITY FOR ANY/ALL ILLNESS THAT CAN OCCUR FROM A TEMPORARY CARE ANIMAL. I RELEASE REFURBISHED PETS OF SOUTHERN MICHIGAN FROM ANY AND ALL LIABILITY, NOW AND IN THE FUTURE, FROM MY VOLUNTARY ACTION OF CARING FOR ANY REFURBISHED PETS OF SOUTHERN MICHIGAN ANIMAL. Typing your name will be considered a legal digital signature.
First Last
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Phone
This field is for validation purposes and should be left unchanged.

rpsmrescue@rpsm.org

Refurbished Pets of Southern Michigan
P. O. Box 83
Coldwater, MI 49036

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