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FOR ADMINISTRATIVE USE ONLY
Companion Animal Foster Volunteer Application
Dane County Humane Society
Dane County Humane Society is currently recruiting Companion Animal Foster volunteers to support our
mission Helping People Help Animals. Fill out one foster application per household, and include the
information for the primary adult contact.
VOLUNTEER INFORMATION – Fill out one foster application per household. Select ONE adult to represent
the household and provide their information on this application.
Legal Name: ______
Last First Middle (full)
Birth Date: Driver’s License #:
E-mail address:
E-mail is our preferred method of contact. Our e-mail may be blocked by your filters; please check your junk e-mail folders
if you have not received an e-mail from us confirming receipt of your application within two weeks of submission.
Home (local) address:
City: State: Zip:
Phone (Home): (Cell): (Work):
May we call your work phone? Yes No May we send you a text on your cell phone? Yes No
Emergency contact: (Name, phone number & relationship) ______
BACKGROUND INFORMATION
Occupation and Employer:
Normal working hours: __________________________________________________________________
Do you have transportation? Yes No
Have you volunteered with a Humane Society in the past? Yes No
If yes, please identify the name of the organization, the time period volunteered and what you did:
Are there any medical conditions that may affect your ability to perform certain tasks? Yes No
If yes, please explain:
Have you ever been convicted of a misdemeanor or felony? Yes No
If yes, please explain*:
*All adult applicants will have background checks prior to beginning their volunteer commitment with Dane County Humane Society.
As a foster parent we require a six month commitment and minimum fostering of one animal or group of animals
during that time. Are you able to make this fostering commitment? Yes No
If no, please explain
*The need of fostering of companion animals fluctuates dependent upon seasonal population growth and our shelter’s animal
intake. Our highest needs are during the months of May through October, but foster families are ALWAYS needed.
Special events hosted by staff and volunteers are held throughout the year, to raise money and awareness about the
vital work we do. Would you like to know about our Special Event opportunities? Yes No