Aiken Fosters The following application is specifically for our Aiken, South Carolina center. First Name (required) Last Name (required) Address (required) City (required) State (required) Zip Code (required) Home Phone Cell Phone (required) Email Address (required) List all members of house and ages for all minors: Employment Status (required) Full TimePart timeRetiredNot employedStay at home parentStudent How long will your dog be alone each day? (required) Are you willing to attend safety training? (required) YesNo Will you agree to a home visit? (required) YesNo Do you Own or Rent? (required) OwnRent (Renters Only) Do you have permission from your landlord to foster a dog? YesNo Name of Landlord First Name (required) Last Name (required) Phone of Landlord (required) Do you have homeowners/renters insurance? (required) YesNo Name of insurance company: Which best describes your household? (required) QuietActiveVery Active Where will the foster dog be kept during the day? (required) Where will the foster dog be kept during the night? (required) Will you crate the dog? (required) YesNo Is your yard fenced? (required) YesNo Fence Height (ft.) If not fenced in, how will you exercise the dog? Have you ever attended Obedience Training Classes? (required) YesNo If yes, where did you attend classes and for how long? Have you ever had a dog before? (required) YesNo How many? Size of Dog(s): SmallMediumLarge Have you ever had a dog with behavioral problems? (required) YesNo If so, how did you address them? If you have children, have they had dogs? YesNo Are your children afraid of dogs? —Please choose an option—YesNo Are they or any member of your household allergic? (required) YesNo Describe any experience handling dogs: Please provide a description of how you would correct your foster dog if it showed destructive or inappropriate behavior such as digging, jumping, chewing, etc: List of Current Pets Pet #1 Type: DogCat Pet #1 Sex: MaleFemale Pet #1 Spayed/Neutered? YesNo Pet #1 Age: Pet #2 Type: DogCat Pet #2 Sex: MaleFemale Pet #2 Spayed/Neutered? YesNo Pet #2 Age: Pet #3 Type: DogCat Pet #3 Sex: MaleFemale Pet #3 Spayed/Neutered? YesNo Pet #3 Age: Are your pets currently up to date on vaccinations? YesNo Do you give your pets heartworm preventative? YesNo Do you use flea/tick preventative? YesNo Veterinarians First Name Veterinarians Last Name Veterinarians Phone Do your pets have licenses/identification/microchips? YesNo Do your pets socialize with other dogs? YesNo How do your pets react around other dogs Why are you interested in fostering a dog? Companion for other dogCompanion for childrenDesire to help animals in need Please indicate Preferences: Medium DogsSmall DogsNo preference How Many Dogs Would you Foster at Once?: What months can you foster: SummerWinterYear Round Are you willing to foster the dog until he/she is transported? (required) YesNo Anything else you would like us to know? Reference #1 (First of two references...non-family members). Please list a reference that can attest to how you are with animals. First Name:(required) Last Name:(required) Relationship:(required) Street Address:(required) City:(required) State:(required) Phone:(required) Reference #2 (Second of two references...non-family members). Please list a reference that can attest to how you are with animals. First Name:(required) Last Name:(required) Relationship:(required) Street Address:(required) City:(required) State:(required) Phone:(required) Where did you hear about us? (required)