FOSTER APPLICATION

    First Name (required)

    Last Name (required)

    Address (required)

    City (required)

    State (required)

    Zip Code (required)

    Home Phone

    Cell Phone (required)

    Email Address (required)

    What date are you ready to begin fostering?

    List all members of house and ages for all minors:

    Employment Status (required)

    Please describe in detail your work schedule(s)? (required)

    Are you willing to attend an in-person orientation? (required)

    Will you agree to a home visit? (required)

    Do you Own or Rent? (required)

    (Renters Only) Do you have permission from your landlord to foster a dog?

    Name of Landlord

    First Name (required)

    Last Name (required)

    Phone of Landlord (required)

    Do you have homeowners/renters insurance? (required)

    Name of insurance company:

    Do you have medical insurance for all members of your household?(required)

    Name of insurance company:

    Which best describes your household? (required)

    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)

    Is your yard fenced? (required)

    Fence Height (ft.)

    What material is your fence made of?

    If not fenced in, how will you exercise the dog?

    What kind of leash do you use for your current dog(s)?

    If Other, please explain:

    Do you have a pool?

    Have you ever attended Obedience Training Classes? (required)

    If yes, where did you attend classes and for how long?

    Have you ever had a dog before? (required)

    How many?

    Size of Dog(s):
    SmallMediumLarge

    Have you ever had a dog with behavioral problems? (required)

    If so, how did you address them?

    If you have children, have they had dogs?

    Please describe your children's experience with dogs in detail.

    Are they or any member of your household allergic? (required)

    Describe any experience handling dogs in detail:

    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

    Please provide each pets species, name, breed, age, sex, weight, and
    spay/neuter status

    Are your pets currently up to date on vaccinations?

    Do you give your pets heartworm preventative?

    Do you use flea/tick preventative?

    Do you use wee wee pads for your current dog?

    What brand of food do your pets currently eat?

    Veterinarians First Name

    Veterinarians Last Name

    Veterinarians Phone

    Do your pets have licenses/identification/microchips?

    Do your pets socialize with other dogs?

    How do your pets react around other dogs

    Why are you interested in fostering a dog?

    Please indicate Foster Dog Preferences:
    Adult DogsOlder PuppiesLittersLarge DogsMedium DogsSmall DogsNo preference

    Do you understand that you do not get to choose the specific dog you foster?

    Are you willing to foster the dog until he/she is adopted? (required)

    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)

    If "other", please explain:(required)

    Please prove you are human by selecting the House.