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) Full TimePart timeRetiredNot employedStay at home parentStudent Please describe in detail your work schedule(s)? (required) Are you willing to attend an in-person orientation? (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: Do you have medical insurance for all members of your household?(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.) 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)? Simple 6-foot leashRetractable LeashChainBungee LeashNo leashOther If Other, please explain: Do you have a pool? YesNo 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 Please describe your children's experience with dogs in detail. Are they or any member of your household allergic? (required) YesNo 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? YesNo Do you give your pets heartworm preventative? YesNo Do you use flea/tick preventative? YesNo Do you use wee wee pads for your current dog? YesNo What brand of food do your pets currently eat? 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? 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? YesNo Are you willing to foster the dog until he/she is adopted? (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) Adoption eventFacebookTwitterVetPetfinderReferenceI am a previous adopterPatchOther If "other", please explain:(required) Please prove you are human by selecting the Key.