Name
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First Name
Last Name
Email
*
Date of Birth
*
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Address
City
State
Zip Code
Mobile Phone
(###)
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Home Phone
(###)
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Employer Name
*
Employer Address
*
Include the Street, City, State:
Desired Age
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In the event your current pets have any age aggression, please check off which ages would fit well in your house.
Desired Gender
*
In the event your current pets have any gender aggression, please check off which genders would fit well in your house.
Willing to foster?
*
Why do you want to foster a dog?
*
Current Household Memebers
Please include all adults and children, including their name, age, and relationship to you.
Children
*
Does your household include children?
Children Experience
*
Please describe your child/childrens' experience with dogs? How do they interact with them. If not applicable, list N/A.
Allergies
*
Does anyone in the household have allergies to any kind of pet? If yes, please explain.
Family Agreement
*
Are all members in your household in agreement about fostering?
Rent or Own?
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Do you rent or own your home?
Rental Permission?
*
If you rent, do you have permission from your landlord to have a dog?
Home Environment
*
Check all of the following that apply for your home.
At Home
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Where will the dog be kept when you ARE at home?
Not Home
*
Where will the dog be kept when you ARE NOT home?
Home Visit
*
Will you agree to a home visit as part of the fostering process?
Pets
Does your household currently have pets?
Dogs
*
Include breed, sex, age, temperament, and length of ownership. If not applicable, list N/A.
Cats
*
Include breed, sex, age, temperament, and length of ownership. If not applicable, list N/A.
Pets' Medical Status
*
Check the following that apply for your pets.
*We require all pets have minimum vaccines of rabies and distemper (DAPPv)
Pet Experience
*
Please share any previous dog ownership and/or training experience you have.
Dog Day
*
Please describe a typical day for the foster dog. What type of walks and exercise would you be able to provide to the dog and who will be responsible for walking the dog (you, family member, dog walker, etc)? Please describe your lifestyle so we are able to match a foster dog with the right energy level and temperament.
Dog Experience
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Describe any experience you have had with obedience training, or past personal experience with medical or behavioral issues with pets.
Home Alone
*
How many hours the dog will be left alone at a time (during work hours) and where the dog will be kept when alone?
Sleeping
*
Where will the dog sleep at night?
Training
*
What kind of training experience do you have?
Dog Issues
*
Are you willing to work through unexpected hardships with your foster dog, like house training, separation anxiety, socialization, fear based aggression, adjustments to other pets, and other pets’ adjustment to the new pet?
Dog Outside
*
Do you agree that the dog will not be allowed outside without proper supervision or fence?
Dog Environment
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Do you agree that the dog will live inside your home, and not outdoors or at a business location?
Dog Care
Do you agree to care for the animal in a humanely manner and to be responsible for the animal’s needs including supplying adequate food, water, shelter, regular walks, exercise, and attention?
Dog Medical
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Do you agree to administer monthly heart worm preventative, monthly flea/tick preventative, and bring the dog to the vet (as needed and at the expense of the rescue).
Dog Training
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Do you agree to follow the training protocol as suggested by the directors and coordinators.
Reference Name
*
Reference Phone Number
*
(###)
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Reference Name
*
Reference Phone Number
*
(###)
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FAVOR Family Phone Number
(###)
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Vet Phone Number
(###)
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Landlord Phone Number
(###)
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Criminal Record
*
Have you ever been arrested or had any restraining orders placed against you? If so, please explain.
Disturbance Record
*
Have you ever been involved in domestic disturbances in which the police were called? If so, please explain.
Requirements
*
Signature
*
By typing your name below, you are electronically signing this application.
First Name
Last Name
Today's Date
*
MM
DD
YYYY