Contact Information

Your Full Name

E-mail Address

Daytime Phone 

Please include area code.

Evening Phone

Include area code.

Cell Phone

Include area code.

Address

City

State

Zip

When is the best time to call?

 Fostering Preferences

 Dog     Cat     Other      Specify Other 

Age preferred:

Do you prefer to foster a male or female animal?    Male  Female  No Preference

Are there any limitations or preferences regarding breed, size, or age of the animal you would be willing to foster?  If so, please specify. 

Are there any limitations regarding the length of time you can provide a foster home?  

Are you willing to foster a previously abused animal?     Yes  No

Are you willing to foster an animal with medical needs?     Yes  No

Are you willing to foster an animal known to have a biting problem?     Yes  No

Are you willing to help with housetraining?     Yes  No

Will you agree to bathe/groom a foster?     Yes  No

Maximum number of hours your fostered pet will be left alone daily?

What provisions will be made for your foster when no one is home?

Other preferences for fostering:

Your new foster pet will take time to adjust to you, the new environment, other pets and new routines.  What do you consider to be a reasonable adjustment period? 

 Fostering Experience

Have you ever fostered an animal before; what kind of animal; for what group?

 Occupation

What is your occupation? 

If you do work outside the home, what hours do you work? 

Do you have the time to offer these needy animals the extra attention and love required for their adjustment prior to adoption?   Yes  No

Where will the animal be kept when you are not home?

 Housing/Landlord Information

Which of the following best describes your current residence? (Check one)
Single Family Home  Apartment Condo  Mobile Home  Other

Do you own or rent?  Own  Rent/Lease  Live with parents  Other

How long have you lived at your current address? 

 Fence/Yard Information

Do you have a completely fenced area in your yard suitable for a dog?  Yes No

If you do not have a fence, how will you handle the foster dog's exercise/toilet needs?

 Household Information

Are there children in the household?  Yes No

Age and gender of children in the home:

Do you have any children that visit frequently?  Yes No

Age and gender of the visiting children:

Ages of adults in your home:

How many hours a day will your rescued pet be alone (without human household members)?

Are there other visitors to your home, human or animal, with which a new dog will have to interact?  Yes No
Explain:

How would you describe your lifestyle?

 Other Animals (Dogs, Cats, Birds, Ferrets, Reptiles etc.)

Are there any other dogs that live in the household?  Yes No

If yes, are they Spayed/Neutered?  Yes No

Are they Socialized?  Yes No

Please list breed, size, age and gender of each of the other dogs in the household.

Are there any cats that live in the household?  Yes No

If yes, are they Spayed/Neutered?  Yes No

Are they Socialized?  Yes No

Any other animals? If yes, describe:

How many dogs have you owned in the past five years?

If you do not still own the dog(s), please describe what happened to it/them. Please be specific.

How many cats have you owned in the past five years?

If you do not still own the cat(s), please describe what happened to it/them. Please be specific.

Have you owned other animals in the past five years?  Yes No    If so, what type?

If you do not still own these other animals, please describe what happened to it/them. Please be specific.

Have you ever owned a dog?  Yes  No  If so, what breed?
Have you ever owned a cat?  Yes  No
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Are you willing to be financially responsible for your rescued pet except for veterinarian expenses? Yes  No

Are you established with a veterinarian? Yes  No

 Your Veterinarian

Please provide the following information so we can contact your current veterinarian.

Vet Name

Vet Address

Vet Phone

Length of time you have used this vet's services:

Do you think your vet would consider giving a discount for treatment of a rescued animal while in foster care?  Yes    No

 Almost Done!

How did you hear about us?  

Any other comments or questions you'd like to add?

Clicking the Submit Button will return you to our website. Please do not click Submit more than once.

The application process may take a number of days, but we will do our best to get back to you as soon as possible.

Submission of this form does not guarantee placement of a foster dog.