We want to help place dogs with a responsible individual or family in a safe and loving environment. Please feel free to fill out this application. Our foster coordinator will reply to you shortly, and hopefully we can all begin to help rescue a homeless dog!

Date of application:

Applicant Information

First name of applicant:

Last name of applicant:

Age of applicant:

Address:

City:

State:

Zip code:

Home phone number:

Work phone number:

Cell phone:

Email Address:

How did you hear about us?

Type of residence: single family home condo apartment farm duplex other

Do you have a fenced yard? Yes No

If yes, how high is the fence?      Kind of fence:

Does your housing situation impose limits on the size or breed of dog you can have?

If you rent, is there a deposit or fee required to have a dog? Yes No N/A

Do you have a letter/permission from your landlord to have a dog? N/A Yes No

Landlord's name:

Landlord's phone number:

Please list all household members (If children, list ages):

Do you have pets? Yes No

If yes, please list species, breed, sex, age, spayed/neutered of each:

Are your pets current on all their vaccinations? Yes No

Have they had a Bordetella (Kennel Cough) vaccine? Yes No

Name of current pet's veterinarian.

Phone number for current pet's veterinarian.

Where will your foster dog spend the day?

Where will your foster dog spend the night?

How long will your foster dog be alone on a typical day?

Approximate amount of time a day that will be spend in play/exercise, and type of activity:

An adoptable dog needs to be socialized in order to become comfortable with all kinds of people and environments. What socializing activities will you provide for you foster dog?

Who will care for your foster dog when you go on vacation, or in emergencies?

Have you ever obedience trained your dog(s)? (not necessarily formal or extensive training, just successful!) Yes No

What obedience skills have you taught your dogs?

What type of training/correction methods do you use to teach discipline to your dog(s)?

Are your dogs potty-trained? Yes No

Do you crate-train your dogs? Yes No

Do you prefer a certain size or type of dog?

Do you have an age and/or sex preference?

Are you willing to housebreak a dog (adult or puppy)? Yes No

Why do you want to foster a dog?

Anything we have left out you would like to mention?