Foster Application form

No Mutts Left Behind Foster Application

*we provide all food, crates, vetting, etc. while you foster at no cost to you. All vetting MUST be through No Mutts Left Behind while in foster. Please contact your vet and give them permission to speak with us.
Full Name*

First NameLast Name
Age*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Home

Area CodePhone Number
Phone Number - Cellular*

Area CodePhone Number
Do you live in a:*
Do you:

OwnRentLive with ParentsOther
If Renting: Please indicate landlord contact information*
Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional GuestsOther
Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*
Does Anyone in your Household have Allergies to Animals?*

YesNo
Are all members of your Family agreeable to Fostering a Dog?*

YesNo
Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)*
Current Vet name, address and phone number. Please list the name on the account. *
Do you have a preference in sex of foster?*

MaleFemaleNo Preference
Are you willing to foster a dog of any age?*

YesNo
If not, what age would you consider?
What size dog are you willing to foster? (Check all that apply)*

SmallMediumLarge
Are you able to start fostering immediately?*

YesNo
Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes.
Are you willing to meet with staff to pick up monthly preventatives or drop off foster for vet appointments?*

YesNo
Are you willing to bring your foster dog to scheduled meet and greets?*

YesNo
Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?*

YesNo
We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?*

YesNo
Have you had any experience with with an emotionally or physically neglected or abused dog?*

YesNo
If Yes please explain
Are you willing to use a crate for a dog if recommended?*

YesNo
Do you have a fenced yard?*

YesNoPartial
If fenced, please give details on height, material, # of gates, are gates locked or lockable?
How many hours in a day would the foster be left alone?*
What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.
Should be Empty:

No Mutts Left Behind Foster Application