TLC Rescue: Dog Adoption Application

Harlee's Angels Rescue, Inc.

Volunteer and Foster Application
Submitting this application does not mean you are committing to a dog, nor does it guarantee you will be approved to volunteer or foster. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

Please help us with this process by answering the following questions fully and completely. THANK YOU!
Applicant's Name *
First & Last Name
Co-Applicant's Name
First & Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Applicant's E-mail *
Co-Applicant's E-mail *
Phone Number *

Area Code Phone Number
Phone Type *

Cell Home Work
Names and ages of all permanent residents of your home (adults/children) *
Do you currently have any pets? *

Yes No
If you currently have pets, please list them below.
Are your current pets altered?

Yes No Will be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
Vet reference (please call your vet and give permission to release information to us) *
Vet name, address & phone number
One Personal References *
Are you planning to move in the near future? *

Yes No
If moving soon, to what city/state?
When will you be ready to foster a dog? *

Today This weekend Within a week Within a month Volunteering only, not fostering
Are you a foster with any other rescues or shelters? *

Yes, application is pending to foster Yes, currently foster for one or more rescues or shelters No
Is anyone in your home allergic to dogs? *

Yes No
Does anyone in your home fear dogs? *

Yes No
Does anyone in your home smoke? *

Yes No
Are you familiar with dog regulations in your area? *

Yes No
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
If yes, please describe local dog regulations and restrictions:
I/We live in a *

Single Family Home Duplex/Twin Condo/Townhome Mobile Home/Trailer Apartment Camper/RV
Do you rent or own this property? *

Rent Own
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

Yes No Not yet, but I will It's written in our lease
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.
Do you have a yard? *

Yard, fenced with a vertical fence Yard, fenced with invisible fencing Yard, no fence No yard (apartment/condo/townhome)
If vertical fence, what is your fence height?

2' high 3' high 4' high 5' high 6' high
Do you work outside the home? *

Yes No One applicant is home/works from home We work different shifts
If you both work outside the home, how many hours per day are you away?
How many hours per day will this dog be alone? Please explain. *
Have you discussed this fostering and/or volunteering with all members of your household? *

Yes No Yes, adults have discussed. Kids don't know yet.
We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a foster dog added to the family. Please do not submit this application if you are "trying to talk someone into" fostering this dog or think "once they meet the dog, they will want to". In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
Upon meeting the dog, what would give you cause to not want to foster it? Please explain. *
What activity/energy level do you prefer? *

Wild and crazy is cool Leash trained daily jogging partner would be excellent Medium energy, plays a bit then hangs out with you Low energy, walks slowly on leash, a total couch potato
Please check all that apply. My foster dog will...

Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be crated when we are not home Have free reign of the house when we are not home Be taken to formal obedience classes Be trained by me/us Take frequent car rides with us Be kept on a lead line/cable in the yard Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children Must be housebroken prior to fostering Will be housetrained by us Will be walked more than one mile per day every day Will be walked occasionally Be attending formal group obedience classes with us Have private sessions with a trainer as needed Be attending agility classes Be taking frequent car rides/trips with us Be boarded when we go on vacation Stay with family when we go on vacation Be going camping with us Be going on boat trips with us Be outside with a dog house in a fenced area Be outside chained/tethered to a dog house Be free roaming on the farm (unfenced)
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with while fostering? *

Housebreaking Chewing Jumping Pulling on leash during walks Counter surfing Obedience training Fear of men Fear of women Fear of children Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training) Growling Barking Rough play with my dog High activity level Food/toy aggression/not willing to share with other dogs Food/toy aggression with people Whining/crying Counter surfing Blindness Limited Sight Deafness Separation Anxiety Diabetes Special Diet Long Term Medication Incontinence / Leaking Urine Taking classes with the dog Gets stressed/carsick when riding in vehicle Doesn't know how to climb stairs Can't climb stairs due to age/arthritis/health issues Heart condition Skin allergies Food allergies Trimming nails Yeast on coat or in ears Ear mites Fleas Ticks Heartworm treatment I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs. Take to vet appointments.
Where will your foster dog sleep? *

In a crate, not allowed in our bed at all In our bed, if it wants Wherever it wants to sleep In our room on the dog bed
Who will be responsible for the animal? *
If necessary, how will you discipline the animal? *
Have you had any experience with an emotionally or physically neglected or abused dog? *
If yes, please explain in the box above.
Are you willing and able to medicate your foster, even if its just montly heartworm preventative? All medication is provided by the rescue. *
Most of the dogs we get into rescue are not fully housebroke. Are you equipped to train with LOVE and PAITENCE? *
We get puppy mill/breeder release dogs. They are usally unsocialized, scared and not housebroken. Are you willing to read the information given to you about these dogs on how to help them, listen to and follow our Director and Medical Directors advice when fostering these dogs? *
Are you willing to take your foster to vet appointments at a convenient time for you? *

Yes No
Do you drive or have access to a vehicle to bring your foster to the vet, events and/or appointments? *

Yes No
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know?? *
I understand that completing this application does not guarantee I will be allowed to foster a dog and that the application is a tool to help Harlee's Angels Rescue, Inc determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the foster dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from Harlee's Angels Rescue, Inc to contact my vet for a reference and also agree to allow a home visit prior to fostering this dog. If I am approved to foster a dog, I agree to hand sign a foster contract.

I understand that all rescue dogs from Harlee's Angels Rescue, Inc are the sole property of Harlee's Angels Rescue, Inc and I have no legal rights to the dog.
Please read the above, check this box, sign, and click Submit. *

I/We have read and understand all of the above.
Applicant's Signature *

Clear
Co-Applicant's Signature

Clear
Signature date *
After you submit this form, we will review the submission and contact you as soon as we can. Feel free to email us with any questions:

info@harleesangles.com

Harlee's Angels Rescue, Inc reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.

Lee Stevens lee@harleesangels.com

Tami Fowler tami@harleesangels.com

We are Registered, 501(c)3 Non-Profit Organization
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Harlee's Angels Rescue, Inc.