We L
o
ve
Dogs
Foster
Application
F
orm
Name:
*
Full address
*
Landline Phone Number
-
Area Code
Phone Number
Mobile No.:
*
Email
*
example@example.com
Date of Birth:
*
/
Month
/
Day
Year
Date
What is your NZ Residency status:
*
Your Emergency Contact (name):
*
Emergency Contact relationship to you:
Emergency Contact mobile no.:
*
Have you previously fostered for a rescue/rehoming agency? If yes, provide details.
*
What timeframe could you commit to fostering an individual dog?
*
a weekend
a week
two weeks
indefintiely
all of the above
How many people live in your household?
*
One
Two
Three
Four more than four
Do all household members consent to you fostering a dog?
*
Yes
No
Please provide ages of children under 18.
What best described your living situation? e.g. renting
*
Landlords name: (If renting you require your landlords permission)
Landlords Phone Number
-
Area Code
Phone Number
Please describe the current pets in your household:
*
If you currently have a dog(s), are they well socialized with other animals?
*
Yes
No
Comment re socialisation
What is your main reason for fostering a dog?
*
On a typical workday, how long might your foster dog be home alone?
*
How will the foster dog be contained when you are not at home?
*
Please describe your fencing (including height and material)
*
Do you have a current drivers licence? If yes, what is the number?
Have you owned a dog before?
*
Yes
No
If yes, what breed and how long?
*
How would you describe your dog handling experience?
*
Are you aware of your local council by-laws in relation to dogs?
*
Yes
No
Have you ever been disqualified from owning a dog or had a dog classified in any way?
*
Yes
No
Have you ever been convicted of a criminal offence or awaiting the hearing of charges in a civil or criminal court of law. If yes please details?
*
Yes
No
Are you happy for us to proceed with a criminal check if required?
*
Yes
No
Do you have any medical conditions that may be aggravated by fostering or working with dogs? This includes but is not limited to physical ailments, allergies to animals or occupational overuse syndrome.
*
I declare that to the best of my knowledge the information provided in this application is accurate and I understand if any false or misleading information is given, or any material fact suppressed, I will not be engaged or my foster role will be terminated.
*
I agree
Date:
*
/
Month
/
Day
Year
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