Foster Application

Why are you interested in fostering a dog for Rescue Me Pawsome Style Inc. (a 501(c)(3) nonprofit dog rescue located in Medina, OH)? *
This Is there a specific dog you are interested in and, if so, what is the dog's name? blanks
Have you previously fostered any animals? *

Yes No
If you have fostered previously, please list the organization for whom you fostered, their contact info, the animal(s) name(s) and the year you provided fostering services.
GETTING TO KNOW YOU!
Your Full Name *

First Name Last Name
Age *
E-mail *
Phone Number - Home *

Area Code Phone Number
Phone Number - Cellular *

Area Code Phone Number
Do you: *

Own Rent Live with Parents Other
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you live in a (choose one): *
If renting, please indicate landlord contact information
Household setting *

Rural Suburban Urban
Describe your home's activity level *

Busy/Noisy Moderate Comings/Goings Quiet with Occasional Guests
Please list all people living in the household. Include name, relationship, gender and age: *
Does anyone in your household have allergies to animals? *

Yes No
Are all members of your family agreeable to fostering a dog? *

Yes No
Please list any pets you have currently living in your home. Include the type of pet, pet's name, breed (if a dog), age, sex and vaccination status. *
Do you have a preference in sex of foster? *

Male Female No Preference
Are you willing to foster a dog/puppy of any age? *

Yes No
If not, what age would you consider?
What size dog are you willing to foster? (Check all that apply) *

Small Medium Large
Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level) We always want to make sure we have the best fit for our foster homes. *
Are you willing to take your foster dog 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 events and appointments *

Yes No
If No please explain
Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative? *

Yes No
We cannot guarantee a dog to be housebroken. Are you willing to train with love and patience? *

Yes No
Have you had any experience with with an emotionally or physically neglected or abused dog? *

Yes No
If Yes please explain
Have you had any experience with a medical needs dog (injured, blind, deaf, diabetic, etc.)? *

Yes No
If yes, please explain
Are you willing to use a crate for a dog if recommended? *

Yes No
Do you have a fenced yard? *

Yes No Partial
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 dog/puppy? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility. *
REFERENCES
Veterinarian Reference: *

Name of Organization Veterinarian's Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email *
example@example.com
Phone Number *

Area Code Phone Number
Personal Reference #1: Full Name *

First Name Last Name
Relation to applicant(s): *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Personal Reference #2: Full Name *

First Name Last Name
Relation to applicant(s): *
E-mail
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Personal Reference #3: Full Name *

First Name Last Name
Relation to applicant(s): *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Email
example@example.com
ALMOST DONE!
Date *

Month Day Year
Your name *
Signature *

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GETTING TO KNOW YOU!

REFERENCES

ALMOST DONE!