MISPITS & FRIENDS RESCUE
Foster Application
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
1. How were you referred to MisPits & Friends Rescue?
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2. List name, age & relationship of all household members:
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3. List name, age, species, and breed of all pets you currently care for: This includes any pet in your household even if you are technically not the responsible party.
*
4. Please select all that apply to your animal(s):
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Spayed/Neutered
Monthly Heartworm preventative
Up-to-date on shots
Monthly Flea & Tick Medicine
4b. If you did not select all four options to the previous question, please explain why:
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5. Please list all veterinarian offices used in the last 10 years, including addresses and phone numbers:
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6. Have you owned any pets in the past 5 years that are no longer in your possession?
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Yes
No
6b. If you answered yes, please explain why:
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7. Are there any other animals besides the ones listed that you have cared for in the last 5 years?
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Yes
No
8. Have you had a dog with parvo, canine influenza, or any other contagious illness in your home in the past 5 years?
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Yes
No
9. Do you own or rent your home?
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Own
Rent
9b. If you rent, please provide your landlord's info below (name, phone, email, best time to contact): Disclaimer: We do check property owner information. If this question is not answered honestly you will be automatically denied.
*
10. Please describe your yard. Do you have a fence? If so is it chain link, privacy, wireless, etc? How tall is your fence? If you do not have a fence, how do you plan to contain the dog when outside? Please explain:
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11. Will the dog be left outside for an extended period of time?
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Yes
No
12. Where will the dog be kept when no one is home?
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13. How do you feel about crate training?
*
14. Does anyone in the home have allergies to dogs?
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Yes
No
14b. If yes, please explain.
*
15. Has anyone in the household ever been arrested, charged, or convicted of animal cruelty or animal hoarding?
*
Yes
No
16. Have you ever fostered for another animal organization?
*
Yes
No
16b. If yes, please name the organization.
*
16c. Are you still in good standing with the above organization?
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Yes
No
16d. If you have fostered before, have you ever returned a foster to the organization before it was adopted? If so please explain why:
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17. How long are you able to foster a dog?
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1 week
1 month
2 months
3 months
As long as it takes for the dog to be adopted
18. What age/gender dogs are you willing to foster? Please select all that apply.
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Male
Female
Gender does not matter
Puppy under 1 year
Adult
Senior
Hospice dog (The dog would stay in your care and we would provide medical treatment until the end of their life.)
Pregnant Mom (They would give birth at your house. Mom and litter would stay until 6 weeks old. We can separate into pairs to other foster homes or they can stay with you.)
I do not have any preferences I just want to foster dogs.
Other
18b. If you selected other or have certain restrictions and limitations on a type of dog you could foster, please explain in detail:
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19. Are you able to transport your foster dog to/from adoption events, vet appointments, or any other event that is sponsored or approved by MisPits & Friends Rescue?
*
Yes
No
20. Some foster dogs may require more attention than others. What could you not handle in a foster dog? Please be detailed:
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21. If a foster dog required more than the normal training/socializing, what would you do to accomodate your foster dog? What methods of training would you seek? Would you be willing to take the foster dog to training provided by MisPits?
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22. Are you looking to adopt and wanting to see dogs in need of fostering?
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Yes
No
23. Are you interested in a fostering to adopt situation?
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Yes
No
24. You understand that if you are approved to foster for our organization you will not be allowed to foster fail with your first two foster dogs.
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Yes
No
25. Reference 1 (non family/household member): Please list Name, number and years known.
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26. Reference 2 (non family/household member): Please list Name, number and years known.
*
27. Signature
*
Submit
Should be Empty: