VOLUNTEER/FOSTER APPLICATION

Thank you for your interest in volunteering or fostering a dog from A Place of Hope Small Dog Rescue.

So that we may find the right dog for your home, we ask you to answer the following questions as completely as possible.

YOUR INFORMATION

Name *

First Name Last Name

Spouse / Partner Name

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Email *

example@example.com

Phone Number *

Please enter a valid phone number.

Secondary Phone Number

Please enter a valid phone number.

When is the best time to reach you? *

Name of your Emergency Contact Person *

First Name Last Name

Emergency Contact Phone number *

Please enter a valid phone number.

Date of Birth *

Date

HOUSEHOLD

Please list the names, ages and relationship of all adults in the home:

Please list the names, ages and relationship of all children in the home:

How many animals do you own? *

List the names, breeds, sizes and age of each animal in the home:

Are all of your animals spayed/neutered? *

Yes No NA

Are all of your animals up to date on their Rabies and DHPPV shots? *

Yes No NA

Are all of your dogs on Heartworm prevention? *

Yes No NA

This is the brand of Heartworm prevention my dogs are on .

Are your pets on flea prevention? *

Yes No NA

What type of housing do you live in? *

Single family home Apt or Condo Townhouse Other

Do you own or rent? *

Own Rent Live with family

Do you have an inground pool? *

Yes No

If you do have a pool, is it enclosed or fenced off so there is no pet access? *

Yes No

How long have your resided at this address? *

Do you have a fenced in yard? *

Yes No

If you do have a fenced in yard which type? *

3 ft chain link 4 ft chain link 5 ft chain link 4 ft privacy fence 6 ft privacy fence Picket fence Wrought Iron fence Farm fence Other

What is your Veterinarian's name/ Practice name? *

What kind of experience have you had with dogs? *

Dog owner Dog training Vet Tech Groomer Other None

Have you ever fostered an animal before? If so, what was your experience and with what group? *

Will you be using any of these methods to contain your foster dog? *

Crate Puppy Pen Gated off or closed off area Tie Out Outdoor Kennel Free Roam in the house

How many hours each day will the foster dog be left alone? *

Where will the foster dog stay during the day? *

In the house free roaming In the house contained In the fenced yard free roaming In the yard contained I have a doggie door so in and out

Where will the foster dog sleep? *

In a dog bed In a crate In the big bed with me Other

Does anyone in your home have allergies? *

Who will be the primary caretaker of the foster dog? *

If there are no children that live in the home, are there children that visit, for example, grandchildren or children that you babysit? How often are they in your home?

What are the ages of the children?

How often do you travel? Are you planning a vacation in the near future? *

Are you willing to have a representative of APOH Rescue visit your home to determine that it is suitable for fostering? *

Yes No

Are you willing to cover the cost of caring for a foster dog except for medical expenses? *

Yes No

Please provide the names and telephone numbers of 3 personal references:

ALL OF THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE. I UNDERSTAND THAT FALSIFLYING ANSWERS ON THE APPLICATION, OR AT ANY OTHER TIME DURING THE FOSTERING PROCESS, DISQUALIFIES ME FROM FOSTERING.

I understand and agree that it is the decision of the APOH Rescue Board to decide where each dog will be placed. I further understand that dogs may be moved to a different foster home if the board so decides. This decision will be made in the best interest of the dog. Remember the dog is in the care of APOH Rescue but being fostered. *

Yes No

I understand and agree with all information provided to me in my application process. If the animal I foster is on medication I will continue the medication as directed. I will not let the animal loose by itself. If during the time I am fostering the animal it requires medical attention I will contact the President or Vice President of the Rescue first unless it is an emergency. I understand the foster dog is the property of APOH Rescue and will not sell, trade or dispose of the dog. I understand the importance of my own animals being up to date on all standard vaccinations and hav provided APOH Rescue with a current shot record for each one if requested. *

Yes No

I understand and agree with all information provided to me in my application process. If the animal I foster is on medication I will continue the medication as directed. I will not let the animal out loose by itself. If during the time I am fostering the animal it requires medical attention I will contact the APOH RESCUE first unless it is an emergency. I understand the foster animal is the property of the APOH RESCUE and will not sell, trade or dispose of the animal. I understand the importance of my own animals being up-to-date on all standard vaccinations and have provided the APOH RESCUE with a current shot record for each one if requested. *

Yes No

I understand and agree that all vet appointments will be made and approved by the APOH RESCUE Board. No foster will make their own appointments or use a vet other than the one approved by APOH RESCUE’s Board. I further understand that it is my responsibility to transport my foster to and from vet appointments as needed. *

Yes No

I understand and agree that every dog that I foster must have a picture and a Bio on the dog submitted for the Rescue Me site within the first 7 days of intake. This does not mean the dog is ready to adopt but does let us know where each dog is and have a record of the dog's information for all fosters to see. *

Yes No

I understand and agree to bring my foster dog to the monthly adoption event each month. If I can not attend, I will contact another foster to bring my dog or drop my foster up and pick them up so they can be available to potential adopters. Failure to do this may result in termination of your foster status. *

Yes No

I understand that many of the adoptions will be done through private meet and greets. I will be informed when there is an approved applicant by the board. Meet and greets are usually done at the Puppy Pad (8160 Briese Lane, Pensacola). *

Yes No

I understand that anyone interested in adopting my foster dog or puppies (including myself) must go through the standard adoption process, and approval of candidates and placement of animals is up to the APOH RESCUE. (Of course we welcome your input as the caregiver). *

Yes No

I understand that although APOH RESCUE takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the animals' health, behavior or actions. I understand that I receive foster care animals at my own risk and can reject or return any animals for which APOH RESCUE has asked me to provide care. I indemnify and hold APOH RESCUE free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind and description which may occur to or be suffered by me, members of my household, my own animals or any third parties by reason of activities arising out of this agreement. I release APOH RESCUE from responsibility for any diseases that may be contracted by my resident animal(s) from the foster animal.

What type of dog would you like to foster? *

Male Female Either Male or Female Puppies Young dogs (under 2) Young Adult dogs (2 to 7) Senior dogs (8 plus) Special Needs dogs Any dog in need

Signature of Applicant *

Clear

Date *

Date

Last but not least:

We ask you to love and socialize your foster dog.

Give them the love and compassion that they may never have known.

Our Fosters are the best

of the best!!

Application to Volunteer or Foster dogs in home

Pensacola, Fl. 32514 Phone: 850-503-0469