Foster Application Form

Please note, any applications out of the state of New Jersey, will not be accepted.

How did you hear about Heart & Soul Dog Rescue

Full Name*

First NameLast Name

Age

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number - Home*

Area CodePhone Number

Phone Number - Cellular*

Area CodePhone Number

Phone Number - Work*

Area CodePhone Number

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

Please indicate landlord contact information*

If you answered "rent", please email a copy of your pet policy as per your rental agreement to heartsoulrescue@gmail.com after you submit your application.*

Are you able to provide a copy of your lease showing pets are allowed or and email from your landlord ?*

Are there any restrictions from your landlord or subdivision?*

Number of PetsSize or weight restrictionsBreed RestrictionsNone

Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

How many adults in the home ?*

How many children in the home ?*

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to Fostering a Dog?*

YesNo

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm, Living/Deceased)*

Do you have a preference in sex of foster?*

MaleFemaleNo Preference

Are you willing to foster a dog of any age?*

YesNo

If not, what age would you consider?*

Do you have a specific dog in mind to foster ?

What size dog are you willing to foster? (Check all that apply)*

SmallMediumLarge

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) 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?*

YesNo

Do you have any behavior issue experience ?*

YesNo

If Yes please explain your experience:

Are you comfortable using a prong collar if taught properly ?*

If No please explain why:*

Are you comfortable fostering a dog with behavior issue ? ex. fearful with people, not dog friendly etc.*

YesNo

Please explain*

Do you drive or have access to a vehicle to bring your foster to events and appointments*

YesNo

If No please explain

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?*

YesNo

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?*

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog?*

YesNo

If Yes please explain

Do you understand we cannot guarantee the length of stay the Foster Dog will be with you? As we do not have a facility to place the dog in, should it not work out.*

YesNo

If this could be an issue please explain the time frame you had in mind:*

Are you willing to use a crate for a dog if recommended?*

YesNo

Do you have a fenced yard?*

YesNoPartial

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? Please list any near by trails, how many walks a day, approximate length, and activities such as agility.*

Please list 3 personal references (cannot be a family member) with names, phone numbers and how related. Are you ok with this?*

YesNo

Vet Reference: Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Reference #1: Full Name (cannot be a family member)*

First NameLast Name

Relation to applicant(s):*

E-mail*

example@example.com

Phone Number*

Area CodePhone Number

Reference #2: Full Name (cannot be a family member)*

First NameLast Name

Relation to applicant(s): *

E-mail*

example@example.com

Phone Number*

Area CodePhone Number

Reference #3: Full Name (cannot be a family member)*

First NameLast Name

Relation to applicant(s):*

E-mail*

example@example.com

Phone Number*

Area CodePhone Number

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any HEART AND SOUL DOG RESCUE animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless HEART AND SOUL DOG RESCUE and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release HEART AND SOUL DOG RESCUE from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have HEART AND SOUL DOG RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to HEART AND SOUL DOG RESCUE and try to give HEART AND SOUL DOG RESCUE a 2 week period to try and find another suitable foster for the dog(s).

Date*

MonthDayYear

Signature

Name

First NameLast Name

This is a fill in the blanks field. Please add appropriate blank fields and text.