Empowering Pawz Foster Application

IMPORTANT! PLEASE READ!

Empowering Pawz is a 100% Volunteer Based Rescue based out of Calabash, NC. We are made up of a team of volunteer directors who work together to ensure we are supporting our local community shelters across the Carolinas. We are also a 100% Foster Based Rescue. What this means is that we do not have a physical location. We believe that the dogs we bring in will be most successful by placing them into a loving, safe home that fits both the foster and the dog. We thank you in advance for taking the time to fill out this application!

Due to our Team of Directors being Volunteers and having full-time jobs, you may be asked to assist in taking your foster dog to vet/vaccine appointments, meet and greets to potentail adopters, bringing your foster dog to events and meeting at a designated area for supplies pick up. Please note on your application if you are not comfortable with any of the above requests.

Let's begin your Fostering Journey!

How did you hear about us?

Facebook or other Social MediaA friendFrom an EventOther

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 - Cellular*

Alternate Phone Number

Do you live in a:*

Do you:*

OwnRentLive with Parents (Parent(s) must consent to fostering)Other

If Renting: Does your landlord and/or property Allow Pets?

If Renting: Please provide landlord contact information.

Are there any Breed Restrictions in your living community or landlord requirements?

If yes, Please indicate breed restrictions.

Describe the Activity Level in your Home

Busy/NoisyModerate Comings/GoingsQuiet 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?*

YesNo

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

YesNo

Do you currently have any pets in the home?*

Please List any Pets you have Living in your home currently with age.

Name of Pet, Type of Pet, Breed, Age or N/A if none

Please provide pictures of your Pets. (Not Mandetory)

Are All Pets in your Home Altered?*

All Dogs in the Foster Home must be Altered unless the dog is not of age or has a medical condition not allowing the dog to be altered. If no, this will be reviewed by the Rescue Director for approval.

Would you be willing to have a Team Member from Empowering Pawz call your veterinarian for a reference check? (Please authorize vet to speak with us)*

YesNoN/A no current pets

Veterinarian Name*

Clinic Name. Please put N/A If none.

Phone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you willing to provide your pet(s) health/vaccine records to a Team Member of Empowering Pawz?*

YesNoN/A

What timeframe are you considering fostering? Please note, if you are looking to foster 3 months past the application date, you may be required to fill out a new application.

I'm Ready NowIn the next MonthIn the next 2-3 Months

How long are you willing to foster?*

Temporary (a few days to a week)Short Term (1-4 weeks)Long Term (Until the Dog(s) Are Adopted)Other

Unless an Emergency Situation arises, do you agree to give a Director of Empowering Pawz up to 2 weeks to find a new, suitable foster for your foster dog if you are not able to foster for the dedicated length of time?*

YesNo

Do you have a preference in the sex of foster?*

MaleFemaleNo Preference

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

YesNo

If no, what age would you consider?

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

Small (5-30 lbs)Medium (30-40 lbs)Large (above 40 lbs)

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?*

YesNo

If No, please explain

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

YesNo

We cannot guarantee a dog to be housebroken. Are you willing to appropriately work with a dog on potty training and/or take suggestions from our team members?*

YesNo

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

YesNo

If Yes please explain

Under what circumstance would you need to return your foster dog to one of our directors? *

We cannot guarantee a dog's temperament or behavior. Please describe how you would handle the foster dog if he/she is showing signs of fear/resource aggression or guarding?*

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 at a given time?*

What are your plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility*

Please Check Any Boxes that you are NOT comfortable doing with your foster dog.

Taking your foster dog to a vet/vaccine appointment *We have vet partners from Wilmington, NC to Myrtle Beach, SC. We will work with a vet partner in your area.Bringing your foster dog to an event. Events are typically held between Wilmington, NC to Myrtle Beach, SC. *Please comment in the box below if there is a specific mile radius of your home that you would not consider bringing your foster dog to.Crate/House/Potty TrainingUsing "slow/managed" introductions to any current pets in your home or pets you may meet while out on walks/social situations.Meet and greets with potential adopters. Our directors pre-screen all potential adopters and will recommend public spaces for you to meet with a potential adopter. A director will walk you through the meet and greet process. A foster will never be asked to accept money from a potential adopter.

Please use this space to let us know anything else that you would like to add about yourself!

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 Empowering Pawz 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 Empowering Pawz 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 Empowering Pawz from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to walk (if old enough) the foster dog(s) on a leash at all times unless they are housed in a securely fenced area.

I agree to comply to any restrictions required for the Foster Dog by a Director of Empowering Pawz.

I agree to follow proper steps detailed in the foster FAQ Form regarding emergencies. In the case of emergency, the foster parent(s) must contact a Director before seeking medical treatment or seeking outside assistance.

I agree to have Empowering Pawz complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I must leave town, I am required to let a let a Director of Empowering Pawz know if I plan to take the foster dog with. I understand that I may not transfer the dog to another home, family member, neighbor or Dog Boarding Facility unless pre-approved by a Director of Empowering Pawz.

VERY IMPORTANT: I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Empowering Pawz and attempt to give Empowering Pawz a 2 week period to find another suitable foster for the dog(s).

Click to edit

Date

Hour MinutesAM/PM Option

Your name*

Parent or Co-Applicant name (if applicable)

Empowering Pawz Dog Foster Application