Foster Application
Applicant's General Information
Full Name of Applicant
*
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Occupation/Employer:
*
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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Iraq
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Israel
Italy
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Japan
Jersey
Jordan
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Kenya
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North Korea
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Laos
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Lebanon
Lesotho
Liberia
Libya
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Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
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Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Co-Applicant (Spouse, significant other, roommate), if applicable:
Co-Applicant's Email, if applicable:
Co-Applicant's Occupation/Employer, if applicable:
Please list all pets in your household. Include both current AND past.
*
Rows
Name
Species & Breed
Age
Gender
Spay/ Neuter?
Temperament
Residing with you?
.
.
.
.
For any pet no longer residing with you, please tell us why the pet is no longer in your home:
Please list all the people in your household. .
*
Rows
Name
Age
Self
Person #2
Person #3
Person #4
Person #5
Is everyone in the household on board with fostering a dog?
*
Yes
No
Do you have your heart set on one specific 12:10 dog? If so, who is that? It helps us to know whether you are only applying for a particular dog or are flexible in your options.
*
Yes
No
Name of dog you would like to foster:
Please select the types of dogs you are open to fostering (multiple-choice):
Small dogs
Medium and large adult dogs
Senior dogs
Dogs with medical needs
Shy or undersocialized dogs
Couch potatoes
Running buddies
Dogs that need help learning people manners
Dogs that need help learning dog manners
No preference
Your Environment
Do you own or rent? Is this a house, condo or apartment?
*
We welcome fosters who rent or live in an apartment or condo. Some landlords have size and breed restrictions, limits on number of pets, and/or additional fees. Is the dog you are interested in allowed at your residence?
Do you have a physical fenced yard? (This is not necessarily a requirement but helps us to adapt a plan tailored to your home.)
*
Yes
No
If you do have a fence, please describe: height, material, approximate size of enclosure:
Please describe approximately how many hours the dog will be left alone daily, and where the dog will be when left alone:
*
Transportation
As the ultimate goal for our dogs is to be adopted, some transportation may be required such as bringing the dog to local adoption/fundraising events or meet and greets. Will you make a reasonable effort to transport the dog?
*
Yes
No
Similarly, are you able to transport the dog to scheduled veterinary appointments, and if needed, emergency care?
*
Yes
No
Almost Done!
Have you ever fostered a dog from a rescue organization or shelter?
*
Please list one personal reference (not a household member), including name, relationship to you, and phone number:
*
Reference #2; Name, Relationship, Phone, Email
*
(Optional) Is there anything else you would like us to know?
The complete 12:10 K9 Rescue foster process includes a phone interview, personal reference check, and meeting. Submission of this application confirms that you understand and agree to the need for screening of fosters and certify that the information supplied on this application is true and correct. Please initial here that all your responses are truthful and complete.
*
Submit
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