Volunteer/Foster Application

Wisconsin Boston Terrier Rescue Volunteer/Foster Application
Name*

First NameLast Name
Today's Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Daytime Phone Number*

Area CodePhone Number
Evening Phone Number

Area CodePhone Number
E-mail address*
Are you willing to transport a dog to another rescue person?*

YesNo
Are you willing to pick up a dog from a shelter?*

YesNo
Are you willing to transport dogs back and forth to vet appointments?*

YesNo
Are you willing to do a home visit on a potential new home for a dog?*

YesNo
Are you willing to foster a dog that is suitable for your home environment?*

YesNo
(If you are not able to foster you do not need to complete the remainder of the application - just scroll to the bottom of the form to the "references" section and click "submit" when complete)
How long have you been at your present address?
Do you rent or own your home

OwnRent
* Renters will be asked to email a copy of your lease or notarized statement from their landlord stating that a pet of this size is permitted.

* Proof of ownership/purchasing may be requested.
Will you agree to a home check prior to approval?

YesNo
If no, please explain:
How many adults live in your household?
What are their ages?
Occupation(s):
How many children live in your household?
What are their ages?
Will children be visiting?

YesNo
If there are no children in the home now, do you plan on having children in the future?

YesNo
Who will be responsible for the care of this animal?
Where will the dog be kept during the day?
Where will the dog be kept at night?
Where will the dog be kept when no one is at home?
How long will the dog be left alone each day?
Exercise and elimination will be: (check all that apply)

Exercise pen or runOn leashOn chain or trolleyTotally enclosed fenced yardPartially enclosed fenced yardElectronic/Radio fenceLoose in un-fenced yardIndoor area (papers, etc)
Are there any health issues in your family that would prevent you from properly taking care of this dog?

YesNo
How would you correct a dog that has done something wrong?
What would you do if your dog broke something of value of yours?
Any prior volunteer/foster experience? (please explain)
Please list all pets you currently own or have owned in the past five years:
Animal #1 Type
Name
Breed
Age
Gender
Spayed/Neutered?

YesNo
Where is this animal now?
Animal #2 Type
Name
Breed
Age
Gender
Spayed/Neutered?

YesNo
Where is this animal now?
Animal #3 Type
Name
Breed
Age
Gender
Spayed/Neutered?

YesNo
Where is this animal now?
Have you ever surrendered a pet up to a shelter or rescue?

YesNo
If yes, please explain the circumstances:
Will you consider fostering a Boston Terrier rescue dog that has behavioral problems?

YesNoMaybe
If yes or maybe, please check off behaviors below that you would accept in a foster dog:

Not housebrokenLikes to digBarksJumps up on peopleNot leash trainedHas separation anxietyNipsChews
**Please be aware that most fosters need some type of housetraining whether it be first time or just a refresher. Many of the dogs we take in have spent their lives in a barn or shelter and the entire home experience is new to them. Even in cases where we are told the dog is housetrained, we cannot verify.
Would you consider a foster dog with health problems?

YesNoMaybe
If yes or maybe, please check off health problems that you would accept in a foster dog.

AllergiesDeafBlind3 legsLimpsOn meds
Would you consider fostering a mix or breed other than a Boston Terrier?

YesNoMaybe
Do you agree to return the foster Wisconsin Boston Terrier Rescue if you are unable to care for it for any reason?

YesNo
Do you agree to abide by the procedures established by WBTR for care and adoptions of the dogs?

YesNo
Name of veterinarian:
Phone number of veterinarian:
Are you willing to take foster dogs to WBTR approved veterinarian?

YesNoMaybe
Reference Information

Please list two references we may contact regarding this foster application:
Reference #1 Name*
Reference #1 Relationship*
Reference #1 Phone Number*
Best time to call?*
Reference #2 Name*
Reference #2 Relationship*
Reference #2 Phone Number*
Best time to call?*
Is there anything else you would like to share with us regarding your application?
Please note, the Wisconsin Boston Terrier Rescue reserves the right to refuse any application and terminate any volunteer relationship.
Should be Empty:

Wisconsin Boston Terrier Rescue Volunteer/Foster Application

Reference Information