FOSTER Home Application

Foster Home Application
SSRR serves the States of Alabama, Arkansas, Florida, Georgia , Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas and Virginia ONLY. We do not adopt to any states other than those we serve as we have no resources in those states.
Do you live in one of the Southern States that SSRR covers?*

YesNo
This form may not be compatible with some smartphones and tablets. It is highly recommended that you use a laptop or desktop computer to submit your application. What are you using to fill out this application?*

LaptopDesktop ComputerSmartphoneTablet
Personal info:
First Name:*
Last Name:*
Age*
E-mail Address:*
example@example.com
Street Address::*
Street Address: Line 2:
City:*
State:*
Postal/Zip Code:*
Home Phone*
Work Phone
Cell Phone*
Your Employer*
May we call you at work?*
May we call for a reference?*
Spouse/Significant Other Name:

First NameLast Name
Spouse/Significant Other Email:
example@example.com
Spouse/Significant Other Phone
Spouse/Significant Other Hours at Work:
EMERGENCY CONTACT:
Emergency Contact's Name:

First NameLast Name
Emergency Contact's Email:
example@example.com
Emergency Contact's Phone Number:
Please enter a valid phone number.
When are you available to foster*

ImmediatelyWithin the next monthWithin the next 6 months
Is there a particular dog you are interested in fostering?*
Name of dog you are interested in fostering. Please put N/A if you do not have a particular dog you are interested in.*
Do you do rescue on your own?*
If so please explain.
Do you work with another Rottweiler Rescue?*
If so please explain and give the Name, Address, Phone # & E-Mail Address of the other rescue.
What experience or special training would qualify you as a Southern States Rescued Rottweilers, Inc. foster volunteer?*
If you currently have a dog or dogs, what is the extent of their obedience training? If you have never had Basic Dog Obedience Training for a large breed dog, SSRR will assist you in finding an approved course.
Why have you chosen Rottweiler Rescue?
Can you foster a dog until a permanent home can be found or other arrangements made?*
If not, please estimate a maximum time frame
The dog you foster MUST get along with (check all that apply):*

MenWomenYoung Kids (12 and under)Older kids (over 12 years)LARGE Male dogsLARGE Female dogsSmall Male dogsSmall Female dogsCatsLivestock
The dog you foster (check all that apply)*

As close to perfect as possibleShould be an easy dog with little to no issuesCan have issues that I am willing to deal/help with
What types of activities will you participate in with your Rottweiler?
Do you have any health issues that would limit the type of dog you can foster?*
If Yes, Please explain the type of dog you are able to foster.
Children living at home:
Child #1 Name:
Child #1 Age:
Child #2 Name:
Child #2 Age:
Child #3 Name:
Child #3 Age:
Child #4 Name:
Child #4 Age:
Child #5 Name:
Child #5 Age:
Does anyone else live in your home?*
Others living in the home:
Person #1 Name

First NameLast Name
Relationship
Person #2 Name

First NameLast Name
Relationship
Person #3 Name

First NameLast Name
Relationship
Please indicate which best describes your current living situation:*
Type of environment:*
Do You*
If you rent, please provide the following:
Landlord's Name
Landlord's Name

First NameLast Name
Landlord's Phone Number:
How long have you lived at this address?*
If < 2 years, previous address and landlord
Do you have a fenced yard?*
Type and height of fence:*
Is the fence secured underground?*
Is the gate padlocked?*
If no fence, are you willing to have one installed?
Do you have a homeowners or renters insurance policy?*
Name of insurance company:*
What is the maximum number of dogs/pets allowed by city ordinance?*
Do you own a Dog Crate?*
If so, what type and size is the crate?
If you do not own a crate are you willing to buy one and crate train the rescue?
If no, please explain why?
Is someone home during the day?*
If not, where will the dog stay while you are gone?
Where will the dog be kept most of the time?*
If kept outside, will you have a: (Dogs are not to be chained or tied out and left at any time)
Have you fostered any animal in the past?*
What kind of animal?
Through which agency (name, phone number)
Have you ever fostered or owned a Rottweiler?*
Would a male or female Rottweiler fit better in your home?*
Age range?*
Other criteria for dog you'd be willing to foster:*
Are you willing to provide transportation to and from the vet, adoption sites, etc. as needed?*

YesNo
What are you willing to provide for a foster Rottweiler (food, shelter, training, activities)?*
We require that all SSRR foster dogs be put on heartworm and flea/tick preventative. Do you understand you must put your foster dog on, and keep him/her on) these preventatives?*
Will you need assistance paying for food, heartworm preventative or flea and tick preventative?*
If you answered YES to the above question, which will you need assistance paying for?
Pet information:
Do you currently have other pets?*
a. How Many Dogs/Cats Do You Currently Have?
Dogs:
Cats:
b. Dogs:

List ALL dogs currently living in your home.
1. Dog's Name:
Sex:
Breed:
Age:
Spay/Neutered?:
Taking Heartworm Preventative?
Preventative Brand:
Current on Vaccines?:
Year Acquired:
How Acquired:

AdoptedPurchasedStrayGift
IF Adopted, Name of Animal Shelter or Rescue Group:
City / State:
Approximate Age of this Dog when acquired:
Training: What is the extent of this Dog’s training? (Check all that apply)

Professional TrainerObedience ClassBehavioral TrainingI trained this dogThis dog was already trained when I got itNoneOther
Explanation of Other:
In your opinion, this Dog is now:

Well trainedNeeds additional training
2. Dog's Name:
Sex:
Breed:
Age:
Spay/Neutered?:
Taking Heartworm Preventative?
Preventative Brand:
Current on Vaccines?
Year Acquired:
How Acquired:

AdoptedPurchasedStrayGift
IF Adopted, Name of Animal Shelter or Rescue Group:
City/State:
Approximate Age of this Dog when acquired:
Training: What is the extent of this Dog’s training? (Check all that apply)

Professional TrainerObedience ClassBehavioral TrainingI trained this dogThis dog was already trained when I got itNoneOther
Explanation of Other:
In your opinion, this Dog is now:

Well trainedneeds additional training
3. Dog's Name:
Sex:
Breed:
Age:
Spay/Neutered?:
Taking Heartworm Preventative?
Preventative Brand:
Current on Vaccines?
Year acquired:
How acquired:

AdoptedPurchasedStrayGift
IF Adopted, Name of Animal Shelter or Rescue Group:
City/State:
Approximate Age of this Dog when acquired:
Training: What is the extent of this Dog’s training? (Check all that apply)

Professional TrainerObedience ClassBehavioral TrainingI trained this dogThis dog was already trained when I got itNoneOther
Explanation of Other:
In your opinion, this Dog is now:

Well trainedNeeds additional training
4. Dog's Name:
Sex:
Breed:
Age:
Spayed/Neutered?
Taking Heartworm Preventative?
Preventative Brand:
Current on Vaccines?
Date acquired:
How acquired?

AdoptedPurchasedStrayGift
IF Adopted, Name of Animal Shelter or Rescue Group:
City/State
Approximate Age of this Dog when acquired:
Training: What is the extent of this Dog’s training? (Check all that apply)

Professional TrainerObedience ClassBehavioral TrainingI trained this dogThis dog was already trained when I got itNoneOther
Explanation of Other:
If you have never had Basic Dog Obedience Training for a large breed dog, SSRR will assist you in finding an approved course.
5. Dog's Name:
Sex:
Breed:
Age:
Spayed/Neutered?
Taking Heartworm Preventative?
Preventative Brand:
Current on Vaccines?
Year acquired:
How Acquired?

AdoptedPurchasedStrayGift
IF Adopted, Name of Animal Shelter or Rescue Group:
City/State:
Approximate Age of this Dog when acquired:
Training: What is the extent of this Dog’s training? (Check all that apply)

Professional TrainerObedience ClassBehavioral TrainingI trained this dogThis dog was already trained when I got itNoneOther
Explanation of Other:
If you have pets that are not spayed or neutered, please explain why:
Have you ever had a pet hit by a car?*
Please list all the animals you have owned in the past 10 years and what happened to them:*
What do you enjoy most about dog ownership?*
What do you like least about dog ownership?*
List any Humane Societies, Kennel Clubs, Breed or Training Clubs you are associated with:*
We will attempt to provide you with an honest evaluation of temperament on any dog we have to place.
Do you realize that often times the complete history of a Rottweiler may not be known and you may encounter some behavioral problems?*
Are you willing to work with us on correcting these problems?*
REFERENCES

Please list the names and telephone numbers of 3 references not related to you. If you do not currently have pets under vet care, please provide a 4th reference.

We will not begin processing this application without First and Last name of references and full 10 digit phone numbers.
Veterinarian Name:*
Veterinarian Phone:*
PREVIOUS Veterinarian Name THIS IS REQUIRED IF YOU HAVE BEEN WITH YOUR CURRENT VET FOR LESS THAN 2 YEARS. (Put N/A if this does not apply):
PREVIOUS Veterinarian Phone THIS IS REQUIRED IF YOU HAVE BEEN WITH YOUR CURRENT VET FOR LESS THAN 2 YEARS. (Put N/A if this does not apply):
Reference #1 Name:*
Relationship:*
Reference #1 Phone Number:*
Reference #2 Name:*
Relationship:*
Reference #2 Phone Number:*
Reference #3 Name:*
Relationship:*
Reference #3 Phone Number:*
Reference #4 Name (IF NO VET REFERENCE):
Relationship:
Reference #4 Phone Number:
By submitting this form I give SSRR permission to contact my personal and vet references.
Other Volunteer Activities

Would you like to volunteer to help with any of the activities listed below?
Transport?*
If you can Transport, please provide vehicle license plate:
Transportation - specify locale, type vehicle, distance.
Home Checks?*
Home Checks/Follow up visits - specify area
Fund Raising - Raffles, Bumper Stickers etc.*
Returning Phone Calls?*
Checking References?*
Special Projects - Grants, Acquisitions etc.*
Staffing Educational Booths?*
Evaluating/Photographing Dogs for Adoption?*
Veterinary Services?*
Tattooing Services*
Training?*
What type of training?
Other Help
How did you hear about Southern States Rescued Rottweilers, Inc.?*
By signing below, Applicant certifies that the above information is true and understands that, prior to being approved to foster, this information will be carefully scrutinized, including a background check, in order to verify.

Once your veterinarian and person references have been contacted, a home visit will be scheduled. All members of the household must be present.

Applicant certifies that he/she is financially and physically able to care for the animal.

The fostered Rottweiler will be spayed/neutered, current on vaccinations and on heartworm preventive medication prior to being adopted. SSRR pays for all medical needs.

SSRR reserves the right to make random visits, if necessary, to ensure the fostered dog is being properly cared for, and if it is not, to remove the dog from the premises.

SSRR reserves the right to decline any application.

A foster home is a temporary home for one of our Rotties until a permanent home is found for the dog. A foster home provides the love and shelter for the dog while SSRR provides and pays for all medical needs. Fosters provide the home, love and food. Being a foster home is not easy. Taking a Rottie into your home, caring for him, loving him, and then letting him go to a new forever home can be very difficult. But, fostering can also be the most rewarding and fulfilling thing a true dog lover can ever do to support dogs in need.

Fostering a dog is a commitment to a LIFE!. It should not be taken lightly as we do not take it lightly. This is a life that you are asking us to entrust you with. Fostering is also a commitment of time that you will spend with the dog you foster, making him/her part of your family. Some dogs are adopted in 30 days (the minimum amount of time a dog must be in foster care) while others take longer. If you do not have the time to spend with a new dog or cannot make the commitment then please do not submit this foster application.

"I/we hereby state that neither I/we nor anyone in my/our household, nor anyone who will have access to or care for this dog, has ever been charged with or convicted of any offense involving animal neglect, abuse, or cruelty, regardless of any dismissal or deferred prosecution or other expunging of the records. I/we understand and agree that if this statement is found to be incorrect, without further evidence of any other contract violation, the Rescue may immediately obtain return of all animals fostered by me/us, without refund of any sums paid, donated, or expenses incurred. Further, it is agreed that I/we shall pay all costs of the recovery and return of said dog(s) incurred by said Rescue."
Full Name

First NameLast Name
Signature (re-type email address):*
example@example.com
Should be Empty:

Foster Home Application