FOSTER APPLICATION

1
Name* This field is required.
First Name
Last Name
2
Address* This field is required.
Street Address
Street Address Line 2
City
Province
Postal Code
Please Select
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
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
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
Spain
Sri Lanka
Sudan
Suriname
Svalbard
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
United Arab Emirates
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
3
Phone Number* This field is required.
Area Code
Phone Number
4
Occupation* This field is required.
What is your occupation?
5
Email* This field is required.
example@example.com
6
Spouse (if applicable)Spouse's name and occupation
7
Children* This field is required.Do you have children living in the home full or part time? If yes, please list their ages.
Huge
Large
Normal
Small
Ok
Ok
8
PETS* This field is required.Do you have any pets in the home?
YESNO
9
PETSIf you answered yes to pets, please provide details for each (breed, age, temperament)
Huge
Large
Normal
Small
Ok
Ok
10
PetsIf you have dogs in your home, are they spayed or neutered?
YESNO
11
PetsAre you pets up to date on vaccinations?
YESNO
12
Previously owned petsFor pets previously owned but no longer with you, please explain and provide the reason (i.e. passed of illness or old age, re-homed, taken to shelter, euthanized, etc)
Huge
Large
Normal
Small
Ok
Ok
13
Previous foster experienceHave you ever fostered before? If yes, please provide details (which group(s) you fostered for and type of animal, temperament, etc.)
Huge
Large
Normal
Small
Ok
Ok
14
Other experience or skillsSummarize any special skills and qualifications you have acquired from employment, previous volunteer work, or through any other activities and describe how those skills would be beneficial to our organization?
Huge
Large
Normal
Small
Ok
Ok
15
Foster Preferences Do you have any preference for the type of dog you foster (i.e. male, female, puppy, senior, special needs, palliative, etc.)
Huge
Large
Normal
Small
Ok
Ok
16
Temperament/Medical NeedsDo you feel comfortable fostering a dog with behavioural or medical needs?
Huge
Large
Normal
Small
Ok
Ok
17
Training & Discipline MethodsPlease describe the style of training and/or discipline methods used on your current or past pets
Huge
Large
Normal
Small
Ok
Ok
18
Training ToolsDo you currently use or have you in the past used prong collars or shock collars on any pets?
YESNO
19
Your HomePlease describe your current housing (i.e. single home, farm, condo, apartment, etc.)
Huge
Large
Normal
Small
Ok
Ok
20
YardDo you have a yard, and if so, is it fully or partially fenced?
Huge
Large
Normal
Small
Ok
Ok
21
PoolDo you have a pool, and if so, is it fenced from remainder of the yard?
Huge
Large
Normal
Small
Ok
Ok
22
AllergiesDoes anyone in your home suffer from allergies to animals?
YESNO
23
Foster periodAre you willing to foster a dog in your care, for as long as it takes for EBRO to find an adoptive home, barring unusual circumstances? If no, please explain.
Huge
Large
Normal
Small
Ok
Ok
24
Are you willing to take the time to work with a foster dog on housebreaking issues, if the need arises?
YESNO
25
Do you have reliable transportation to take your foster dog to medical appointments, training assessments, and EBRO events, if necessary?
YESNO
26
Home VisitDo you agree to allow an EBRO representative do a home visit to verify your application prior to being approved as a foster home?
YESNO
27
Additional InformationIs there anything that you would like to add or would like us to know:
Huge
Large
Normal
Small
Ok
Ok
28
Signature
Clear
Should be Empty: