Dog Foster Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Employment & Length
*
Name of animal Interested In
*
Do you currently?
*
Own
Rent
Lease
Do you currently live in
*
House
Apartment
Condo
Other
How long have you lived at current address?
*
Previous Address is current address has been less than 3 years
Address
City
State
Duration
Address 1
Address 2
Address 3
Are animals allowed at your house?
*
Yes
No
How many kids live in your home?
*
How many adults live in your home?
*
Children's ages:
Does anyone in your household have allergies to the animals?
*
Yes
No
Who will be responsible for the care of this animal?
*
Please list all persons living with you
Name
Age
Relationship
Person 1
Person 2
Person 3
Person 4
Person 5
Is everyone in your home aware that you have applied to foster?
*
Yes
No
Is everyone agreeable to having a foster at home?
*
Yes
No
Please list any fostering limitations you may have.
*
Please list all animals currently in your home
Name
Age
Breed
Current on Vaccines
Spayed/Neutered
Animal 1
Animal 2
Animal 3
Animal 4
Animal 5
Current animals veterinarian name & phone number
What are you interested in fostering?
*
Bottle Babies
Over 8 Weeks
Adult
Seniors
Special Needs
Nursing Mother
Pregnant
Traumatized
Have you ever fostered before?
*
Yes
No
Do you have experience caring for bottle babies
*
Yes
No
Do you have experience dealing with special needs - medical
*
Yes
No
Do you have experience with traumatized animals
*
Yes
No
Are you able to get your foster animal to adoption events, meet & greets or vet appointments
*
Yes
No
Do you have room to isolate fosters from other animals in the house for a period of 10-14 if needed
*
Yes
No
Do you foresee any significant changes in your life in the next 6 months?
*
Please list any limitation you may have
*
Please list any areas of interest
*
Person to contact in case of emergency
*
Name
Number
Relationship
Emergency Contact 1
Please provide 3 references NOT related to you
*
Name
Relationship
Contact Information
Reference 1
Reference 2
Reference 3
Anything else you would like to add?
*
Date
-
Month
-
Day
Year
Date
Printed Name
*
E-Signature
Submit
Should be Empty: