Foster Application

Name or description of dog you are interested in.

Full Name of Applicant*

First NameLast Name

Full Name of Co-Applicant*

First NameLast Name

Please list the names and ages of everyone living in the home, starting with the applicant(s).

You must be 18 years of age or older to foster a dog.

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number - Home

Phone Number - Cell

Do you live in a:*

Please list name, relationship to you, and phone number for 2 references.

Do you:*

OwnRentLive with ParentsOther

If Renting: Please provide landlord contact information

Written documentation to prove a dog is allowed is required.

Household Setting

RuralCitySuburban

Describe the Activity Level in your Home

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Do you agree to a home visit?

YesNo

Does anyone in your Household have Allergies to Animals?

YesNo

Are all members of your family agreeable to fostering a Dog?

YesNo

Please list all pets you currently own.

	Name	Type	Breed	Sex	Altered	Vaccines UTD	HW Flea/Tick
1.
2.
3.
4.
5.

Veterinarian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number *

Please be sure to give your vet authorization to speak with us.

Do you have a preference in the sex of foster?*

MaleFemaleNo Preference

Are you willing to foster a dog of any age?*

YesNo

If not, what age would you consider?

What size dog are you willing to foster? (Check all that apply)*

SmallMediumLarge

If you have really set specifications about a dog you will foster, please describe here.

Are you willing to commit to the care of your foster dog for an undetermined amount of time until he/she is adopted? If not, How long are you willing to care for your foster dog?*

Are you willing to take your foster dog to vet appointments at a convenient time for you?*

YesNo

Are you willing to give your foster dog any necessary medications, including monthly preventative ones?*

YesNo

Are you willing to make your foster dog available for potential adopters?*

YesNo

Are you willing to help transport your foster animal to potential adopters? *

YesNo

Supplying food, treats and toys for your foster dog helps the rescue reduce expenses, but does not affect approval of your application. SMAR will provide food, treats, and toys if applicant chooses not to.

Are you willing to provide food, treats, and toys for your foster animal while in your care?*

YesNo,

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?*

YesNo

Do you feel you could handle caring for a dog that has been abused or neglected?*

YesNo

Have you ever had experience with a previously abused or neglected dog? (Previous experience is not required.)*

YesNo

If Yes please explain

If a disciplinary or behavioral problem arises with your fosters, are you willing to work with him/her?*

YesNo

Are you willing to use a crate for a dog if recommended?*

YesNo

Are you willing to keep the dog inside at all times except for potty breaks and playtime?*

YesNo

Do you have a fenced yard?

YesNo

If fenced, what type and height is the fence? How many gates are there and do they have locks?

If you do not have a fenced yard, what are your plans for potty, exercise, and playtime for the dog? Please list any nearby parks or trails you plan to use.

How many hours in a day would the foster be left alone?*

Do you understand that SMAR is the legal owner of your foster animal and that no decisions can be made regarding that animal without approval from a SMAR representative except in the case of a life or death emergency?*

YesNo

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any SMAR animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless So MD Animal Rescue and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release So MD Animal Rescue from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have So MD Animal Rescue complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to So MD Animal Rescue and try to give the rescue at least a 2 week period to try and find another suitable foster for the dog(s).

Your name*

Date*

DOG FOSTER APPLICATION