First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone*

Text/Pager Email*

Are you planning on attempting to adopt your foster dog or cat? If so, please fill out an adoption application as we do not allow first-time fosters to adopt their foster dog or cat.

Please list ALL household members by name, relation, and AGE (including yourself). *Note: Foster must be at least 25 years of age.*

Are there any special needs children in the home?*
Choose one: Yes No

Are you applying to foster dogs, cats, or both?

Are all members in the home in agreement to foster a pet?*
Choose one: Yes No

Does anyone living in the home have pet allergies?*
Choose one: Yes No

Do you own or rent your home*
Choose one: Rent Own

If you rent, do you have the approval of your landlord to have an animal?*
Choose one: Yes No N/A

If you rent, please enter your landlord's name, phone number, and email address. (Your application will NOT be processed without this information).

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

How long have you lived at the address above? If less than 1 year please provide your previous address. *

What type of fence do you have?

What is the height of your fence?*

What size is the fenced area of your yard?*
Choose one: Small Medium Large Extra Large

If no fence, how do you plan to exercise your dog?*

Do you have dog/cat door? If yes, where does it lead? *

Please tell us about each of your current pets including type of animal, name, age, and any behavioral issues.*

Are all of your dogs and/or cats spayed/neutered?*
Choose one: Yes No

If you have a dog or cat that has not been spayed or neutered please explain why.

Are all dogs and cats residing in your home on heart worm preventative?

What type of heart worm preventative are you currently providing for your dog(s) and/or cat(s)?*

Veterinarian's Name and Phone Number*

Please list all previous dogs and cats you have had as an adult (you were the primary caregiver and had financial responsibility for the animal). Please include the length of time you owned the pet and why you no longer have them. Include name and breed. Do not list current pets here.*

What type of dog/cat are you interested in fostering? Breed, Size, Gender, Age, etc.*

Are there any dog behaviors that you ARE NOT willing to work with?

Please check ALL cat behaviors you are unwilling or unable to deal with, tolerate, or work through until resolved.

Are you willing to foster a dog/cat with medical needs?*

Who in the household will be the primary caretaker? *

Where will the foster dog/cat be kept when you are not home?*

How much time will your foster dog/cat spend alone during the day?*

Where will your foster dog/cat spend time when you are at home? *

Where will your foster dog/cat sleep?*

How much time will the foster dog receive exercise per day? How much human interaction will the dog/cat receive daily? *

What is your primary source to exercise the foster dog? ( Daily walks, dog park, backyard, doggie daycare, etc)

Do you have any experience with rescued dogs or cats?*

Are you willing to work with a rescued dog or cat to prepare them for adoption? (potty training, crate training, basic home manners, leash training, helping the shy dog or cat gain confidence, etc)*

Have you ever fostered a rescued dog or cat before?*
Choose one: Yes No

Would you consider your home:*
Choose one: Extremely Active Somewhat Active Mostly Quiet Very Quiet