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Dog Foster Application

Foster

Foster form information fields

1Applicant

2Family

3Home

4Care

5Preferences

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Default Status
First Name*
Last Name*
Age Range*
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
Home Phone Number
Work Phone Number
Cell Phone Number*
- Preferred Method of Contact*
Employment & Schooling
- Are You Employed?*
  - Yes
  - No
  - Retired
- Full or Part Time?*
- This field is hidden when viewing the form
  Are You In School?*
  - Yes
  - No
- This field is hidden when viewing the form
  Full or Part Time?*
- How Did You Hear About Us?*
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  What Is Your Friend's Name?*
- This field is hidden when viewing the form
  Which Shelter?*
- This field is hidden when viewing the form
  Which Rescue?*
- Please Describe*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Adults
Are There Other Adults In The Home?*
- Yes
- No
How Many?*
Adult 1
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Age Range*
Relationship To Applicant*
Please Describe*
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Are They Employed?*
- Yes
- No
- Retired
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Full or Part Time?*
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Are You In School?*
- Yes
- No
This field is hidden when viewing the form
Full or Part Time?*
Adult 2
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Age Range*
Relationship To Applicant*
Please Describe*
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Are They Employed?*
- Yes
- No
- Retired
This field is hidden when viewing the form
Full or Part Time?*
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Are You In School?*
- Yes
- No
This field is hidden when viewing the form
Full or Part Time?*
Adult 3
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Age Range*
Relationship To Applicant*
Please Describe*
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Are They Employed?*
- Yes
- No
- Retired
This field is hidden when viewing the form
Full or Part Time?*
This field is hidden when viewing the form
Are You In School?*
- Yes
- No
This field is hidden when viewing the form
Full or Part Time?*
Adult 4
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Age Range*
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Gender*
Relationship To Applicant*
Please Describe*
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Are They Employed?*
- Yes
- No
- Retired
This field is hidden when viewing the form
Full or Part Time?*
This field is hidden when viewing the form
Are You In School?*
- Yes
- No
This field is hidden when viewing the form
Full or Part Time?*
Children
Are There Children In The Home?*
- Yes
- No
How Many?*
Child 1
Age*
Previous Experience with Dogs*
Child 2
Age*
Previous Experience with Dogs*
Child 3
Age*
Previous Experience with Dogs*
Child 4
Age*
Previous Experience with Dogs*
Dogs
Do You Now or Have You Ever Had a Dog?*
- Yes
- No
How Many?*
Have you ever taken care of a dog before (ie dog walker, dog sitter, etc) or have any other dog experience?*
Please Describe*
Dog 1
Dog's Name*
Where Did You Get The Dog?*
Please Explain*
Is Dog Still Living With You?*
- Yes
- No
Which Years Owned*
How Long Did You Own Him/Her?*
Why not?*
Why was dog euthanized?*
Please Describe The Situation:*
Please Describe The Situation:*
Please Describe*
Breed*
Age Range*
Gender*
Status*
Please Explain Why Not*
Sociability*
Up To Date on All Vaccines?*
- Yes
- No
Vaccinated Annually?*
- Yes
- No
Up To Date on Heartworm Prevention for Every Season?*
- Yes
- No
Dog 2
Dog's Name*
Where Did You Get The Dog?*
Please Explain*
Is Dog Still Living With You?*
- Yes
- No
Which Years Owned*
How Long Did You Own Him/Her?*
Why not?*
Why was dog euthanized?*
Please Describe The Situation:*
Please Describe The Situation:*
Please Describe*
Breed*
Age Range*
Gender*
Status*
Please Explain Why Not*
Sociability*
Up To Date on All Vaccines?*
- Yes
- No
Vaccinated Annually?*
- Yes
- No
Up To Date on Heartworm Prevention for Every Season?*
- Yes
- No
Dog 3
Dog's Name*
Where Did You Get The Dog?*
Please Explain*
Is Dog Still Living With You?*
- Yes
- No
Which Years Owned*
How Long Did You Own Him/Her?*
Why not?*
Why was dog euthanized?*
Please Describe The Situation:*
Please Describe The Situation:*
Please Describe*
Breed*
Age Range*
Gender*
Status*
Please Explain Why Not*
Sociability*
Up To Date on All Vaccines?*
- Yes
- No
Vaccinated Annually?*
- Yes
- No
Up To Date on Heartworm Prevention for Every Season?*
- Yes
- No
Dog 4
Dog's Name*
Where Did You Get The Dog?*
Please Explain*
Is Dog Still Living With You?*
- Yes
- No
Which Years Owned*
How Long Did You Own Him/Her?*
Why not?*
Why was dog euthanized?*
Please Describe The Situation:*
Please Describe The Situation:*
Please Describe*
Breed*
Age Range*
Gender*
Status*
Please Explain Why Not*
Sociability*
Up To Date on All Vaccines?*
- Yes
- No
Vaccinated Annually?*
- Yes
- No
Up To Date on Heartworm Prevention for Every Season?*
- Yes
- No
Other Pets
Are There Other Pets In The Home?*
- Yes
- No
How Many?*
Other Pet 1
Animal Type*
Pet's Name*
Sociability*
Is There Any Additional Information You Would Like to Add?*
Other Pet 2
Animal Type*
Pet's Name*
Sociability*
Is There Any Additional Information You Would Like to Add?*
Other Pet 3
Animal Type*
Pet's Name*
Sociability*
Is There Any Additional Information You Would Like to Add?*
Other Pet 4
Animal Type*
Pet's Name*
Sociability*
Is There Any Additional Information You Would Like to Add?*

Residence
- Type of Residence*
- Please Describe Type of Residence*
- Do You Own or Rent?*
- Does Landlord Allow Dogs?*
  - Yes
  - No
- Are There Any Breed Or Size Restrictions?*
- Please Provide Landlord's Name*
- Please Provide Landlord's Phone Number*
Yard Information
Do You Have A Yard?*
- Yes
- No
Is The Yard Fenced?*
- Yes
- No
How High Is The Fence?*
What Is The Lowest Point of The Fence?*
What Material Is The Fence Made From?*
Please Describe Fence Material*
Is The Lawn Treated?
- Yes
- No
Do You Have A Pool?*
- Yes
- No
Is The Pool Completely Fenced?*
- Yes
- No

Family & History
- What Type Of Household Do You Have?*
- Please Describe*
- Do All Family Members Want to Foster A Dog?*
  - Yes
  - No
- Please Explain Who Doesn't and Why They Don't*
- Is Any Member Of Your Household Allergic To Dogs?*
  - Yes
  - No
- Does Any Member Of Your Household Smoke?*
  - Yes
  - No
Sleep & Alone Time
- Where Will The Dog Sleep?*
- Where Will The Dog Be When Alone?*
- Please Describe Where The Dog Will Be*
What is The Longest Time The Dog Will Be Alone (without humans)?*
Behavior & Training
- Dogs Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Dog Comfortable In Your Home?*
  - Yes
  - No
What Behaviors Can You Tolerate (AND WORK ON)?
Needs Social Skills*
Accidents In The House*
Inappropriate Chewing*
Excessive Barking*
Digging*
Separation Anxiety*
- Other
  - Yes
  - No
- Please Explain Other Behaviors You Cannot Tolerate*
Foster Care
Have you worked with rescues in the past or are you currently working with a rescue?*
- Yes
- No
Please Provide Rescues name and dates with rescue*
Do you understand that the foster dog is the property of the Rescue and can be removed from the foster family by the Rescue or their representatives at any time and without prior notice?*
- Yes
- No
Do you understand that the foster dog must be treated as a housedog and a member of the family and in no case kept in any other manner?*
- Yes
- No
Do you understand that any foster dog entrusted to your care must be provided adequate food, water, affection, socialization, training, exercise and medical care?*
- Yes
- No
Do you understand that the Rescue and its representatives have limited information about the temperament and habits of the rescued dog?*
- Yes
- No
Do you agree to provide the Rescue with an assessment of the dog’s interaction with the potential adoptive family and give an impression of the likely success of such adoption?*
- Yes
- No
Are you willing to provide written progress reports to the Rescue's representative?*
- Yes
- No
Do you understand that no decisions may be made regarding veterinary care (including euthanasia,) or placement without the prior approval of the Rescue?*
- Yes
- No
Are you willing to drive foster dog to events and vet visits*
- Yes
- No
Do you understand that if the foster family finds it can no longer keep the dog in their care, they shall notify the Rescue immediately?*
- Yes
- No
Do you understand that in the event the foster family wishes to permanently adopt the rescue in their care, an Adoption Application must be filed and, if approved, an Adoption Placement Contract must be signed?*
- Yes
- No
Do you understand that the foster dog must be properly harnessed and leashed when outside and not in a fenced area*
- Yes
- No
Do you agree to cooperate in accommodating those who wish to see the rescued dog?*
- Yes
- No
Is there anything else you would like to tell us about the care you would give a needy foster dog?

Would You Consider:
Select all that apply.
A Pregnant Dog*
Fostering Bottle Babies*
An Entire Litter Of Puppies?*
A Dog That Needs Medications?*
- A Dog That Has Special Needs?*
- Please Select All Special Needs(s) You Would Accept:*
  Select All That Apply
Select Gender*
Select Age Range*
Select All That Apply
When Will You Be Ready To Foster?*
Is There Anything Else You Would Like to Let Us Know?
I am interested in receiving pet related services and products
- Yes
- No
Authorization
Authorization:*
I further understand that all information on my Preliminary Rescue Foster Application will be kept confidential; that my application will be kept on file until I notify Spot's Last Stop that I am no longer interested in fostering. I understand and agree *
- I agree
Phone
This field is for validation purposes and should be left unchanged.

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