FOSTER APPLICATION About YOU First Name * Last Name * Date of Birth * Email * Driver's License * Street Address * City * State * Zip * Home Phone * Cell * Work * Employer (optional) How long at current job (optional) Provide two references that are not members of your immediate family: Personal reference #1 * Phone * Relationship * years known * Personal reference #2 * Phone * Relationship * years known * About Your Home Your home is * Owned, by you or your spouse/life partner Owned, by someone else within the house Rented directly from the owner or through a management company Rented as a part of a group of roommates Other Do you live in * House Apartment/Condo Townhouse Other If Other If Other If renting, is your name on the lease? (Yes / No) If "No" please explain If renting, do you have your landlord’s permission to have a dog? If renting, do you have your landlord’s permission to have a dog? Who shares your household? * Spouse/Life PartnerBoyfriend/GirlfriendRoommate(s)Other Are there children in the home? (Yes/No) If yes, how many? How old? * Do you plan to move soon? * YesNo Does anyone in your household have an allergy to dogs that you are aware of? * YesNo Is someone home during the day? (Yes/No) If yes, who? * How many estimated hours will the dog be alone each day? * Do you have a secure fenced backyard and How high is the fence? * When will the dog be inside? * When will he/she be outside? * Where will the dog stay when he/she is home alone? * Indoor/outdoor (doggy-door) Inside only (specify): Run of the house Inside only (specify): Crate Inside only (specify): Specific room(s) Inside only (specify): Outside only (specify): Inside only (specify): Yard Inside only (specify): Garage Inside only (specify): Enclosed patio Inside only (specify): Other Where will the dog sleep at night? * Indoor/outdoor (doggy-door) Inside only (specify): Run of the house Inside only (specify): Crate Inside only (specify): Specific room(s) Outside only (specify): Yard Outside only (specify): Garage Outside only (specify): Enclosed patio Outside only (specify): Dog house Outside only (specify): Other Where will your dog spend most of his/her day when you are home? * Indoors Yard Indoor/Outdoor Garage Enclosed Patio Other If Other or Specific room(s) * If Other or Specific room(s) * About Your Yard Do you have a yard? Yes - Fill out the fields in this sectionNo - Skip this section What outside areas are available to the dog? (check all that apply) Front yard Backyard Enclosed patio Dog house Garage Other Do you have a doggie door? Yes No Is your yard shared with neighbors? Yes No Is your yard fenced? Yes No What is the type of fence? Fence height? Highest point - Lowest Point Are your fences in good condition with no holes or loose points? YESOption 1 If your dog will have free access to a fenced yard, where is it located? FrontyardBackyardSideyard Which of the following is used to secure your gate? LatchKeyed lockPadlockWe do not lock our gateOther If your gate does not have a lock, are you willing to install one? YESNO Who has access to your yard? (check all that apply) Gardner Pool man Utility Postal worker Housekeeper Delivery Neighbor Other Do you trust your workers not to let the dog get out? YESNO If yes, where is the dog kept while they are working? About Your Experience with Dogs How would you describe your dog experience? * I have had dogs of my own as an adult I grew up with dogs or have worked with them but have not had my own as an adult I have never had one or have limited experience with dogs Other If Other How many dogs have you owned/fostered in the past 5 years? What happened to the other dog(s)? Do you currently have pets? YES NO If yes, please complete the following: Type, Breed, Gender, Age, Spay/Neutered? If not, why? How do you feel your current pets will adjust to a new dog in the house? * Why do you want to foster? * Type your FULL Name as your digital signature * Date Today * Submit If you are human, leave this field blank.
