Dog Foster Application

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First Name*
Last Name*
Age Range*
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
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?*
- Name of Employer*
- How Long Employed There?*
- Are You In School?*
  - Yes
  - No
- Full or Part Time?*

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.
Are There Other Adults In The Home?*
- Yes
- No

Add Adults

First Name	Last Name	Age Range	Actions

There are no Adults.

Are There Children In The Home?*
- Yes
- No

Add Children

Name	Age	Gender	Previous Experience with Dogs	Actions

There are no Children.

Are There Other Dogs In The Home?*
- Yes
- No

Add Dogs

Dog's Name	Breed	Age Range	Gender	Actions

There are no Dogs.

Are There Other Pets In The Home?*
- Yes
- No

Add Pets

Pet's Name	Animal Type	Sleeping Quarters	Actions

There are no Pets.

Would You Consider:
Select all that apply.
A Mixed Breed Dog*
A Pregnant Dog*
Fostering Bottle Babies*
Two Dogs*
A Dog That Can Be An Only Pet?*
A Dog That Needs Medications?*
- A Dog That Is heartworm positive*
- A Dog That Has a Serious Health Condition?*
- Please Select All Health Condition(s) You Would Accept:*
- A Dog Who Needs Training For A Behavior Issue?*
- Please Select All Behavior Issue(s) You Would Accept*
- A Dog That Has Special Needs?
- Please Select All Special Needs(s) You Would Accept:*
  Select All That Apply
A Dog That is Not Completely Housebroken?*
Select Gender*
Select Age Range*
Select All That Apply
Select Temperament*
Select All That Apply
Do You Have a Preferred Dog?
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 understand that most foster dogs are coming straight from a shelter environement and will need time to decompress. I have reviewed the foster decompression guidleines and other resources on the foster tab and will follow decompression recommendations to ensure a smooth transition. I have read and agree to the foster cotract. 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 the {RescueGroupName} that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Dog becomes available. I understand and agree *
- I agree
Phone
This field is for validation purposes and should be left unchanged.

Foster

Employment & Schooling

Yard Information

Family & History

Feeding & Exercise

Sleep & Alone Time

Behavior & Training

What Behaviors Can You Tolerate (AND WORK ON)?

Personal Reference

Personal Reference 2

Veterinarian Information

Trainer Information

Foster Care

Would You Consider:

Authorization

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