First Name *
Last Name *
Age *
Street Address 1 *
Street Address 2
City *
State *
Zip code *
Phone Number *
Email Address *
How did you hear about us? *
How many adults (over the age of 18) are in your household? *
Please provide the first and last names of all adults in the household: *
How many children (under the age of 18) are in your household? *
What are the ages of any children in the household?
Do you live in: *
House
Apartment
Condo
Duplex
Mobile Home
Town Home
Do you: *
Rent
Own
How long have you lived at this address? *
If renting, are there pet or breed restrictions? *
No
Yes
If yes, please explain
If renting, please provide your landlord's name and phone number:
Please list your current pets (Cat/Dog, Breed, Name, Age, M/F, Altered?, How long owned?):** Type N/A if you do not currently have a pet *
Do any other animals live in your home besides those you own (for example a roommate's pet or an animal you are watching for someone else temporarily or for an extended period)? *
No Yes
If yes, please explain.
Who will be the primary care taker of your foster animal(s)? *
Describe your yard: *
No Yard
Unfenced Yard
Partially Fenced Yard
Completely Fenced Yard
Height of fence:
Made of:
Wood
Chain Link
Brick
Other
If other, please explain:
If you don’t have a fenced in yard, do you agree to keep your foster dog on leash at all times outside? *
No
Yes
How would you describe your experience with animals? (Check all that apply). *
Never owned a dog
Had a childhood pet
Have experience working with on-going medical problems with a personal dog
Have experience working with behavioral problems with a personal dog
Am a professional dog trainer
Had one or more as an adult
Have experience with powerful breeds
Have experience working at a boarding kennel/resort/pet sitting service etc.
Have experience working in a veterinary hospital
Have previous foster/rescue experience (if yes, please provide explanation below)
Explain previous experience
Do you have experience with (check all that apply)
Small Dogs
Medium Dogs
Large Dogs
Cats
List experience with specific breeds
What type of animal are you interested in fostering? (Check all that apply). *
Adult Dog
Puppies
Mother with nursing puppies
Unweaned puppies
Sick Animals
Injured Animals
Animal with behavioral issues
Long-term hospice care
Pit Bull/Bully Breeds
How many hours during the AVERAGE day will this dog spend WITHOUT a human? *
Where will this animal be when someone is home? *
Where will this animal be when alone? *
Where will this animal sleep at night? *
Will your schedule change in the near future? (If yes, please mention any work or other schedule changes that will impact the dog's care or time with humans) *
What situations do you feel unprepared for? (Check all that apply). *
Administering medications
Destructive Chewing
Not house trained
Resource (food/toy) aggression
Escaping
Digging
Shy, fearful, or under socialized
Not good with children
Not good with other dogs
Not good with small animals/cats
Scratching/ Biting
Excessive Barking
Providing on-going training
Very high activity level
Deaf/Blind Dogs
Unsocialized Dogs
Do you have a preference on size? *
No
Yes
If yes, please explain *
Do you have a specific breed preference? *
No
Yes
If yes, please explain *
Do you have an age preference? *
No
Yes
If yes, please explain
Please tell us anything else you would like us to know to help match you up with the right foster animal: *
I have read and understand the statements above. I certify that all the information contained in this application is true and correct. I understand that although Furever After Rescue takes reasonable care to screen animals for foster care placement, it makes no guarantees relating to the animals’ health, behavior or actions. I understand that I receive foster care animals at my own risk and can decline to accept any animal for which Furever After Rescue has asked me to provide care. I acknowledge that Furever After Rescue is not responsible for any property damage or personal injury suffered by me, members of my household, including my own animals, or any third parties during a foster placement, and I assume liability to provide adequate controls to prevent such damage or injury. Potential Foster Signature: (please use mouse to sign and clear to redo signature) *
Clear
Date *
