Foster Care Application

First Name *
Surname *
Phone Number *
Alternate Phone Number
Email Address * Please take care to enter correctly
Your Date of Birth *
Residency Status *	Choose One NZ Citizen Permanent Resident Other
If answered "other" above please give details:
What is your current employment status? *	Choose One Full-Time Part-Time Casual ACC Retired Work from Home Stay at Home Parent Student Unemployed Other
If answered "other" above, please give details:
If you are employed, what is your current occupation? *
Including yourself, how many people live in your household? *
How long are you able to foster for? *
How many dogs and/or puppies can you comfortably accomodate *
Have you fostered before? *	Choose one Yes No
if yes, please provide details on the animal/s you have previously fostered and the details of the organisation you fostered for
Do you have 24 hour access to a vehicle for appointments or an emergency? *	NoYes
Which best describes your household? * Select as many as applicable	Active Inactive Noisy Quiet Busy
Have you or anyone else in your household: got any pending charges and/or ever been convicted of abuse, cruelty or neglect of a child or animal? *	Choose One Yes No
If yes, please give details:
Your street address (where you live) *
Suburb *
City *
Post code *
How long have you lived at this address? *
Please select your current residence type. *	Choose One House Apartment Flat Townhouse Mobile Home Other
If you answered "other" above, please give details:
Do you own or rent your home? * If renting written confirmation is required from your landlord or property manager that a dog is permitted.	Choose One Own Rent I live with the owner of the home I live with the person who rents the Home Other
If answered "other" above, please give details:
If you rent, do you have written permission from your landlord to have a dog on the property and inside the house? * If renting written confirmation is required from your landlord or property manager that a dog is permitted.	Choose One Yes No Unsure N/A
Do you have a securely fenced yard? *	Choose One Yes No
Please tell us why you would like to be involved in our foster progam: *
Who will have primary responsibility for this dog's care? *
Are you willing and able to exercise the dog on a regular basis? *	Choose One Yes No
Do you currently own a dog? *	Choose one Yes No
If you own a dog, is it currently up to date with: Please email a copy of your dogs current vaccinations	Select all that apply Microchipped Registered Desexed Vacinated worm treatment Flea treatment
Do you currently own any other animals/pets? *	Choose one Yes No
If yes, please provide the names and species of each animal (excluding stock-just name the species):
Have you owned dogs before? *	Choose One Yes No
On average, how many hours per day will the dog spend alone, without human company? *
When the dog is outside, what type of shelter will the dog have? *
Which areas of the house/yard will the dog have access to? (please be specific) *
Are you comfortable fostering a dog that needs toilet training? *	Choose one Yes No Unsure
Are you comfortable fostering a dog that needs on-going medical treatment? *	Choose One Yes No Unsure
Are you comfortable fostering a dog that is NOT cat friendly? *	Choose One Yes No
Are you comfortable fostering a dog that is NOT dog friendly? *	Choose One Yes No Unsure
Are you comfortable fostering a dog that does not like or is fearful of children? *	Choose one Yes No Unsure
Have you had experience with difficult dogs? *	Choose one Yes No Unsure
If answered "yes" above, please give details:
Are you comfortable fostering a dog that requires basic training? *	Choose one Yes No Unsure
Are you comfortable fostering a dog that is fearful. i.e a dog that is timid/wary of new experiences? *	Choose one Yes No Unsure
Are you comfortable fostering a dog that needs careful socialisation with other dogs? *	Choose one Yes No Unsure
Are you comfortable fostering a dog that requires human socialisaton. i.e a dog that is timid/wary of humans at times? *	Choose One Yes No Unsure
It will take a while for your foster dog to adjust to its new environment at your house and sometimes undesirable behaviours can surface as they adjust and try to cope with the extent of the change. Some dogs, through frustration or excitement will chew, dig or scratch - How will you handle any destructive behaviour that occurs? *
Dogwatch utilises a dog-friendly, fear-free approach to training and behaviour modification which is proven to deal with all manner of behavioural and training needs. What is your understanding of how a dog should be trained to do or not do something? *
Do you have any planned holidays? *
If you have holidays planned, please provide details of duration and what care arrangements would be in place during your absence
Is there anything else you would like us to know when considering your application? *
I consent to Dogwatch carrying out a property visit as part of my application. *	Choose One Yes No
I acknowledge: that in completing this application I am not guaranteed to be selected as a foster carer; that Dogwatch reserves the right to refuse any application with or without reason; that if my application is successful it will be pending a property check; that once my property is approved, I will be required to sign a foster agreement with further terms and conditions. *	Choose one Yes No
I certify that all information provided/answers given in this application to become a foster carer are complete, true and not misleading in any way. *	Choose One Yes No
Privacy statement. I understand and agree that this information is being collected by Dogwatch Sanctuary Trust (“Dogwatch”) to assess my suitability to foster a dog; that this information will only be used in relation to this application or a subsequent application; that I have the right to access the information and ask for any incorrect or out-of-date information to be amended; that information within this application will not be made available to any third party without my permission. *	Choose one Yes No
This information has been collected by Dogwatch for the purpose of communicating with you in relation to your application or subsequent application to foster a dog from Dogwatch. Do you give permission for Dogwatch to include you on its email mailing list and to send you correspondence about (but not limited to) promotions, fundraisers and events? *	Choose One Yes No