Application To Foster (Temporary Housing)

Date(MM/DD/YY):

Name:

Street Address:

City:

State:     Zip Code:

County:

Home Phone Number with Area Code:

Work Phone Number with Area Code:

Driver’s License#:

Date of Birth: 

Social Security#  

Do you presently own any pets?   YES    NO

If yes what kind:

If you own dog(s) are they spayed/neutered?    YES    NO

If not altered, why not:

Do you own your home:    YES    NO

If Yes,

• What type fence:    Chain Link    Wood    Other   

• How high is the fence?   

Where will you keep the dog while you are not home?

Do you have a crate to keep the dog in?    YES    NO

Why do you want to foster a dog?

Are there children presently living in the house?    YES    NO

If Yes,

• What are there ages?   

Have you ever fostered a dog before?    YES    NO

Is there a limit to the length of time you can keep the dog until it gets adopted?    YES    NO

If so,

• How long can you keep the dog?   
• Why is there a limit?
  

How many hours will the dog be alone during the day?   

Do you understand that if you foster, you cannot permanently adopt this dog?    YES    NO

Do you mind if an interested person comes to your home to look at the dog?    YES    NO

Are you willing to bring the dog to the adoption days at pet stores?    YES    NO

Please return this application to:

Rescue Agency:

Street Address:

City:

State:       Zip Code: