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Dog Foster Application

Foster

1Applicant

2Family

3Home

4Care

5Preferences

Hidden
Default Status
First Name*
Last Name*
Date of Birth*

mm/dd/yyyy
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
Home Phone Number
Work Phone Number
Cell Phone Number*
- Preferred Method of Contact*
Employment & Schooling
- Are You Employed?*
  - Yes
  - No
  - Retired
- Name of Employer

- Type of Residence*
- Please Describe Type of Residence*
- Do You Own or Rent?*
- Does Landlord Allow Dogs?*
  - Yes
  - No
- Are There Any Breed Or Size Restrictions?*
- Please Provide Landlord's Name*
- Please Provide Landlord's Phone Number*
Yard Information
Do You Have A Yard?*
- Yes
- No
Is The Yard Fenced?*
- Yes
- No
How High Is The Fence?*

Family & History
What Type Of Household Do You Have?*
Please Describe*
Is Any Member Of Your Household Allergic To Dogs?*
- Yes
- No
Alone Time
Where Will The Dog Be When Alone?*
Please Describe Where The Dog Will Be*
What is The Longest Time The Dog Will Be Alone (without humans)?*
Behavior & Training
Dogs Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Dog Comfortable In Your Home?*
- Yes
- No
Do you understand that the animals’ behavior in the shelter may be different than the behaviors exhibited in the home?*
- Yes
- No
What Behaviors Can You Tolerate (AND WORK ON)?
Needs Social Skills*
Accidents In The House*
Inappropriate Chewing*
Excessive Barking*
Digging*
Separation Anxiety*
- Other
  - Yes
  - No
- Please Explain Other Behaviors You Cannot Tolerate*
- What Are Your Plans For Training The Dog?*
- Please Describe Your Training Plans*
Personal Reference
Please Provide a Personal Reference
Please Provide Reference's First Name*
Please Provide Reference's Last Name*
Please Provide Reference's Phone Number*
Relationship To Applicant*
Foster Care
Please describe any experience or special training you have had that may help you to understand and deal with potential problems a rescue dog may have:*
Are you willing to foster a dog with medical needs which may require trips to a veterinarian?*
- Yes
- No
Are you willing to foster a dog who may need training for behavior problems?*
- Yes
- No
Do you understand that the foster dog is the property of the Rescue and can be removed from the foster family by the Rescue or their representatives at any time and without prior notice?*
- Yes
- No
Do you understand that the foster dog must be treated as a housedog and a member of the family and in no case kept in any other manner?*
- Yes
- No
Do you understand that any foster dog entrusted to your care must be provided adequate food, water, affection, socialization, training, exercise and medical care?*
- Yes
- No
Do you understand that a foster family must provide a securely fenced yard or other safe means for exercising the dog and that under no circumstances is the dog to live or be kept out-of-doors?*
- Yes
- No
Do you understand that under no circumstances shall the foster dog be sold, abandoned, relinquished to a pound, shelter or other rescue group, transferred or given to any other individual or to any establishment for the purpose of resale, nor to any research institution?*
- Yes
- No
Do you understand that the Rescue and its representatives have limited information about the temperament and habits of the rescued dog?*
- Yes
- No
Do you agree to provide the Rescue with an assessment of the dog’s interaction with the potential adoptive family and give an impression of the likely success of such adoption?*
- Yes
- No
Are you willing and able to evaluate the personality and temperament of a foster dog to determine the best type of adoptive home? i.e. a home with children; adult home only; home with other animals; needs to be an only dog, etc*
- Yes
- No
Are you willing to foster a dog who has been abused and/or neglected who may require special attention and lots of love and reassurance?*
- Yes
- No
Do you understand that no decisions may be made regarding veterinary care (including euthanasia,) or placement without the prior approval of the Rescue?*
- Yes
- No
Do you understand that under no circumstances will a foster dog be used for breeding?*
- Yes
- No
Do you understand that a foster family is expected to provide basic training to help increase the successful transition into a permanent home?*
- Yes
- No
Do you understand that if the foster family finds it can no longer keep the dog in their care, they shall notify the Rescue immediately?*
- Yes
- No
Do you understand that in the event the foster family wishes to permanently adopt the rescue in their care, an Adoption Application must be filed and, if approved, an Adoption Placement Contract must be signed?*
- Yes
- No
Do you understand that the foster family must ensure that the rescued dog is not allowed to run loose, injure or be injured by another animal or by any person?*
- Yes
- No
Do you agree to cooperate in accommodating those who wish to see the rescued dog?*
- Yes
- No
Is there anything else you would like to tell us about the care you would give a needy foster dog?

Would You Consider:
Select all that apply.
Two Dogs*
A Pregnant Dog*
Fostering Bottle Babies*
An Entire Litter Of Puppies?*
A Dog That Can Be An Only Pet?*
A Dog That Is Afraid Of Small Children*
A Dog That Needs Medications?*
- 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
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:*
All dogs placed through the {Humane Society of the High Plains } will have health checks, personality and temperament evaluations. I understand that this is a preliminary application and that there may be no dog available to foster at this time. 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 {Humane Society of the High Plains} 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
Name
This field is for validation purposes and should be left unchanged.

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