Do you have any experience with rescue dogs, foster/volunteering, etc.?
YesNo

Applicant’s Full Name:

Applicant’s Address:

Apt. #:

City:

State:

Zip:

Email address:

Phone Number:

What type of home do you live in?
Single familyMulti-familyTownhouseCondoApt

How long have you lived at this address?

Do you own or rent?
OwnRent

If you rent, does your landlord allow pets?
YesNo

Do you have any other pets in your household?
YesNo

If yes, please provide details of each pet, age, gender, dog/cat friendly, etc.:

What size/age dog are you looking to foster?
SmallMediumLargeNo preference

What age:
Puppy6 mo. – 2 yrs.2 -5 yrs5+Seniors only

What energy level?
LowMediumHighNo preference

What gender?
MaleFemaleNo preference

Do you have any breed restrictions? Please explain:

Including yourself, how many people live in your household? Please list ages/relations of all those who live in your home:

How often will the dog be in contact with children?

Is everyone in your household on board with fostering a rescue dog?

Does anyone in your home have allergies to dogs or cats?

Where will the dog be kept when household members are home?

Where will the dog be kept when household members are NOT home (be specific)?

On average, how many hours per day will your pet be left alone?

Describe type and frequency on how you plan to exercise your dog:

Will you be able to provide basic obedience training? For example, house, leash, and crate training, also sit, down, come, etc.?

Have you ever sold, given up, or rehomed a dog?

What circumstances would be cause for you to return a foster dog?

Application signature:

Date:

Are you over the age of 18?
yesno

Have you ever fostered a cat or kitten before?
YesNo

What cats would you be willing to foster? (e.g., Seniors, adults, kittens, special needs, kitten pairs, etc.)

Name of applicant:

Street address:

City/State/Zip:

Phone #:

E-mail:

How long have you lived at this address?

If less than 3 years, please provide previous address:

Do you own this residence or rent?
OwnRent

If you rent, please provide your landlord’s name and phone number:
Landlord's name:

lLandlord's phone number:

Are you adopting for yourself or someone else?
MyselfSomeone else

If for someone else, please provide their name and address:
Name:

Address:

Who resides in this household?

If under the age of 18, please provide their ages:

Does anyone in the home have any known allergies to animals?
YesNo

If yes, how are they controlled?

Do you currently own any animals?
YesNo

If yes, please provide their names, ages, and what type of animal:

Have they been spayed or neutered?
YesNo

Are they current on vaccinations?
YesNo

Have they been tested for feline leukemia?
YesNo

Have they been tested for FIV?
YesNo

Are they declawed?
YesNo

Are any of your cats declawed?
YesNo

If you have cats, how many hours a day do they spend outside?

Are all members in your household in agreement to fostering a rescued animal(s)?
YesNo

Do you have a separate room or space to quarantine new fosters in your home if you do have other animals in the home?
YesNo

Please provide the names and phone numbers of 2 personal references (not immediate family):

Veterinarian offices require their clients to provide permission before giving any information to our rescue organization. In an effort to save time, please contact your veterinarian ahead of submission of this application.
Name of veterinarian:

Phone Number:

Past Veterinarian Information:
Name:

Phone Number:

Submission of this application does not guarantee the fostering of an animal(s). Applications usually take 3-5 days to process. Please understand that we are all volunteers and life can get in the way, so please be patient with us. Thank you.