Make your own free website on Tripod.com
Foster Application

Please make sure you have read and agree to the foster guidelines before filling out this application.  It will answer all your questions regarding foster home requirements.



It's Easy To Apply: Print the application form and send it in. (Copy/Cut/Paste) to your word processing applications if needed.  You can also send it as an attachment in email to:  mistyrobi@juno.com

Or mail to:  Misty Robison
                    2521 Garrett Hollow Road
                    Bowling Green, KY 42101-6516
Questions? Please email me at above addy.  After receiving this application, I will put it on file, and whoever needs foster in your area, I will forward this on.  If there is a particular dog that you want to foster on my page, please specify that, and I'll forward this on to the appropriate person.

         Date___________

     Name of Applicant___________________________________________________________
     (must be at least 18 yrs. of age)

     Street Address_______________________________________________________________

     City, State, Zip_______________________________________________________________

     Phone(___)________________________   Email:___________________________________

     Name of co-applicant________________________________________________________

     Relationship: (circle choice) spouse / parent / child / roommate / other____________  

     Applicant's employer________________________________________________________

     position_______________________________ Phone(___)__________________________ *

     Co-applicant's employer______________________________________________________

     position_______________________________ Phone(___)__________________________ *


      * We request permission to contact you during work hours if necessary.

1. Please explain why you would like to foster:______________________________________

      __________________________________________________________________________

     1a. Check what you can foster: sick ____Injured____ Healthy_____
           Nursing Mother & Pups_____

           Behaviorial/ temperament problems ____ such as ________________________________
     1b. How many dogs can you foster at one time?       1 only  /  1 - 2  /  3 - 5  /  as necessary

     Do you understand that most foster animals need daily medication, special feedings,  
     veterinarian care and lots of love and attention?

     Can you provide the time necessary to care for this animal until it is adopted? Yes  or  No
     Please explain:_____________________________________________________________________

     Medical Procedures are up to the individual Rescue Organizations.  Since I am NOT 501(c)(3), it will be most likely to the rescue org., who has the dog, to provide the medical care.  If the dog belongs to individuals, we will try our best to work something out.
     Do you have any concerns with this? If so please explain:

     ___________________________________________________________________________
     ___________________________________________________________________________

     Are you willing to give this pet time to adapt to his/her new environment and family members
     ( at least 30 days )?__________________

     Do you understand this animal may not be housebroken and are you willing to take the time to
     work with the animal?_________________

     Obedience training might be determined necessary for the animal you foster. Would you be  
     willing to do the necessary training which might include taking it to obedience/ behavior  
     classes?

     ___________________________________________________________________________

      __________________________________________________________________________

2. Where do you live? RENT___ OWN___ live with parents___
     house ___/  townhouse ___/ apartment___/ condo___/ duplex___/mobile home___/
     other_______________________________________________

     Are there any covenants (restrictions) that prevent you from having a pet?  Yes  or  No  
     (If yes, please explain:)

     __________________________________________________________________________

     2a. How long at this residence?_____ years  _______ months

3. Do you have permission from this property owner to have a dog?  Yes  or  No
     or ______not applicable.

     (Proof of ownership, or lease with pet clause may be requested.)

     3a. If renting, please provide your landlord's name, address and phone number:

    __________________________________________________________________________

4. Where will this pet be kept while you are away or at work?
    during the day? _______________________________________________________________

    at night?_________________________________________________________________

5. Is anyone home during the day? Yes or No

     who?_______________________ how long?_______

     Do you work:  full-time / part-time? Schedule of hours?_______________________________
     More than one job?______

6. How many hours will this pet be alone per day?___________________________________

7. How many adults live or frequently visit your home?________________________________

   How many children (and their ages)?_____________________________________________

8. Who will be responsible for the care of this animal?________________________________

     ___________________________________________________________________________

9. We require that all animals adopted from us be spayed/neutered.

     Do you have any questions or reservations about this policy? Yes  or  No

     Please explain:___________________________________________________________________

10. Who will care for this animal while you are on vacation?____________________________

     ___________________________________________________________________________

11. How long are you willing to take responsibility for this pet? (please circle most appropriate)
        10 days quarantine  /  2-4 months  /  6 months - 1year  / until adopted  
        Other ___________________________________________________________________

12. Are you familiar with diagnosing basic canine symptoms of illness?  Yes  or  No

13. Please advise us of any known flea or tick problems in your home / neighborhood.   
__________________________________________

14. We expect our foster dogs to receive heartworm preventative and other necessary medications. Do you have any concern with administering these medications?Yes  or  No  (if yes, please explain) __________________________________________

15. Please list all pets you own or have owned in the last five years:  
      (please use the back of sheet for additional space)

     PET #1 -

     Breed(s):___________________________     Name:________________________________           

     Sex:   Male  or  Female     Age:__________    Spayed  /  Neutered  /  Intact      
     Where is it now? _____________________________________________________________

     PET #2 -

     Breed(s):___________________________     Name:________________________________           

     Sex:   Male  or  Female     Age:__________    Spayed  /  Neutered  /  Intact      
     Where is it now? _____________________________________________________________

     PET #3 -

     Breed(s):___________________________     Name:________________________________           

     Sex:   Male  or  Female     Age:__________    Spayed  /  Neutered  /  Intact      
     Where is it now? _____________________________________________________________

     Are all pets current on vaccinations?______________________________________________

16. If you have ever had a pet die at an early age or in an accident, please explain.

     ________________________________________________________________________

     16a. If you have given up a pet in the past, please explain:
     ________________________________________________________________________

17. Do you have fencing ( a totally enclosed, secure yard)?_____

     Please describe (type of materials and height, amount of space) or how do you plan to
     exercise the dog?

     ________________________________________________________________________

18. How will the dog be confined while out of doors?_______________________________

    Do you plan to tie or chain the dog out at anytime?   Yes  or  No

    If so, please explain:__________________

     ________________________________________________________________________

19. How will you handle: excessive barking?_____________________________________

    ________________________________________________________________________

    excessive chewing?________________________________________________________

   potty training?_____________________________________________________________

20. May we arrange to visit you in your      
    home to discuss the breed traits of the Chinese Shar-Pei?   Yes  or  No

21. Do you have a current veterinarian?   Yes  or  No
     May we contact?  Please fill in the name and address below:

     Name________________________________________________________________

     Clinic _____________________________________ Phone (___)_________________

23. Please tell us how you found out about our rescue efforts.

     ______________________________________________________________________

I ACKNOWLEDGE THAT ALL THE INFORMATION CONTAINED ON THIS FORM IS TRUE AND CORRECT,
AND I AGREE TO THE TERMS AND CONSIDERATIONS SET FORTH IN THE FOSTER APPLICATION
COVER LETTER. I UNDERSTAND THAT ANY MISREPRESENTATIONS OF FACT MAY RESULT IN THE
REMOVAL OF THE FOSTER DOG FROM MY HOME!

Applicant signature________________________________________Date_____________

Co-applicant signature_____________________________________Date_____________


Thank you for taking the time and effort in filling out this application. We feel that it will help all involved in the placement process. Thank you for your interest in providing homes for our wrinkled friends!



Transportations Needed ASAP   |   Dogs Needing Homes   |   About Me   |   My Pets   |   Favorite Links   |   Contact Me   |   View & Sign My Guestbook   |   Foster Application   |   Adoption Application   |   Home Checks Needed   |   Need a WebPage Made FOR you?