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!
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