Foster Family Application "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Name* First Last Street Address* Street Name City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State / Province / Region ZIP / Postal Code Phone*Email* Best time to call*Spouse's or roommate's name and telephone number*How did you hear about us*Type of residence*HouseApartmentCondoDeuplexMobile HomeTown homeDo you own or rent?* Own Rent How long have you been at this address?*Rental company/landlord name and telephone number*Please list all current pets residing in household. (list of type of animal,breed,name,age,spayed/neutered,personality/temperment details)*who will be the primary caretaker for the foster dog?*Are there children living in your home? If so what are their ages?*How many adults reside in the home?*Does anyone in the home have allergies to pets? If yes, who, and how do you plan to deal with this?*Is anyone in the home afraid of dogs?*Where will your foster dog be kept during the day?*Loose inside houseIn a crate inside the houseBehind the baby gate inside the houseIn a fence in backyardTied to a doghouseOn a chainIs your yard fenced? how tall, what type of fencing?*Is anyone at home during the day? when?*Do you preferred gender of foster dog?*MaleFemaleAnyWhat gender do you prefer for your foster dog?*What size of dog do you prefer to foster?*Are there any breed you prefer not to foster?*What behaviors would make you unable to foster a dog or a puppy?* Barking Dog's health problems Moving Shedding Digging Chewing Aggressive with other dogs Divorce Growling at guests Kids mean to dog Biting Seperation Anxiety House training issues Allergic to dog New spouse/partner doesn’t like Dog not obedient enough Jumping on people Aggressive toward cats Are you familiar with the use of a crate to train and/or confine a dog or a puppy in your absence?*YesNoWhat traits or behaviors would you have a hard time dealing with in a foster dog?* Drooling Odor Jumping on people Stubborn Shedding Nervous or shy Aggression Digging Plays too rough with children Dominance Escaping Not good with other pets Biting Submissive Destructive Chewing Too Energetic Noisey Overly Protective Hard to housetrain What traits or behaviors do you like the most in a foster dog?* Independence Dependence Gentle Energetic Confident Playfulness Silliness Quiet Serious Protective Easy Going My new foster dog should get along with* Dogs Cats Ferrets Birds Farm Animals Young Children Older Children What type of discipline are you used to using when training a dog or puppy?*Do all household members understand that it takes time for a foster dog to adjust to his or her new foster home?*Select OneYesNoAre you willing to put up with some accidents while the foster dog adjusts to their new foster home?*Select OneYesNoThe noise level in my home is best described as:*Select OneLowMediumHighWill your new pet be allowed on the furniture?*Select OneYesNoHave you ever had behavioral problems with a previous dog or puppy? What type of correction did you use to resolve the problem?*In the last 6 months, has a dog or puppy died on your premises of distemper, parvo, or unknown causes?*Select OneYesNoWould you object to our visiting your home prior to the fostering or as a follow up visit?*YesNoWould you object to our verifying any of the information provided on your application?*YesNoReferences(need 3 to be considered) non-relativeReferences 1Name*Phone*References 2Name*Phone*References 3Name*Phone*
