Date
*
MM
DD
YYYY
Name
*
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Work phone
*
(###)
###
####
Date of Birth
*
MM
DD
YYYY
How many people are in your household? What are their ages?
*
How many children are in your household? What are their ages?
*
Do you live in a house, apartment, condo, townhome, duplex?
*
How long have you been at this address?
*
Do you own or rent your home?
*
If renting are there any pet restrictions?
Yes
No
If yes, what are they?
Do you currently have pets?
*
If yes, what kind of pets?
Please check all that apply
What are their ages?
If you have pets, are they spayed/neutered?
How long have you had each current pet?
Do you have a fully fenced yard?
*
If yes, what type of fence?
How high is the fence?
*
Fence Material (wood, chain link, brick, other)?
If you do not have a fenced yard, do you agree to keep your foster dog on leash at all times outside?
Who will be primary caretaker of your foster dog?
How would you describe your level of experience with dogs?
*
Please check all that apply
What size dogs do you have experience with?
*
Please check all that apply
What breeds do you have experience with?
*
What types of dogs are you interested in fostering?
*
Please check all that apply
How many hours during the average day will the dog spend without a human?
*
Where will the dog be when someone is home?
*
Where will the dog be when alone?
*
Where will dog sleep?
*
How long can you foster the dog for?
*
What situations do you feel unprepared for?
*
Please check all that apply
Is there a specific dog you are interested in?
Please tell us anything else you would like us to know
*
Please list two references
*
Include name, email, and phone number
