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First Name:*
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Last Name:*
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Address:*
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City:*
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State and Zip Code:*
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Home Phone:*
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Work Phone:
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Email:*
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Why do you want to foster a rescue dog/cat?*
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What type of animal are able to foster? (check all that apply)*
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What type of home do you live in?*
House
Condo
Town House
Apartment
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Do you own or rent?*
Own
Rent
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If renting, what's your landlord's name and phone number (leaser will be contacted for approval if you are renting)
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Please list all members of your household and include their ages.*
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Who will be the primary caregiver for the dog/cat?*
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Is anyone in your home allergic to animals?*
Yes
No
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Is your yard completely fenced? If so, please describe the size of the yard, and state the height and type of fence.*
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If you do not have a fence, explain what provisions will be made for elimination and exercise.
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Do you have the room/ability to keep your foster pet separate from other animals if necessary?*
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Please list all of your current and previous pets during the past 10 years: Include Name, breed, gender,age, and how many years owned.
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For each pet, was it spayed / neutered? Up to date on all vaccinations? On heartworm preventative? (Required if you have pets)
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If the pet is no longer with you please explain why, be specific. (Required if you have had pets)
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Please describle your relationship with your pets, be detailed if possible.*
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List other people and animals that your foster dog/cat will will interact with on a regular basis (not including members of your household). Include name, age, and sex.*
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Do you have any experience with disabled or sick animals? If so, please explain.*
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If you have cats, where do they usually stay?
Inside Only
Outside Only
Both
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Have you ever trained a dog? If so, please explain.*
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Will you work with your foster dog on obedience training?*
Yes
No
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How long will the dog be left alone at a time on a daily basis?*
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Where will the dog be kept while you are gone?*
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Where do you plan on keeping the dog while you are home?*
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Are you willing to housetrain a dog?*
Yes
No
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What do you feel is the best method of house-training?*
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Under what circumstances do you think it is permissible to allow a dog off-leash?*
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Are you willing to bring your foster animal to adoption events?*
Yes
No
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Are you willing to conduct home visits with potential adopters?*
Yes
No
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Are you willing to have potential adopters meet the foster pet in your home?*
Yes
No
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Do you have any comments for us?
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First Veterinary Reference (Name, Address, Phone, Pets treated and number of years treated) (Required if you have or had pets.) Please note: We cannot process your application without your vet's phone number.
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Second Veterinary Reference (Name, Address, Phone, Pets treated and number of years treated)
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First personal reference (not related to you): Name, Address, Phone, Best time to contact, years known, and relationship to you: *
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Second personal reference (can be family member): Name, Address, Phone, Best time to contact, years known, and relationship to you:*
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I acknowledge that all of the above information is true, complete and accurate to the best of my knowledge. Applicant's name (acts as a legal signature) and date:*
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