Foster A Dog

Dog Foster Application

* = required field

Date *

Dog's Name *

For *

Foster

Adoption

Name *

Age(s) *

Driver's License Number

Please complete your full home address, including street number and name or your application will not be processed *

Full Street Address

Country

City

State

Zip code

Home Phone *

Work Phone

Cell Phone

Email *

Do you work full or part time

Full-time

Part-time

Retired

Unemployed

How long have you been employed at your present job?

Employer Name

City

Do they match donations made to 501c3 not-for-profit organzations *

Yes

Residence information (residency requirements will be verified) *

Do you Own?

Do you Rent?

How long have you lived at your present address? *

Any plans to move in the near future? *

Yes

Do you have a fenced yard? *

Yes

Fence Height

If renting,

Does your lease allow dogs? *

Yes

Is a deposit required? *

Yes

Is there a weight limit *

Yes

Is your landlord aware you intend to adopt an animal and have they given permission?

Yes

Landlord's name

Landlord's phone number

Name and Address of Housing Complex

A copy of your lease pet section will need to be provided

Agree

Disagree

Number of adults

Their relationship to you

Number of children

Children's ages (in years)

Is this dog intended for your immediate family?

Yes

Person primarily responsible for your new dog?

Any history of allergies in your family?

Yes

If so, what?

What is your family's current lifestyle:

Very Active

Active

Moderate

Often Home

Number of hours you work per day

Number of hours your dog will be left alone per day

Pet History (for pets your currently own, or have owned in the past five years)

Name

Type/Breed

Sex

Male

Female

Age

Spayed/
Neutered

Yes

Still Own?

Yes

If no, what happened to the pet?

Name

Type/Breed

Sex

Male

Female

Age

Spayed/
Neutered

Yes

Still Own?

Yes

If no, what happened to the pet?

Name

Type/Breed

Sex

Male

Female

Age

Spayed/
Neutered

Yes

Still Own?

Yes

If no, what happened to the pet?

Name

Type/Breed

Sex

Male

Female

Age

Spayed/
Neutered

Yes

Still Own?

Yes

If no, what happened to the pet?

What inoculations has your current pet had in the last year?

Have you ever given a pet away or relinquished a pet to a shelter?

Yes

If yes, what were the circumstances?

Have any of your pets ever been (check all that apply)?

Lost

Hit by a Car

Put to Sleep

Given Away

If yes, what were the circumstances?

New Pet Information

Size of dog you're willing to foster (check all that apply)?

Small

Medium

Large

Tell us why you want to foster?

How many times a day will you take your pet outdoors?

Will you take your pet to obedience class?

Yes

Where will the pet be kept when you are at home?

Inside

Outside

Garage

Where will the pet be kept when you are not at home?

Do you plan on crating your pet?

Yes

If so, when, why, and for how long

Are you aware of the general pet care costs (food, inoculations, medical care, boarding, incidentals)?

Yes

Do you travel often with work or for vacation?

Yes

How often?

Weekly

Monthly

Yearly

Who will care for your pet in your absence?

What kind of ID will be kept on the pet?

How much time are you prepared to allow the pet to adjust to your home?

What will you do in the event of: (required)

Barking problems

Aggressive behavior

Chewing/Digging

Housebreaking problems

In case of emergency, who will care for the pet? *

Are you aware of the licensing regulations and fees in your village?

Do you know the leash laws of your area?

Are YOU aware of the grooming costs for the breed that you are considering for adoption?

What veterinarian (or hospital) have you used?

Name

City

Phone

Please list 3 personal references along with phone numbers (neighbor, friend, relative - at least one required):*

Phone:

Relationship:

Phone:

Relationship:

Phone:

Relationship:

Almost Home

How did you hear about Almost Home Foundation?

If it was a newspaper, which one?

Would you like information on becoming an Almost Home member?

Yes

Do you have any questions or concerns?

l, the undersigned certify that the information provided in this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation of facts will result in my losing the privilege of adopting an animal from Almost Home Foundation. I realize that Almost Home Foundation has the right to deny my request to adopt an animal either because the individual animal is not suitable to my circumstances or on a more general basis. I understand that this application becomes the property of Almost Home Foundation, and all information given herein is for Almost Home Foundation’s use alone. I along with those persons accompanying me, assume risk of injury which may be incurred as a result of my viewing any animal under the care of Almost Home Foundation.

Authorization to Contact *

Yes

By checking "YES", you are allowing Almost Home Foundation to contact: 1. Your veterinarian for current and past medical records on any and all pets in your household. 2. Your landlord or leasing agency in regard to pet policies if applicable. 3. Your provided references regarding the care of animals. Please be aware that by checking "No" your application will not be considered by Almost Home Foundation as per our adoption and foster policies.

Signature *

Date *

Captcha *

For security verification, please enter any random two digit number. For example: 81

Foster A Dog

Please review The Foster FAQs and Foster Opportunities pages before completing the application.

Dog Foster Application