Follow jgallick on Twitter

FOSTER APPLICATION

Today's Date:

Full Name:

Street Address:

Address (cont.):

City, State, Zip:

Work Phone#:

Home Phone#:

Cell Phone#:

Email Address:

Occupation:

Date of birth:


Gender:  

House and Yard

What type of house, apartment, or building you live in.
Home Location:  
Own or rent?  
If renting please list landlord's name and phone number:
How many people are under 21 in your house?  
List their ages:
Describe your yard including fence type and size:

Your New Foster

If you have fostered before please give as much information as you can, e.g., for which organization, when, etc....:
Which dog do you want to foster?  
Do you prefer Male or Female?  
Do you prefer an adult or puppy?  
Where will the dog be kept at night, during the day,
when you're not home, and when you're on vacation?
How many hours a day will the dog be alone?  
How will you exercise the dog?


Current and Past Pets

Please describe all other animals currently in your household. Include species, breed, age, gender, spayed/neutered, and anything else you would like us to know about them.
Please list what types of animals you have
had in the past and where they are now.
Please relate any prior experience you have had
with the breed of dog you wish to foster:


Misc Information

Does your town have breed restrictions?  
If yes, please describe the nature of the restrictions:

Please supply the name and number of your veterinarian,
employer, clergyman, or anyone not related to you who
can attest to your character:
Any additional information you would like to provide:

Our Newsletter

Would you like to receive our monthly e-newsletter?  Yes  No