Foster Application

Full Name

Street Address

City

State

Zip Code

Home Phone

Cell Phone

Email Address

1. How long have you lived at the above address?

2. Do you live in a:

If other housing, please explain

3. Do you own your home?

4. If not, does your lease allow pets?

Please list landlord/leasing company name and phone number.

5. What type of dogs are you able to foster?

6. Are you able to foster (select all that apply)

Small Size
Medium Size
Large Size

7. Have you ever fostered for another organization in the past?

If yes, which one?

8. Are you 18 years of age or older?

9. Do you live with your parents or other relatives?

10. Are you in active military service?

11. Are you in college?

If yes,

Full Time
Part Time

12. Are you or your spouse currently employed

If yes,

Full Time
Part Time

13. How many people live in your household?

14. What are the ages of household members? (excluding yourself)

15. Does any member of the household have allergies to pets?

16. How many hours are you/your family out of the house during a typical work day?

17. Will an adult be home during the day?

18. Who will be responsible for taking care of the foster pet?

a) What procedures will you use for housebreaking?

b) How will you handle chewing or destructive behavior?

a) How will you handle any behavioral issues that may arise?

b) What kind of exercise will this dog get?

21. Have you ever adopted from one of the following?

Humane Society
Rescue
Shelter

dogs

cats

Where are these pets now?

23. Have you ever turned in an animal to a shelter?

If yes, under what circumstances?

24. Have you ever had to give up one of your own pets?

If yes, under what circumstances?

25. Has an animal died on your premises of distemper, parvo or unknown causes in the past twelve months?

If yes, please explain.

27. List any pets that you currently own (name, age, sex and breed of each).

27. Do your pets live:

indoors
outdoors

28. Are/were their shots up to date?

29. Are/were all spayed or neutered?

30. Are/were your dogs on heartworm preventative?

If yes, which one?

31. What is the name and phone number of the vet clinic you currently use (or used to use)?

32. Why do you want to foster for our group?

33. Are you able to provide good quality food for your foster?

34. Are you able to provide flea/tick and heartworm preventative (for adult) foster dogs?

35. Will your foster pet live

indoors
outdoors

Where will your foster pet sleep?

36. Is there a yard available?

If yes, is it completely fenced in?

If yes, how tall is the fence?

What type of fencing?

Is there a dog house?

37. What will you do with your foster if/when you go on vacation?

38. Please list any specific breeds which you will NOT foster.

39. Please list any breeds you or any members of your family afraid of.

40. Is there an area in your home which can be used to isolate your foster in case he/she breaks with kennel cough or other contagious condition?

If yes, please describe.

41. Would you object to an authorized representative of Rotts 'n Pups Rescue to inspect your home?

42. Please provide two personal references (name, phone number, relation to you) who are NOT members of your household.

I authorize a representaive of Rotts 'n Pups Rescue to contact the veterinarian office named above to confirm the medical records/history of my pets.

(checking indicates authorization)

Do you agree with the above statement?

Yes
No

Rotts 'n Pups Rescue, Inc.

A 501(c)(3) Public Charity

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