fosterapp

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FOSTER APPLICATION

ABOUT YOU
Please fill out ALL fields. If necessary, enter N/A

Name:

Address:

City: State: Zip:

Home Phone#: Cell Phone#: Age:

E-Mail Address: Confirm E-Mail:
Do you check your email everyday?: Yes No

Employer: Hours you are at work?:

Work Phone #: May we call you at work?: Yes No

How did you hear about us?: ie.. Internet, Advertisements, Friend

ABOUT YOUR HOME
Please fill out ALL fields. If necessary, enter N/A

    1. Do you have any special training or experience in working with dogs?:
    2. Do you currently have any other animals?: YesNo
       If yes, please list: type, age & sex and if they are spayed/neutered:
       If your pets are not spayed or neutered, please explain why?
    3. Do you keep all of your pets up-to-date on all shots?YesNo
         If not, explain why?:
    4. Do you keep all of your pets up-to-date on heartworm prevention medication? YesNo
         If not, explain why?:
    5. Do you keep all of your pets up-to-date on flea prevention medication?:YesNo
         If not, explain why?:
    6. Do you keep all of your pets licensed in your county?: YesNo
         If not, explain why?:
    7. Are your pets vaccinated against Kennel Cough?: YesNo     If not, they will need to be.
    8. Which brand of heartworm and flea prevention do you use for your pets?:
    9.   Do you currently have a Veterinarian?: YesNo
          Name of Vet: Vet Phone #:
    10. Can we use your vet as a reference?: YesNo
    11. Do you live in a: House Apartment Condo Other
    12. Do you own or rent your home?: Own Rent
    13. If renting, what is the name and phone number of your Landlord?:
    14. If renting, does the landlord allow pets?:
    15. Do you have a fenced yard for the dog to use?:   YesNo
           If not, how will you exercise the dog?:
    16. Is your yard securely fenced on all sides?:   YesNo
    17. Does a door from your house open directly into the fenced yard?:   YesNo
    18. Is anyone home during the day? Yes No      Who and for how long?
           If not, what hours would this dog be left alone?
    19. Where will this dog stay during the day, while you are at work?:
    20. Who lives with you (ie..Mom-Dad-2 kids)?:
    21. Please list ages of everyone living (even part-time) in your home:
    22. Who, other than you, will be responsible for the care of this dog?:
    23. Are you able to keep a dog that is not good with children?:   YesNo
    24. Are you able to keep a dog that is not good with cats?:   YesNo
    25. Please check all that apply in your home:
             Busy household-visits from friends, in and out, children, parties at home
             Noisy-TV, stereo, machinery, tools, children playing, dogs barking
             Moderate-normal comings and goings
             Quiet-"homebodies" few guests, come home and stay home
             Lots of children in the neighborhood
             Live on a busy street
    26. Where do you intend to keep this dog: Indoors  Outdoors
    27. Please tell us what supplies you already have for a foster dog:
           Large crate        Leash        Food and water bowls        Brush
    28. Would you be able to supply a premium dog food to the foster dog, or would you need us to?:
    29. Have you ever owned a Sheltie before?: YesNo
    30. Have you ever handled a very scared dog?: YesNo
    31. Have you ever taken a dog through an obedience class?: YesNo
    32. Have you ever handled an aggressive dog?: YesNo
    33. Are you able to help housetrain a dog?: YesNo
    34. Are you able to take a "special needs" (blind, deaf, sick) dog?: YesNo
    35. Are you able to administer medication in a timely manner?: YesNo
    36. Are you able to work with a "behavior problem" dog? (we don't take known biters): YesNo
    37. Are you aware of all a Shelties needs? (ie.. grooming, exercise): YesNo
    38. Are you aware that Shelties are barkers?: YesNo
    39. Are you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with?: YesNo
    40. Do you have the time to offer these needy animals the extra attention and love required for their adjustment prior
           to permanent adoption? YesNo

VERIFICATION
Please list two people who can offer references on your ability to care for our dogs

41. Reference Name #1: Phone #:

42. Reference Name #2: Phone #:

(optional)

Do you have any personal comments that you would like to make?

        I have agreed to give care and shelter to a rescued Sheltie for a limited period. I understand that I
    am accepting this dog as my own until a new home can be found. I also understand that Mid Florida
    Sheltie Rescue has no prior knowledge of this dog's temperament, and I will therefore take all due
    care to protect others and myself who may come in contact with this animal from bodily harm.

        I will indemnify and hold Mid Florida Shelite Rescue blameless from damage to property
    or harm to persons or other animals caused by this animal.

        I have read the above and agree to abide by the rules and regulations of Mid Florida Sheltie Rescue.
    I understand that members of the group are available to answer questions and offer advice, and
    I must contact them should any problem arise.

All of the answers I have given, are true and correct to the best of my knowledge.

Signature of applicant: Date:

It may take several seconds to process your application.
Please be patient and do not press the Submit button more than once.
Thank you for your interest in Sheltie Rescue!