First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

Alt Email

Text/Pager Email

Middle Initial*

What is your date of Birth?*

What is the best time of day-night to reach you by phone?*

Employment? Job title? How Long?*

Spouse's name and date of birth*

Spouse's employer? Job Title? How Long?*

List other household residents, names and ages*

List (2) references who are not family members. Name and phone number*

How many animals are in your household? Include inside and outside animals. Please list with species, breed and age*

Are your resident animals current on vaccinations?

Are the animals in your household spay-neutered or intact? *
Choose one: Spay-Neutered Intact Not applicable

Veterinarian's name and phone number*

Have you ever given up a pet? If yes, please explain*

Do you rent or own your home?*
Choose one: Rent Own

If you rent, please enter your landlord's name and phone number

If you rent, have you received approval from your landlord in writing to have an animal?

Is your yard fenced?*
Choose one: No Yard Unfenced Yard Partially fenced Completely fenced

What is the height of the fence?

What type of fence?
Choose one: Privacy Chain Link Invisible Farm fence No fence

Please list size, sex and breed preference, if any, that would best suit your home

Where will the animal be kept when you are at home?*

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

How much time will the animal spend alone*

Will the animal be kept inside or outside?*
Choose one: Inside only Outside Only Inside-outside

Where will the animal sleep?*

ARE YOU WILLING TO WORK WITH YOUR FOSTER DOG ON ANY ISSUES IT MAY HAVE

Have you ever fostered for another rescue or shelter?

If yes, please give details. Rescue fostered for, when, how long

Why Are you interested in fostering?

HOW LONG DO YOU FEEL A NEW PET AND PETS ALREADY LIVING IN THE HOME SHOULD BE GIVEN FOR AN ADJUSTMENT PERIOD

DO YOU ACKNOWLEDGE THERE CAN BE DISAGREEMENTS AND WILL YOU STRIVE TO EASE THE TRANSITION AND PROVIDE CARE AND GUIDANCE AS NEEDED? NOTE: Small disagreements are expected and typical behavior when a new dog is brought into a home where a dog or cat is already living. There can be fear and anxiety and you must be willing to work with your new dog during the transition time (which can be anywhere from days to weeks to months) until the dog is comfortable in your home. At that time you’ll be able to see your dog’s true personality.*

I certify that the information entered on this application is true, and grant to Shelter Animals Advocates the right to verify my answers. Enter your name and today's date. After you submit the application you SHOULD immediately receive an email confirming your submission. If you do NOT receive an email call 803-334-1219.*