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Dog Foster Form – Single Page
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Dog Foster Form – Single Page
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Primary Applicant information
Contact information for the primary applicant
Applicant Name
*
First
Last
Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Co-applicant?
Yes, I have a co-applicant
Co-applicant information
Contact information for the co-application
Co-Applicant Name
*
First
Last
Email
Phone
*
Address
Same as primary applicant
Address
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Primary applicant information
Back to the primary applicant
Home type
Single family
Duplex
Apartment/Condo
Mobile Home
Do you:
Own
Rent
Live with a Parent or Guardian
Landlords Name
*
First
Last
Landlords Phone
*
Are dogs allowed in your lease agreement?
*
Yes
No
Is there a breed or size restriction?
*
Yes
No
Describe the breed or size restrictions
*
Do you have children in the home?
Yes
No
What ages are the children?
I agree to always monitor interactions between the foster dog and any children
*
I agree
Does anyone in the house have allergies to animals?
Yes
No
List the allergies
Do you have a yard?
Yes
No
How will you exercise and allow the foster relief?
Is the yard fenced?
Fully
Partially
No
List current pets in your home.
Name, animal type, age, gender, spayed/neutered, health issues etc
Why would you like to foster with Safe With Us Animal Rescue?
Have you fostered before?
Yes
No
What is your past fostering experience?
Are there any behavioral or medical issues you are unwilling or unable to work with?
Yes
No
Please detail
How many hours a day will your foster be without human company?
How will they be kept during this time?
Free roam indoors
Indoor crate
Outdoor kennel
Other
Finding the perfect home for you foster can take time. Are you willing and able to provide a foster home until the dog is placed in their home?
Yes
No
How long are you prepared to foster for?
Are you planning a vacation during your time fostering?
Yes
No
Possibly
Dates?
This allows us to plan for coverage for your foster while you are away
Do you agree to follow Safe With Us Decompression Guidelines to give your foster time to decompress and get acclimated to their new surroundings?
*
Yes
If your foster dog is not a good fit in your home, or you are no longer able to foster, do you commit to allowing Safe With Us acceptable time to find another placement?
*
Yes
Most foster dogs will need training with basic commands and basic training (which may include house and crate training). Are you able and willing to work with your foster to learn these behaviors?
*
Yes
Do you agree to allow home visits before and during your foster experience?
*
Yes
What age dog are you willing to foster?
Puppy (a year or younger)
Adult dog
Senior (over 8)
Are you willing to foster:
A pregnant or nursing dog
A sick dog
A special needs dog
Do you currently foster for another rescue or shelter?
Yes
No
Please note, this is only for planning purposes
Which rescue/shelter?
Veterinarian contact information
Current, or prior veterinarian contact details. Please contact them and let them know to expect our call, and authorize them to speak with us.
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
Is there an Emergency vet or clinic in your area?
Yes, my vet
Yes, another vet
Not sure
No
Emergency Vet name
*
First
Last
Emergency Vet address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Emergency Vet phone
*
Personal reference #1
Name
*
First
Last
Phone
*
Email
Relationship length and type
How long have they known you, and in what capacity?
Personal reference #2
Name
*
First
Last
Phone
*
Email
Relationship length and type
How long have they known you, and in what capacity?
Personal reference #3
Name
*
First
Last
Phone
*
Email
Relationship length and type
How long have they known you, and in what capacity?
Is there anything else you would like to let us know?
How did you hear about Safe With Us Animal Rescue?
Petfinder
Adopt-A-Pet
Friends/Family
Social Media
Other
Foster Agreement
I have filled out this application honestly and understand that any false information or omission of information can result in my being denied as a foster with Safe With Us Animal Rescue. I also understand that if it is found after I am fostering that I have falsified or omitted any information, that my foster dog(s) of Safe With Us Animal Rescue will be removed from my care.
Applicant Name
*
First
Last
Co-Applicant Name
First
Last
Date
*
Submit