FOSTER APPLICATION – CHEW Dog Rescue

Applicant Name *

First

Last

Co-Applicant Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Applicant Email *

Co-Applicant Email

Evening Phone

Cell Phone

Employer

Co-Applicant's Employer

Number and age of household members (please include all)

Adults:

Minor Children:

Adults Ages:

Minor Children Ages:

Are all your family members in favor of fostering a rescue dog?

If no, please explain

Type of dwelling you live in

Do you own or rent?

Own
Rent

If you rent, do you have the landlord’s permission to bring in a foster dog (Renters Only)

Dog size limitations? (Renters Only)

Landlord Name

First

Last

Landlord Phone

How long have you lived at your current address?

How many consecutive hours a day are you away from home for work, school, etc?

If you are gone for a long period of time, are you close enough to go home during the day?

Would you be willing to allow us to conduct a home-safety inspection via video?

DOG ENVIRONMENTAL INFORMATION

Is part of your yard fully fenced?

What is the approximate size of the fully fenced yard?

If fully fenced what kind of fence and how tall?

If your yard is not fenced, how do you plan to insure that the foster dog receives safe and adequate exercise?

Where will the foster dog sleep?

Do you plan to keep the foster dog primarily indoors or outdoors?

PETS, PAST AND PRESENT

Number of dogs living with you?

Breed

Age

Male/Female

Spayed/Neutered?

Spayed
Neutered

Indoors or Outdoors

Indoors
Outdoors

Breed

Age

Male/Female

Spayed/Neutered?

Spayed
Neutered

Indoors or Outdoors

Indoors
Outdoors

Breed

Age

Male/Female

Spayed/Neutered?

Spayed
Neutered

Indoors or Outdoors

Indoors
Outdoors

If any are not spayed/neutered, please explain

List All cats you currently own

plan do do

Breed

Age

Male/Female

Spayed/Neutered?

Spayed
Neutered

Indoors or Outdoors

Indoors
Outdoors

Declawed?

Breed

Age

Male/Female

Spayed/Neutered?

Spayed
Neutered

Indoors or Outdoors

Indoors
Outdoors

Declawed?

Breed

Age

Male/Female

Spayed/Neutered?

Spayed
Neutered

Indoors or Outdoors

Indoors
Outdoors

Declawed?

If any are not spayed/neutered, please explain

List other pets living with you:

What activities do you plan on participating in with your foster dog:

Will you help us evaluate any dog assigned to you as foster?

Will you help train and housebreak (if necessary) a foster dog to make the dog more adoptable?

What amount of time and effort, per week would you want to devote to training your foster dog?

Please describe your training method, including your approach to eliminating undesired behavior.

REFERENCES
List three references that can attest to your suitability as a foster caregiver of a rescued dog. If you own any pets now please include your current veterinarian as a reference.

Reference 1 *

First

Last

Reference Phone

Reference Relationship

Reference Phone

Reference Relationship

Reference Email

Reference 2 *

First

Last

Reference Phone

Reference Relationship

Reference Email

Reference 3 *

First

Last

Reference Phone

Reference Relationship

Reference Email

Print Name

Applicant Signature

Clear Signature

Date