Foster

Are all members of your household ready to participate in the fostering process? *

Yes

No

Not sure

If yes, why?

Should your foster dog require medical care, are you willing and able to transport him/her to one of our hospital partners (Hackettstown, Augusta or Hamburg) for treatment? *

Yes

No

How many adults live in your home? *

If yes, please explain

Have you ever fostered a pet? *

Yes

No

Do you *

Own

Rent

Live with family

Are you available at least 2 Saturdays a month to bring your foster dog to local adoption events? *

Yes

No

Which of the following best describes your reasons for wanting to foster a dog? *

Save a life

Test drive a potential new family member

Family activity

Who will be responsible for caring for the dog? *

Are you able to keep your foster dog separate from your pets until you are sure everyone will get along? *

Yes

No

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

Personal Reference Name and Phone Number (NO RELATIVES PLEASE) *

May we contact them? *

Yes

No

Are you comfortable administering simple medications if necessary? *

Yes

No

Email *

If so, how high is it and what type of material is it?

May we visit your home while you are fostering? *

Yes

No

Vet name and phone number (PLEASE CONTACT YOUR VET if they require you to authorize them to release information)

Do you have a fenced yard? *

Yes

No

Does any member of the household have allergies? *

Yes

No

Do you have a regular veterinarian? *

Yes

No

Have you ever given up a pet? *

Yes

No

Place of employment *

Phone *

If not, explain how, where and how many times a day your will exercise the dog and allow it to relieve itself:

Are you willing to foster dogs that need help in the following areas? (Please check all that apply)

Obedience

House training

Human socialization

Canine socialization

Special needs

Personal Reference Name and Phone Number (NO RELATIVES PLEASE) *

When will you be ready to welcome your first foster dog into your home? *

Do you live in a *

House

Townhome

Condo

Apartment

Complete Address *

Does your foster dog need to be cat-friendly? *

Yes

No

Please add any other information that you think will help us review your application

How many hours a day will the dog be left alone? *

Name *

Tell us about your current pets (name, type, age, sex, spayed/neutered, current vaccines?)

If yes, what group/s have you worked with?

How many children live in your home and what are their ages? *

By checking this box, I certify that the information I have given is true and that I am at least 18 years old. I authorize investigation of all statements on this questionnaire.

Occupation *