Midwest Boston Terrier Rescue Volunteer & Foster Application
Volunteer or Foster Application:

If you are interested in becoming a foster parent, you must be at least 18 years of age or older.

Should you receive an invalid error message upon submitting this form, please go back through and fill out any missed questions. You will be contacted within ten days of receipt of your application to let you know we have received and are processing it.

Contact Information
Full Name: *
Your answer
Spouse/Partner's Name:
Your answer
Email: *
Your answer
Home Phone (or cell if no land line): *
Your answer
Cell Number:
Your answer
Work Number:
Your answer
Best Time to Call: *
Your answer
Can You Be Contacted at Work? *
Home Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
How did you hear about MWBTR? *
Your answer
Family Information
Number of adults in the home: *
Your answer
Number of children in the home (or frequent visitors) and ages: *
Your answer
If you don’t currently have children, do you plan on having children in the future? *
If you have children, have they been taught how to behave around dogs and that animals deserve to be treated with respect? *
Your Occupation and Employer: *
Your answer
(Spouse/Partner) Occupation and Employer:
Your answer
Are you a college student? *
Are you in the military? *
Have you or any members in your household been convicted of a crime against animals? *
If yes, please explain:
Your answer
Areas of Volunteer Interest *
Required
Personal References
Please list three personal references, not living with you. Include NAME, PHONE, & EMAIL address.

Please inform these individuals that we will be contacting them.

Reference 1: *
Your answer
Reference 2: *
Your answer
Reference 3: *
Your answer
Home & Property Information
Please select the style of your home: *
How long have you been at this address? *
Your answer
If you rent or lease, have you confirmed with the landlord that pets are allowed? *
Please email a copy of your lease agreement to mwbtr.bostons@gmail.com Also, if you rent or lease please complete the additional questions below.
Landlord Name: *
If you own your home, indicate N/A in each field for Landlord
Your answer
Address: *
Your answer
City/State/Zip: *
Your answer
Phone Number: *
Your answer
If your yard is fenced, please describe the area and type fence *
Your answer
If you do not have a fenced yard, what arrangements do you plan to make for exercise and toilet duties? *
Your answer
Do you have a doggie door? *
If so, does it open into a fenced enclosure? *
Do you have a pool or spa? (Required)
Is pool or spa fenced? *
If yes, what type of fencing? *
Indicate N/A if no pool or spa.
Your answer
What is the activity level of your household? *
Are any members of your household allergic to dog hair or dander? *
Pet Information
Please list the current and past pets that you have owned. Complete all fields with N/A if no pets.
PET 1 (Name & Breed) *
Your answer
Pet 1 Info: *
Required
Pet 1 Years Owned (e.g. 1990-2001) *
Your answer
PET 2 (Name & Breed) *
Your answer
Pet 2 Info: *
Required
Pet 2 Years Owned (e.g. 1990-2001)
Your answer
PET 3 (Name & Breed) *
Your answer
Pet 3 Info: *
Required
Pet 3 Years Owned (e.g. 1990-2001) *
Your answer
PET 4 (Name & Breed) *
Your answer
Pet 4 Info: *
Required
Pet 4 Years Owned (e.g. 1990-2001) *
Your answer
PET 5 (Name & Breed) *
Your answer
Pet 5 Info: *
Required
Pet 5 Years Owned (e.g. 1990-2001) *
Your answer
If you need additional space for pets, please list the above information for each pet here *
Your answer
Vet Information
Please provide your current Veterinarian's information. If you do not have a Veterinarian, please provide the contact information of the Veterinarian that you are planning to use for your pet.
Veterinarian Office *
Your answer
Veterinarian Name *
Your answer
Address *
Your answer
Telephone Number *
Your answer
Is this your past, current, or future vet? *
If past or current, which of your pets are patients here? *
Your answer
Veterinarian Release
By signing below I hereby give permission for any veterinarian providing service to me/my animals to release medical information on any/all of my animals to Midwest Boston Terrier Rescue (its agents).

This release is not limited to the veterinarian named below. Please let your veterinarian know we will be calling for a vet reference.

Current Veterinarian *
Your answer
Telephone *
Your answer
Address *
Your answer
Electronically signed by (required) *
Your answer
Foster Information
Please complete this information to be considered for fostering now or in the future.
Have all members of the household agreed to fostering a Boston Terrier? *
If no or maybe, please explain *
Indicate N/A if everyone is in agreement
Your answer
Have you owned a Boston Terrier before? *
If your foster dog has a housebreaking accident when you are not home, how will you deal with it? *
Your answer
How about when you are at home?
Your answer
If your foster dog chews an inappropriate object, what will you do? *
Your answer
What form of discipline will you use on your dog? *
Your answer
If/when you foster a Boston Terrier, how much time do you think it will take for your foster dog to adjust to the family and other pets and for your pets to adjust to the foster dog? *
Your answer
How do you plan to introduce your foster dog to your family and other pets? *
Your answer
Would you be willing to take your pet to a behaviorist or trainer if necessary (i.e., if through your own efforts you were unable to train the dog or its current behavior) *
Would you make the time to take your pet to participate in training/obedience, etc.? *
Do you have time to exercise and play with your foster dog? *
What brand/variety of dog food do you feed? *
Your answer
Where will the foster dog be kept during the day when you are not at home? *
Your answer
Where will the foster dog be kept at night? *
Your answer
How long will the foster dog be left alone each day? *
Your answer
What are your thoughts to crate training as opposed to other confinement methods? *
Your answer
Exercise and elimination will be: *
Required
What will you do if your foster dog runs away (i.e., who will you call and what will you do to get it back)? *
Your answer
Please describe the type of dog that you would like to foster. What are the "must-have" qualities and "nice-to-have" qualities? *
Your answer
Do you understand that our rescue dogs are not all perfect and most will require house training, obedience training, and training on basic manners? *
Are you willing to put extra time and effort with training the dog, if necessary? *
Are you willing to foster a dog with behavior problems? *
If so, what behavior are you willing to work with? (Check all that apply) *
Required
Are you willing to foster a dog with health problems? *
If so, what kinds of health problems are acceptable? (Check all that apply) *
Required
Do you understand that we may not know about a behavior or health problem before a dog comes into rescue? *
What will you do if you discover that your foster dog has a health or behavior problem once they come into your home for foster care? *
Your answer
Should your foster dog be: *
Required
Will your current pet(s) accept a new dog? *
If yes, how do you feel they will react? *
How would you characterize your pet's behavior? *
Required
Volunteer and Foster Agreements
Do you understand that Boston Terriers do not tolerate extremes in temperature and are required to be indoor dogs? *
Do you understand that Boston Terriers are high energy dogs and require a lot of exercise? *
Do you understand that Boston Terriers can be destructive to toys, furniture, and other things? *
A bored dog is a destructive dog!!!
Do you agree that the dog will not be used as a guard dog, or dog fighting bait dog, or be used for breeding or experimentation purposes? *
Do you agree that in no event will the dog be sold or given away to another person or placed in an Animal Shelter or Humane Society or turned loose to run loose? *
Do you agree that the dog remains the property of Midwest Boston Terrier Rescue and you will return the foster dog to MWBTR if asked to do so? *
Do you agree to properly house, feed, water, exercise and care for and provide inoculations, heart worm care and other veterinary or supportive care as the dog requires, understanding the MWBTR will pay for veterinary costs only as described in the Foster Home Guidelines? *
Do you agree to exercise proper control and restraint over the dog at all times and will not allow the dog to run at large? *
Do you agree to have a collar and identification tags on the dog at all times, even if the pet stays indoors? *
Add any additional comments that you'd like us to know more about here: *
Your answer
By completing and submitting this application, I/We understand that this application is only an interviewing tool, and my submission of this application in no way guarantees the placement or availability of a Boston to my family for fostering nor approves me to volunteer. *
I understand that my application will be reviewed by the Midwest Boston Terrier Volunteer/Foster Committee and will be notified by email or telephone of any questions, concern, and/or decision to approve or deny my volunteer/foster application. *
If/when your application in approved you will be contacted by a representative of Midwest Boston Terrier Rescue.
We reserve the right to refuse any applicant for any reason and the right to inspect the prospective home environment both before and after the approval of this application, without any advanced notice if any MWBTR dogs will be on the premises.
If we discover that any information on this form was knowingly falsified, it will be denied. Further, if any information is knowingly falsified, and the transfer of the dog has taken place, we reserve the right to take the dog back into our possession.
Electronically signed by (required): *
Your answer
Electronically signed by (if more than one applicant):
Your answer
PLEASE REMEMBER TO FILL IN ALL FIELDS, OR YOUR APPLICATION WILL NOT GO THROUGH.
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