Foster Application - Rescue K-911
Date *
Your answer
Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
How long have you lived at this address? *
Your answer
Email Address *
Your answer
Home Phone
Your answer
Work/Cell Phone *
Your answer
Best time to reach you *
Your answer
Name of Veterinarian:
Your answer
Vet Phone:
Your answer
Household Information: *
Please list the names, ages, and relation of all in the household:
Your answer
Dwelling Information *
Do you have a fenced in yard? If so, briefly describe it. (ie. 4ft chain link, 6 ft wood, etc)
Your answer
Have you ever owned a dog or cat before? If so, what particular breeds? *
Your answer
What pets do you currently own? How long have you owned them? *
Your answer
If you currently own a dog/cat, is it spayed/neutered? *
Your answer
If you currently own animals, are they current on all vaccinations and prevention (Heartworm & Flea/tick)? *
Your answer
Have you ever fostered animals before? If so, please tell us about this experience. *
Your answer
Rescue animals come from all different situations/conditions, may not have any training, and may need to be shown how to live in a home. What are your expectations of the animal you would foster and it’s behaviors? (note - we will never place an aggressive animal in your home) *
Your answer
How many hours per day will the foster be left without human companionship? *
Your answer
Will you be available to take the foster dog to any vet appointments it may have?
Your answer
Where will the foster dog stay during the day?
Your answer
Where will the foster dog stay during the night?
Your answer
Who will be the primary caretaker of the foster dog?
Your answer
If there are no children living with you, are there children that visit, for example, grandchildren, children you babysit, etc? If so what are their ages?
Your answer
Are you willing to have Rescue K-911 visit your home visit?
Your answer
I am willing to foster: (select all that apply) *
Required
Personal Reference Information:
Please supply names and telephone numbers for 3 personal references:
Your answer
ALL OF THE INFORMATION I HAVE PROVIDED ON THIS APPLICATION IS, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE. I UNDERSTAND THAT FALSIFYING ANSWERS ON THE APPLICATION, OR AT ANY OTHER TIME DURING THE FOSTERING PROCESS, DISQUALIFIES ME FROM FOSTERING.
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