KEI Foster/Adopter Application Form
PLEASE NOTE: K9 Enrichment Initiative (KEI) is an all volunteer organization and applications are processed in the order in which they are received. Please allow a minimum of 72 hours after submitting your application for a reply from our placement coordinator.

PLEASE COMPLETE ALL OF INFORMATION ON THIS FORM, IT IS REQUIRED FOR US TO PROCESS YOUR REQUEST TO BE CONSIDERED TO ADOPT ONE OF OUR DOGS. DELAYS OCCUR WHEN INFORMATION IS MISSING. APPLICATIONS NOT COMPLETED CAN BE DISCARDED.

Email address *
Today's Date *
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If you use Facebook, what is your Facebook name? *
Your answer
Applicants Birthdate *
Your answer
Name of Applicant *
Your answer
In running a background check is there another name your data is associated with in the system. Example: recently married, divorced *
Your answer
Driver's License # and Issuing State *
Your answer
Street Address, City, State, Zip Code (Please be sure to list COMPLETE address including City, State and Zip Code) *
Your answer
Co-Applicant Name
Your answer
In running a background check is there another name your data is associated with in the system. Example: recently married, divorced
Your answer
Co-Applicant Driver's License# and Issuing State
Your answer
Co-Applicant Birthdate
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Length of time at current residence *
Your answer
If less than a year at current residence, please list complete address, street, city, state and zip code of prior residence below:
Your answer
Telephone Number and Alternate Number to contact you directly. *
Your answer
Best times to contact you: *
Your answer
Adopter/Foster's Employer *
Your answer
Types of dogs you would be interested in fostering/adopting: *
Where will the dog stay while you are not home on a daily basis? *
Your answer
On average, how many hours a day will the dog be alone? *
Your answer
Type of Dwelling. *
Do you own or rent your dwelling? *
If renting, landlord's name and phone number:
Your answer
Do you have a fenced yard? *
If fenced, what type and height is your fence?
Your answer
If no fence, how do you intend to exercise the dog? Not having a fence will not automatically disqualify you from adopting, but may limit your options as to which dogs you qualify to adopt.
Your answer
Where do you intend the dog to stay when you are out of town, away from the home for an extended period of time? *
Your answer
Name of Adults (other then yourself) living in home who will be in contact with dog.
Your answer
Driver's license number and issuing state for adults (18+ years of age) living in the home other then Applicant and Co-Applicant
Your answer
List children under 18 years of age by name and age living in the home.
Your answer
Please list 4 references other than family and their PHONE numbers so we can contact them on your behalf: (Please let them know we will be calling) *
Your answer
Name of your veterinarian and telephone number: *
Your answer
List the animals under their care:
Your answer
Are all your current pets up to date with their core vaccinations? *
Are your current pets given heartworm preventative? *
Are your current pets given flea & tick preventative? *
Are all your current pets Spayed or Neutered? *
If not up-to-date or altered due to medical issues, please explain why and the vet attending to the dog.
Your answer
If you use day care for your current/or past dog, please list the facility and phone number.
Your answer
In the past or currently, where did you attend training classes?
Your answer
Do you have any previous foster/adopter experience with a rescue?
Please list the organizations, contact name and telephone number?
Your answer
What type of role are you looking to provide? *
Please let us know why you are interested in fostering/adopting; also list the dogs name you are interested in at this time. *
Your answer
Have you ever relinquished or rehomed a dog? If so, why and to whom. *
Your answer
Have you ever had to euthanize a dog for reasons other then quality of life prohibited by health issues? *
Your answer
Are you willing to allow for an adjustment period when the foster/adopted dog arrives? (Adjustment period estimated to be 3 to 6 weeks total, including a 2 to 3 week separation period to decompress. Some dogs adjust sooner than others, but we ask that the rules of engagement with dogs, people, ect., be followed regardless as recommended by our professional behaviorists and instructors) *
Your answer
Have you heard about the 2 Week Shutdown protocal in bringing a new dog into the home? *
Are you willing to attend training classes with the foster/adopted dog if rescue deems necessary for well being of the dog? (All dogs under the age of 1 are required to attend training with their new family as a prerequisite to adoption) *
Your answer
Are you familiar with Force Free and Postive Reinforcement Training? *
Have you ever Crate trained a dog? It's important that all dogs are crate trained should they have to spend time at a Veterinary or boarding facility. *
Have you ever house trained a dog? *
How much money do you expect to spend on your dog(s) this year on food, medical care & training?
Your answer
Do you or anyone in the home suffer from allergies that may require the dog being returned to rescue?
Your answer
Do you have plans to move out of state within the next year?
Your answer
Do you have a swimming pool, pond or body of water near your home?
Your answer
Have you, the applicants ever been charged with a felony? *
Have you ever been charged with a violent crime?(Battery & Assault, Domestic Violence, Harassment) *
By signing below you are acknowledging your answers are truthful. You also acknowledge that K9 Enrichment Initiative, Inc. will be contacting your references and conducting a criminal background check. (Electronic signature accepted. You will be asked to initial this document should you be approved by a rescue) *
Your answer
A copy of your responses will be emailed to the address you provided.
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