Foster Application | Dogwood Animal Shelter

Date

First name

Last name

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Cell Phone

Work Phone

Email

Date of Birth

Month

Day

Year

Do you:

Own

Rent

Live with Parents

Other

If leasing to own, please select "rent"

Do you live in a:

If rent or lease to own, list the name and phone # of landlord. President and/or Manager of any Homeowner, Condo or other similar Association, Apartment or Park manager.

Are you a permanent or seasonal resident?

Permanent

Seasonal

Describe the Activity Level in your Home:

Busy/Noisy

Moderate Comings/Goings

Quiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Does Anyone in your Household have Allergies to Animals?

Yes

No

Are all members of your Family agreeable to Fostering an animal?

Yes

No

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Spay/Neuter, Sex, UTD Vaccines, Heartworm, Living/Deceased, How long owned):

Have you ever surrendered an animal to a shelter or animal control facility? Yes, No and please describe the circumstances.

Veterinarian Name

Veterinarian Phone

Veterinarian Address

Have you fostered animals before?

Yes

No

Do you have a preference in the sex of foster?

Male

Female

No Preference

Are you willing to foster a dog of any age?

Yes

No

Do you have a preference in the size of foster?

Small

Medium

Large

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes

Are you willing and able to medicate your foster, even if it is just a monthly heartworm preventative?

Yes

No

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

Yes

No

Have you had any experience with with an emotionally or physically neglected or abused dog?

Yes

No

Are you willing to use a crate for a dog if recommended?

Yes

No

Do you have a fenced yard?

Yes

No

Partial

If you work outside the home, how many hours are you away

Where will the animal be kept when you are not home?

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand any and all foster homes are subject to impromptu wellness visits from the staff of Dogwood Animal Shelter Inc.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any DAS animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Dogwood Animal Shelter Inc and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release DAS from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have Dogwood Animal Shelter Inc complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to DAS and try to give DAS a 2 week period to try and find another suitable foster for the dog(s).

Co-Applicant Name (if applicable)

Signature

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