MHS K9 Foster Care Application Date Name of applicant(s) Email Cell Phone Home Phone Work Phone Physical Address (include city, state and zip code) Mailing Address (include city, state and zip code) How many adults and kids in the household? (please list gender and age of each) Have you discussed fostering a dog with everyone in the household and have they agreed (parents, roommates, spouses, significant others)? Yes No What is your name on Facebook / Instagram? (Please include direct links to your pages) Is anyone in the household allergic to dogs? Yes No Does anyone in your household have any medical conditions that would affect the foster care duties? Yes No If yes, please explain How long are you willing to foster this dog(s) for? 2 weeks A couple months Until animal is adopted Do you live in a House Apartment Condo / Townhome Mobile Home How long have you lived at this address? Do you Rent Rent a room in a house Own Live with parents If you rent, please provide the landlord's name and phone number If you rent, are you allowed to have pets? Yes No Are there any breed restrictions where you live? Yes No Not sure If yes, what breeds? Name of dog(s) you are interested in fostering Who will be the primary caretaker of the foster dog(s)? Do you own a car? Yes No Are you able to take your foster dog to vet appointments, events, etc. (we do use vets off the mountain)? Yes No Sometimes Have you fostered for any other organization? Yes No If yes, please list the organization name, address, and phone number and name of a contact person for the organization Have you volunteered for an organization in the past or currently volunteering? Yes No If yes, which organization(s)? Name of organization, when and type of volunteer work you did Who is your veterinarian? What is your veterinarian's phone number? Are you planning or in the middle of any major change in your family’s life in the next 6 months, such as surgery, a pregnancy, a move, an extended vacation, getting married, getting divorced, etc.? Yes No Do you have dogs and/or cats? Yes No If yes, please give breed, age and gender of all pets in the house If you have pets, are they Inside only Inside / outside Outside Garage If you have pets, are all of them spayed/neutered, vaccinated and licensed? Yes No If no, please explain If you have pets, do they get along with other animals? Yes No Do you have room to isolate your foster dog from other animals in the house if need be? Yes No Do you have a doggie door? Yes No Under what circumstances would you have to give up your foster dog? (check all that apply) Landlord no longer allows dogs Allergic reaction Dog bit a family member Dog bit a visitor Dog is not getting along with my current animals Dog bit another animal Separation Anxiety Unplanned pregnancy Military Deployment Dog isn’t house trained Dog is destructive I would never give up a foster dog Would you like to explain any of your responses to the previous question? What size dog are you willing to foster? (check all that apply) Small Medium Large Any Size Is there any breed you would not foster? Would you help with training the foster dog? Yes No What are you interested in fostering? (check all that apply) Puppies Adult dogs Bonded pair Dogs with medical issues Mama dog and puppies Dogs that need basic training Do you have a fenced in yard? Yes No If yes, height of fence If yes, what is the fence made of? (check all that apply) Wood Chain Link Brick Other If other, please explain If you do not have a fenced in yard, do you agree to keep your foster dog on a leash at all times when outside? And in public? Yes No Where will your foster dog stay when you are not home? Inside house Yard Deck Garage Other If other, please explain Where will your foster dog sleep? (be specific) How many hours during the day will your foster dog be alone? What will you do if your foster has an accident in your home? How would you describe your level of experience with dogs? (check all that apply) Never had a dog Had one or more as an adult Had childhood pet dog Have experience with strong breeds Have experience working with medical needs dogs Have experience with behavioral problems Worked at a boarding kennel/vet/pet sitter What situations do you feel unprepared for? (check all that apply) Excessive barking Digging Destructive chewing Escaping Not good with children Scratching/biting Shy, fearful, or unsocialized dogs Not good with other animals Providing on-going training Very high energy/active level Not housetrained Resource (food/toy) aggression Administering medications Deaf/Blind dogs Other If other, please explain Is there anything you would like to add regarding your experience with dogs? What is the likelihood that you will adopt your foster? Likely Not likely Very likely Maybe Please tell us anything else you would like us to know Submit Δ
Mountains' Humane Society Pet Rescue