Pet Refuge Where new beginnings have happy endings

Telephone: 574 256 0886 | 2300 W. 6th Street, Mishawaka, IN

Dog Foster Application

Please submit for review

Name

Address

State

Phone

Email

Are you employed?

Employer

Employer's Address

Can you be contacted at work?

Spouse's Name

Spouse's Employer

Does your spouse support your decision to foster a dog?

Do you travel for extended periods of time?

If yes, how will you provide for your fosters in your absense?

In what type of home do you live?

House (Own)
House (Rent)
Condo
Condo
Mobile Home
Townhouse
Live with friend or relatives
Other

If you rent, do they allow pets?

Landlords Name & Phone Number

How many adults currently live in the home?

How many children currently live in the home?

What are the ages of your children?

Describe your childrens prior experience with dogs.

How long have you lived at this address?

Do you plan to move within the next year?

What types of dogs would you consider fostering for Pet Refuge?

Adult (over 1 year old)
Adolescent (4 months to 1 year old)
Puppy (2 to 4 months)

Does anyone in your home have allergies to pets?

Yes
No
Unsure

If yes, how do you plan to deal with the allergies?

List all animals in your household (whether yours or a roommate/relative or a foster). Please include the name, breed, age, gender, neutered/spayed, last vaccinations date, vet, and last vet visit.

Where will you keep the dog during the day?

Where will you keep the dog during the night?

Where will you keep the dog when its left alone?

Have you previously owned a dog?

What became of your dog?

Who is/was your veterinarian?

Have you ever fostered a dog before?

Are you still currently fostering?

If yes, with what organization? (List name and phone number)

What type of animals have you fostered?

How many current fosters do you have?

If you listed pets, are they all up-to-date on shots?

If you listed pets, are they all spayed or neutered?

If you answered No to either of the last two questions, please explain:

Are you familiar with crate training?

How do you intend to exercise a foster dog?

Are you familiar with heartworm disease?

Would you crate train a foster dog if it was necessary?

How do you intend to train a foster dog?

Do you have a fenced-in yard?

How do you intend to keep the dog on your property?

Would you be willing/able to transport shelter dogs to a Vet occassionally?

For many reasons, it can take several months to adopt out some foster dogs. Are you prepared to care for a foster dog for an extended period of time?

Yes- As long as it takes
Yes- To a limit
No

Are you aware that some shelter animals have unknown medical backgrounds

Will you be able to take your foster(s) to an authorized Pet Refuge Vet when necessary and when authorized by a Pet Refuge Coordinator?

If no, please explain:

In some instances, it may take several months to place a foster in an adoptive home. Are you prepared to care for a foster for an extended period of time?

Do you fully understand the responsibility that fostering a dog entails, and are you willing to assume the responsibility?

Please list two personal references. If you currently own a pet, you may use your vet as one. (Name and Phone Number)

Do you have any additional comments or questions?

If you confirm that all of the above statements are true and factual and you agree to all terms of this application, then please type your full first and last name as an electronic signature on this application

Dog Foster Application

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