Foster Application - Shih Tzus & FurbabiesShih Tzus & Furbabies

Name *

First

Last

Email *

Referred By

Address *

City *

State *

Zip *

Home Phone *

Cell Phone *

Alternative Phone Number

Age *

Marital Status *

Occupation *

Employer Name *

Employer Address

Employer State

Employer City

Employer Zip

Employer Phone Number

Occupation Of Spouse/Partner *

What age dog would you like to foster? (check as many as apply) *

What age dog would you like to foster? (check as many that apply) *

Puppy
Young
Adult
Senior

Male or Female Dog? *

Would you consider fostering a bonded pair? *

Yes
No
Not Sure

What type of dog are you hoping to foster? *

What characteristics are important to you? *

What do you like most about dogs? *

What do you like least about having a dog? *

Who will be the primary caregiver for the dog? *

Are you willing to FOSTER a dog with behavioral problems who may require special training? *

A dog with behavior issues may have been so abused that he has serious trust issues and exhibits defensive behavior; he may have been left alone for long periods of time and now becomes anxious when his person is absent; he may have been starving and is protective of his food. We are extremely careful to place dogs with behavior issues into experienced homes, with families or individuals prepared to deal with them. We are always here for support and advice, and together we hope to help these special dogs overcome their histories and become loving pets.

Are you willing to FOSTER a dog with special needs? *

Special needs can be as simple as a need for daily eye drops, or as complex as blood sugar testing and daily insulin injections. A special needs dog may be missing a limb, or an eye, or be on prescription diet or on medication for thyroid or cardiac issues.. and still be completely functional, able to receive and give unconditional love.

Are you willing to FOSTER a dog with a history of neglect/abuse who needs extra love and attention? *

Would you be willing to foster more than one dog? *

Type of Residence:

How long have you lived at your current residence? *

Do you rent or own? *

Rent
Own

Do you plan to relocate within the next 2 years? *

Yes
No

If you rent or live in a condo, are you allowed pets? *

Yes
No
Not Sure

Landlord's Name / Condo Association Name: *

Landlord's Phone Number / Condo Association Phone Number: *

Please list everyone living in your home (Name, relationship, and age): *

Do you have children under the age of 8 who are frequent visitors(such as grandchildren, neighbors, etc.)?: *

Please list all pets currently living in your home (Name, breed, age, gender and whether they are spayed/neutered): *

Is anyone in the home allergic to dogs? *

Yes
No

Do you have a backyard? *

Yes
No
Third Choice

If your yard is fenced, please describe the fence: *

Do you have a deck, and if so is it enclosed? *

Do you have a pool? If so, what kind? *

Yes, In Ground
Yes, Above Ground
No, I don't have a pool.

How will your dog get exercise/relieve him or herself? *

What is your household activity level? *

How many hours a day will the dog be alone? *

Do you have a doggie door? *

Yes
No

Do you travel often? *

Who will care for your pet(s) when you travel? *

Where will your FOSTER DOG be kept when he/she is alone? *

Where will your FOSTER DOG spend the day? *

Where will your FOSTER DOG sleep at night? *

Who will walk your FOSTER DOG? How often? *

If you became suddenly ill or disabled, who would help care for your foster dog(s)? *

Please list any dog(s) you have owned in the past and what happened to them: *

Have you ever given an animal to another person, rescue, or shelter? If yes, please explain: *

How will you handle grooming? *

Reference 1 (Name, Relationship, Telephone Number): *

Reference 2 (Name, Relationship, Telephone Number): *

Reference 3 (Name, Relationship, Telephone Number): *

Are you willing to transport your FOSTER DOG FOR APPROVED veterinary care? *

Veterinary Information (Name/City/State/Phone): *

Vet Records are under the name of: *

Are you fostering for another organization or shelter at this time? If so, please explain. Also, if you have fostered in the past, please tell us about your experience. *

Please provide us with any other information that may be helpful for us to know when reviewing your application: *

Signature of Applicant: *

Date of Application: *