Order Number Please complete the below foster home application to begin the foster home approval process. Upon receipt of your application, the New Life Dog Rescue application coordinator will review your application and speak with your references to determine if you qualify for appropriately caring for a dog. After an application is approved a home visit is done. Please allow us several days to review this application and contact your references. Please answer all questions. If one does not apply, type in n/a. Name Address 1 Address 2 City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Home Cell Work Other Email Address Do you regularly monitor this email and agree to provide us with timely responses * Yes No What's the best way to reach you? Home Cell Work Email Other Occupation Employee Name Employee Address 1 Employee Address 2 City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Are you 21 or older? Yes No Type of home you live in? House Condo Trailer Apartment Do you have a fenced yard? Yes No Type of fenced yard? Wood Chain Brick Do you: Rent Own If you rent, please provide the landlords or owners name and phone number. You must have approval from your landlord to have a dog and what if any restrictions where are (breed, size, weight, etc.) Personal References: Please provide contact info for 3 personal references and has personal knowledge or how you feel about pets, how you treat pets, etc.: Reference Name 1 Reference Phone 1 Reference Email 1 Reference Name 2 Reference Phone 2 Reference Email 2 Reference Name 3 Reference Phone 3 Reference Email 3 Veterinarian Reference: Name Phone Number of people living in the home including yourself: Number of people under 21 years old: If children under 21, list ages: Does anyone living in the home have allergies? Yes No Are all residents in favor of fostering a dog for our organization? Yes No Have you ever been a foster for another rescue organization? Yes No If yes, which organization? Is there a particular dog that you are interested in fostering? List any size or breed preference and the qualities in a dog that would best suit your home: List any qualities in a dog that would NOT suit your home: Do you have pets living in your home now? Yes No If yes, list the pets name, age, breed, altered status: Are your pets current on vaccinations? Yes No If other dogs living with you, how does it react to other dogs? Have you ever given away, sold, abandoned, surrendered or put a pet to sleep? Yes No If yes, explain your reasoning please: Where will your foster dog be when everyone has left the house? Longest time dog will be left alone? 8 - 9 hours 6 - 8 hours 4 - 6 hours 2 - 4 hours Explain about the longest time the dog will be left alone at any given time: Where will your foster dog sleep? How will your foster dog be exercised and how often? When will your foster dog be allowed “off leash”? Are you willing to work with your foster dog on any issues it may have? Yes No How long do you feel a new pet and pets already living in the home should be given for an adjustment period? Do you acknowledge there can be disagreements and will strive to ease the transition and provide care and guidance as needed? Yes No Will you contact us ASAP if you encounter situations in which you may need assistance? Yes No Are you familiar with crate training and willing to crate train the dog? Yes No How long will you be able to provide a foster home for a dog? (Dogs can find their new homes in as little as a few weeks to several months and more. We need foster homes for the long haul and even emergency foster homes for a week or two while we set up transport) As long as it takes 6 months to a year Several months Emergency foster only (1 - 2 weeks) Do you agree to contact us ASAP if you can no longer provide a foster home for a dog? Yes No Are you willing to have a New Life Dog Rescue volunteer do a home visit? Yes No I have answered all questions and provided all needed references truthfully and honestly to the best of my knowledge. I will do my best to comply with New Life Dog Rescue’s foster home requirements, which include providing a loving and safe environment for my foster dog. E-Signature Date
