Applicant's Full Name:

Address:

Apartment/Unit #:

City:

State:

Zip Code:

Home Phone:

Answering Machine?:

Cell Phone:

Work Phone:

E-mail Address:

Employer:

Occupation:

Employer Address:

Employer's City:

Employer's State:

Employer's Zip Code:

Spouse’s Name:

Spouse / other adult employer:

Spouse's / other adult's Occupation:

# of Adults in Household:

# of Children:

Ages of Children: Please separate ages with commas.:

Are all the adults in the household aware that you are fostering a dog / puppy?:

Who will have primary responsibility for this pet and state the age::

Does anyone in the household have pet allergies or asthma?:

If Yes, who?:

What type of dog/cat are you interested in fostering?:

Residence Type:

If you rent, does your lease allow animals?:

Are there any weight/breed restrictions?:

If yes, please describe?:

Management company or landlord name:

Management company or landlord phone:

Is your yard fenced?:

If Yes, height:

Type of fence:

If your yard is NOT fenced, are you willing to fence it in?:

If No, what method of restraint do you intend to use?:

Do you have a pool?:

If Yes:

Is there a fence around it?:

Will your foster be an inside dog?:

Will the foster be allowed outside unattended during the day / night?:

Will your foster ride in the back of a pick-up truck?:

How many hours a day will the dog / puppy be left alone?:

If confined in a room, which room?:

If crated, in which room?:

How often and what kind of exercise will you give your foster?:

Are there times when your dog / puppy will be tied outside?:

If Yes, when?:

Do you travel or relocate frequently?:

If Yes, please explain::

Please list the animals you currently have: Please list Name, Species, Age, M/F, Spayed/Neutered, Vaccinations Up to Date, Where is the animal now?:

Please list the animals you have had in the past as an adult: Please list Name, Species, Age, M/F, Spayed/Neutered, Vaccinations Up to Date, Where is the animal now?:

What heartworm preventative have you given your dogs?:

What flea & tick treatment have you given your dogs?:

Have you ever given away, sold, or surrendered an animal?:

If the answer is Yes, what were the circumstances and to whom?:

What method of training / discipline will you use?:

How were your previous pets trained / disciplined?:

Some animals are either Not housetrained, or, when introduced to new surroundings, stressed or as an attention getter, will have housetraining issues. Are you prepared to deal with this?:

How will you correct him / her if an accident occurs?:

What method do you intend to use for housetraining?:

How long do you think it takes to housetrain a dog / puppy?:

Do you know how dogs get heartworm disease?:

If Yes, how?:

Are you able to attend at least 2 adoption events per month?:

Are you willing to allow a representative of PAWS Rescue to visit where the foster will be living?:

Are you willing to allow a representative of PAWS to contact your personal veterinarian?:

If Yes, veterinarian name:

Veterinarian's phone:

I certify that the information above is true and understand that false information will result in nullification of adoption. Please enter your full name.:

I also certify that neither I, nor anyone living in my household, has ever been investigated for or charged with animal cruelty, neglect, or abandonment. Please enter your full name.: