Foster Application

Full Name *

First Name Last Name

I certify I am over 21 yrs of age *

Yes

Address *

Street Address

Address two

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

Occupation *

Employer Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Emergency Contact *

Name Phone Number

Please List all People Living in the Household (Include Name, Relationship, Gender and Age) *

Do you live in a: *

Do you: *

Own Rent Live with Parents Other

Are animals allowed? *

Yes No

If Renting: Please indicate landlord contact information *

Does anyone in your home smoke? *

Yes No

Describe a typical day for your foster dog *

Describe your Homes Activity Level *

Busy/Noisy Moderate Comings/Goings Quiet with Occasional Guests

Does Anyone in your Household have Allergies to Animals? *

Yes No

Are all members of your Family agreeable to Fostering a Dog? *

Yes No

Please List any Pets you currently have (Please include Name, Breed, Age, Altered, Sex *

Are your pets: *

Are your animals UTD on vaccines? *

Yes No

Are your animals altered? *

Yes No

Do you have a preference in sex of foster? *

Male Female No Preference

Are you willing to foster a dog of any age? *

Yes No

If not, what age would you consider? *

What size dog are you willing to foster? (Check all that apply) *

Small Medium Large

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes. *

Are you willing to take your foster dog to vet appointments at a convenient time for you? *

Yes No

Do you drive or have access to a vehicle to bring your foster to events and appointments *

Yes No

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative? *

Yes No

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience? *

Yes No

Are you willing to use a crate for a dog if recommended? *

Yes No

Do you have a fenced yard? *

Yes No Partial

If fenced, please give details on height, material, # of gates, are gates locked or lockable? *

Do you have a pool? *

Yes No

Is the pool fenced? *

Yes No

If your pool is not fenced, how will you ensure the safety of your foster pet? *

How many hours in a day would the foster be left alone? *

What are your plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility. *

Reference #1: Full Name *

First Name Last Name

Relation to applicant(s): *

Phone Number *

Area Code Phone Number

Reference #2: Full Name *

First Name Last Name

Relation to applicant(s): *

Phone Number *

Area Code Phone Number

*If my foster needs to be seen by a veterinarian, I will get pre-approval from director

*If my foster animal is seen by a veterinarian, and I request any additional medical services without pre-approval, I assume responsibility of payment for said service.

*If I take my foster animal to an unauthorized rescue veterinarian for SALVAGED SOULS PET RESCUE, I assume responsibility of payment.

*I understand I am responsible for getting all documentation *(shelter paperwork, medical records, vet visits, etc., sent to director in a timely manner.

*I understand any information, vet visits, etc., are to be logged under SALVAGED SOULS PET RESCUE as the owner of my foster animal.

*I agree to keep director updated on the well being of my foster animal.

*I agree to send presentable photos and updated information on my foster animal to the director.

*If I want to be considered as an "adopter" for my foster, I agree to follow protocol in the standard adoption process for SALVAGED SOULS PET RESCUE, including paying the required adoption fee.

I have read and agree to requirements (please initital) *

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any SALVAGED SOULS PET RESCUE animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless SALVAGED SOULS PET RESCUE and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release SALVAGED SOULS PET RESCUE from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have SALVAGED SOULS PET RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to SALVAGED SOULS PET RESCUE and try to give SALVAGED SOULS PET RESCUE a 2 week period to try and find another suitable foster for the dog(s).

Signature *

Clear

Date

Month Day Year

Foster Application

REQUIREMENTS