FOSTER HOME APPLICATION FOSTER HOME APPLICATION We would love to have you join our growing network of foster families. Our goal is to be able to help rottweilers throughout the state and in order to do that we need your help! We will cover all veterinary expenses at our veterinarian. This includes altering, heartworm testing and preventative, worming for internal parasites and vaccinations. We ask that you furnish the food, pet dishes, toys and alot of love. Please answer all of the following questions as completely as possible - the more details you give us, the easier it will to match you up with the best foster dog for your situation. As soon as we receive your form one of our volunteers will contact you to discuss your application, check with your veterinarian and arrange for a home visit. Thank you for volunteering to save the life of a wonderful rottweiler! Personal Information Name: Spouse: Address: City: State: ZIP: E-Mail: Home Phone: Cell Phone: Your employer:_____________________________ Work Phone:________________________________ Spouse employer:___________________________ Work Phone:________________________________ Age: Spouse Age: Are you expecting a child or planning a family? Yes No Does your or your spouse's job require frequent out of town travel? Yes No Are you or your spouse subject to relocation?Yes No Are you a student?Yes No; If 'yes' anticipated date of graduation: Are you in the military?Yes No; If 'yes' anticipated date of discharge: Family Information How many children are living at home? Names and ages of all children included above: _____________________ _____________________ _____________________ _____________________ _____________________ _____________________ Besides your immediate family, are there others residing in your home? Yes No Names of other residents: _________________________ ____________________ _________________________ ____________________ Relationship of other residents: _________________________ ______________________ Is anyone in your home allergic to animals?Yes No; Does anyone have asthma? Yes No Home Information Do you own or rent? own rent If you rent, please provide name and phone number of your landlord: Please describe your type of dwelling: Circle one of these: ApartmentDuplex/TriplexTownhouse/CondominiumMobile HomeHouseFarm/Ranch How long have you lived at your current address? ____________________ If less than two years, please provide your previous address: ______________________________ City,State,Zip:______________________________________________ Please descibe your neighborhood: Circle one of these: City Suburb Country Rural Does your home have a yard?Yes No Does fencing completely enclose the yard for the dog?Yes No If not, explain how and where you will allow the dog to exercise and relieve itself? _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ If your yard is fenced please describe what kind: How tall?_________ Is the gate currently locked with a padlock? Yes No Can strangers gain access to your yard from the street? Yes No Some insurance companies may cancel your homeowner's insurance if there is a rottweiler on the premises. It is your responsibility to check with your agent and ensure that fostering a rottweiler will not adversely affect your policy. I have checked with my insurance carrier on this date:______________________ and confirmed that my policy will permit me to foster a rottweiler my policy permits rottweilers:___ YES ___NO Other Pet Information Do you have other pets at this time?____Yes_____No If 'yes' are they spayed or neutered yet?____Yes____No If your answer was NO, please explain why not: ______________________________________________ ______________________________________________ ______________________________________________ If 'yes' are they currently on heartworm preventative? Yes No If your answer is NO please explain why: _______________________________________ _______________________________________ _______________________________________ If 'yes' are they indoor or outdoor pets: indoor outdoor Do you have a doggie door: Yes No If outdoor pets please describe living environment: __________________________________________________ __________________________________________________ __________________________________________________ What petfood are you feeding your pet(s): _________________________________________________ _________________________________________________ If you have owned pets in the past and do not now, what happened to them? ________________________________________________ ________________________________________________ ________________________________________________ Do your current pets get along with other dogs? Yes No If you think there may be a conflict, please describe how you will keep the foster rottweiler separated from your family pet(s): Foster Information Have you ever owned a rottweiler before? Yes No Please describe where the dog will stay when you are at home: ____________________________________________________________ Please describe where the dog will stay when you are away: ____________________________________________________________ Please describe where the dog will sleep at night: ____________________________________________________________ How do you feel about dogs on the furniture? ____________________________________________________________ How many hours per day will the dog be alone? ______________ Do you have a crate? Yes No Do you plan to use a crate? Why or why not? ____________________________________________________________ If 'yes', how many hours per day will the dog be crated? __________ What kinds of solutions would you be willing to try if housebreaking accidents occurred? {please check all that apply}: crate dog door leave outside none, I would need to return the dog other: (specify) _________________________________________________________________ Have you ever trained a dog before?Yes No If 'yes' please describe the training methods you have used in the past: _______________________________________________________________________ _______________________________________________________________________ Are you familiar with the signs of gastric torsion [bloat]?Yes No References Many veterinarians will not release information to us without your permission. Please let your vet know that we will be calling them and that it is ok to release information to us. I called my veterinarian(s) on this date:_____________ , and I spoke with: ____________________________________ to let them know that you will be calling and I have given my permission for them to release information to you. Please provide us with your current veterinarian information {required}: Name of Animal Hospital: Name of vet: Phone number: Address City State: Zip If less than five years please provide us with your previous veterinarian information: Name of Animal Hospital Name of vet: Phone number: Address City State: Zip Please provide three references not related to you: Reference #1: Name Day Phone Evening Phone Reference #2: Name Day Phone Evening Phone Reference #3: Name Day Phone Evening Phone And Finally... Have you ever fostered a dog before: Yes No Are you willing to assume financial responsibility (all expenditures are tax deductible) for food, dishes, toys? {we will cover all veterinary expenses at our vet including altering, heartworm testing and preventative, immunizations}: Yes No Do you mind if families interested in adopting the dog come to your home to visit it: Yes No Do you have a gender preference? Yes No If yes please specify: age range: Do you understand that often times the complete history of a rescue rottweiler may not be known and you may encounter some initial adjustment problems? Yes No Will you be willing to work with us on solving those problems if they occurred? Please circle one: yes no, I would need to return the dog Do you have a time frame regarding how long you will be able to keep the dog until it gets adopted: Yes No If Yes approximately how long:_______________________________ If you were referred by anyone, please tell us so we may thank them: ___________________________________________________________________ Please give us any other information that may help us make the best match between you and your foster rottweiler: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Please doublecheck that you have filled in all the fields - indicating 'n/a' if a question does not apply to you - incomplete applications cannot be processed and will be automatically deleted..