Foster Care Application

A thorough screening questionnaire for people offering a temporary home to a rescue dog, covering housing, household members, pet history, availability and references. It helps shelters match each animal with the right foster family.

Use this template

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How did you hear about Freedom?

Full name

Nombre

Apellido

Age

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Home phone number

Cell phone number

Work phone number

Do you live in a:

Do you:

Own Rent Live with family

If renting: please provide your landlord's contact information

Household setting

Adults only Family with young children Family with older children Shared housing

Describe your home's activity level

Calm Moderate Very active

Please list everyone living in the household (name, relationship, gender and age)

Does anyone in your household have animal allergies?

Yes No Not sure

Are all members of your family agreeable to fostering a dog?

Yes No Not sure

Please list any pets you have had, living or deceased (name, breed, age, altered, sex, up-to-date vaccines, heartworm, living/deceased)

Do you have a preference for the foster dog's sex?

Male Female No preference

Are you willing to foster a dog of any age?

Yes No It depends

If not, what age would you consider?

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

Small Medium Large Extra large

Describe the type of dog you are willing to foster (breed, coat length, personality, energy level, hypoallergenic); we always aim for the best fit with each foster home

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

Yes No It depends

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

Yes No Not applicable

If no, please explain

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

Yes No Not sure

We cannot guarantee a dog is housebroken; are you equipped to train with love and patience?

Yes No Not sure

Have you had experience with an emotionally or physically neglected or abused dog?

Yes No Not sure

If yes, please explain

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

Yes No It depends

Do you have a fenced yard?

Yes No Partially

If fenced, please give details on height, material, number of gates and whether they lock

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

What are your plans to exercise your foster? List nearby parks or trails, walks per day, approximate length and activities such as agility

Please list 3 personal references with names, addresses, phone numbers and relationship; we prefer they not all be relatives. Are you okay with this?

I agree I have questions I cannot provide them

Vet reference: full name

Nombre

Apellido

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone number

Reference #1: full name

Nombre

Apellido

Relation to the applicant(s):

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone number

Reference #2: full name

Nombre

Apellido

Relation to the applicant(s):

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone number

Reference #3: full name

Nombre

Apellido

Relation to the applicant(s):

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone number

Declaration and consent

Date

Your name

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