Foster Application

Please complete the form below:

Date	*
CONTACT INFO
First Name	*
Last Name	*
Email Address	*
Phone Number (Home)	*
Phone Number (Cell)
Address	*
City	*
State / Province	*	- - Choose One - - - - US States - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY - - Canada Provinces - - AB BC MB NB NL NT NS NU ON PE QC SK YT
Zip / Postal	*
PREFERENCES
Please check the age range(s) you are willing to foster.	*	Puppy (1-3) Adult (3-8) Senior (8+ years) Special Needs (Any age) Any
Are you willing to foster a dog with health problems?	*	Yes No
Are you willing to foster pugs with special needs if given training?	*	Yes No
Are you willing to foster a 'bonded pair' of pugs?	*	Yes No
Many fosters come in needing housetraining reinforcement. Would you be willing to foster a dog that is not housetrained?	*	Yes No
Some pugs are adopted within a few weeks and others a few months. What is the average length of time you feel you will be able to dedicate to a foster?	*
Do you travel frequently?	*	Yes No
Would you be willing to foster a dog with behavioral issues?	*	Yes No
Are you willing to transport your foster to our vet if necessary?	*	Yes No
Are you willing and able to cover the basic items for your foster such as food, supplements, leash, collar and bed?	*	Yes No
Please explain the gender, activity level, and personality of a pug you would like to foster. Please be as detailed as possible.	*
Have you ever fostered for any other rescue organizations?	*	Yes No
If you answered yes, please provide the group name and approximate dates.	*
Do you have any experience with pets having medical or behavioral issues that would benefit a foster? If so please explain and be as detailed as possible. For example, have you had pets that are blind or deaf or who exhibited food aggression or fearful behaviors?
What is the best way to contact you?	*
HOME & CARE
Please list the names & ages of the persons living in your household.	*
What type of residence do you live in?	*	Single-family house Condo or Apartment building
Do you have a fenced in yard or regular access to one?	*	Yes No
If you have a fenced in yard, what type of fence is it?
Do you own or rent your home?	*	Rent Own
If you rent your home, please provide contact information for the property owner or property management company.
Landlord's Name
Landlord's Phone Number
Do you have air conditioning in your home?	*	Yes No
Does anyone in your home smoke?	*	No Yes
How many years have you resided in your current home?	*
Where will the foster be kept while you are at work and/or when no one else is home?	*
On average, how long will your foster be left alone most days?	*
Who will be responsible for your foster?	*
How do you plan on exercising your foster?	*
Where will your foster eliminate? Check all that apply.		Grass Pavement Wee-Wee Pads
Brifely explain the health issues you are aware of with a Pug.
REFERENCES
Vet: Name
Vet: Address
Vet: City
Vet: State / Province		- - Choose One - - - - US States - - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY - - Canada Provinces - - AB BC MB NB NL NT NS NU ON PE QC SK YT
Vet: Zip / Postal
Vet: Phone Number
Professional Reference Check: Name (employer / co-worker )	*
Prefessional Reference Check: Relationship	*
Professional Reference Check: Phone Number	*
Professional Reference Check: Name (employer / co-worker )	*
Prefessional Reference Check: Relationship	*
Professional Reference Check: Phone Number	*
CURRENT PET(S) INFO
Current Pet(s). Please list all.
Breed & Age. Please list all.
Spayed/Neutered		Yes No
Describe the personality(ies) of your existing dog(s). Submissive? Dominant? Aggressive? Playful? Friendly? Please give as much detail as possible.	*
If any of your pets are not spayed or neutured, please explain why:	*
If you have a lost a pet as a result of an accident, or it died at an early age, please provide details.	*
PROFILE Q&A
Are there plans for any children in your future?	*
Brifely explain the reasons you are most attracted to fostering a Pug and not another breed.	*
Tell us about you - i.e. what you do for a living, activities, hobbies, etc.	*
How do you envision you and your foster spending time together? Please be specific and provide examples as this information helps us to identify the best personality and activity level for your potential match.	*
What do the weekends look like for you and/or your family? ie Quiet time at home, lots of hiking and outdoor activities, lots of family parties.	*
Why should we choose you as a foster home for one of our pugs?	*
Part of the application process includes a virtual home visit. Please attach some photos of your home, including outdoor space if applicable, as well as the rooms your foster will have the most access to. Please make sure the photos are each less than 1MB in size.
Home Photo #1
Home Photo #2
Home Photo #3
Home Photo #4
Home Photo #5
Home Photo #6
TO BE FILLED OUT BY RESCUE TEAM MEMBER
Reference #
Status