Who You're Looking For
Name of dog you're interested in (from web site, flyer or newspaper ad):
If you're not sure, what age of dog would you like to foster?
Puppy
Young
Adult
Senior
Doesn't matter
Male or female?
Male - Neutered
Male - Not Neutered
Female - Spayed
Female - Not Spayed
Doesn't matter
Size?
Small
Medium
Large
Extra Large
Doesn't matter
What are you looking for in a dog?
What do you most like about dogs?
What do you like least about having a dog?
Who will be the primary caregiver of the dog?
How soon were you looking to foster?
General Information
*required Name:
*required Email:
Home Address:
City:
State:
>>
AL
AK
AZ
AR
CA
CO
CT
DE
DC
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
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip: Home Phone:
Occupation:
Employer:
Work Address:
City:
State:
>>
AL
AK
AZ
AR
CA
CO
CT
DE
DC
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
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip: Work Phone:
Are you over 21 years old?
Yes
No
About Your Home
Type of Residence:
House
Apartment
Condo
Mobile Home
How long have you lived here?
If Apt/Condo, what floor?
1st floor
2nd-4th floor
higher than 4
Do you have window guards/screens?
Guards
Screens
Both
Neither
Rent or Own?
Rent
Own home
Other
Please list your last previous address and length of time living there.
Please list all those living in residence (name, relation, age)
Please list any companion animals currently living in this household.
Does anyone have animal allergies?
Yes
No
Do you have a backyard or terrace?
Backyard
Terrace
Both
Neither
If yes, is it enclosed?
Yes
No
If a fenced yard, how high is the fence, how large an area, and what type of fencing was used?
If you have no fence, how will your dog relieve/exercise himself?
Have you ever had a dog previously? (Please provide a brief history. If deceased, state name and date of death)
Have you ever taken a pet to a shelter? Please explain.
What is your household activity level?
Quiet
Active
Very active
Please explain
How many hours are you gone a day?
Do you travel often?
Yes
No
Who will care for your pet when you travel?
Do all adults work full time?
Yes
No
How many hours a day will your new dog be alone?
Where will your new dog be kept when he is alone?
Where will your new dog be kept during the day?
Where will your new dog be kept during the night?
What sort of training do you plan on providing?
If we could help with training, would you be interested?
Who will walk your new dog? And how often?
Who else will be spending time with your new dog?
Is a home visit OK?
Yes
No
Can you financially afford to care for this dog?
Yes
No
The following information is required so we can verify that you are allowed pets.
If you rent, are you allowed pets?
Yes
No
Does your rental agreement specify a size restriction?
Yes
No
Landlord's Name:
Landlord's Phone:
Landlord's Address:
References
Please provide names, relationship and phone numbers of 2 people not related to you
Reference 1:
Reference 2:
Do you have a local veterinarian?
Yes
No
Vet's Name:
Vet's Phone:
Vet records are under the name of:
How did you find out about Stray from the Heart?
Please provide any other information that may be helpful for us to know when reviewing your application
I certify that the above information is true and accurate to the best of my knowledge, and I understand that completion of this form in no way guarantees my ability to foster a dog. I further understand that completion of this form is only the first step in the foster process and that, should I wish to further this process, and in-home screening will follow.
IMPORTANT Note: Before you press submit, please print out this form. We will need it completed & signed prior to a successful foster.