Date / Time *

Date

Time

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Contact Number *

Alternative Contact Number

Best time to call *

If we are unable to reach you can we leave a message with someone or a voicemail? *

Yes
No

Email *

When answering the questions in this application PLEASE be detailed. How many people reside at your residence? *

Please give names and ages.

If just yourself, please just type self.

1. References: We require a Veterinarian’s reference and two (2) personal references from somebody NOT RELATED TO YOU. (Please note we need this information in order to approve your foster application) a. Veterinarian’s Name and contact number: If you are not providing a Vet reference you must provide a 3rd personal reference below. *

Personal references NOT RELATED TO YOU (please be detailed including name and contact number) 1st Reference *

2nd Reference *

2rd Reference *

2. Do you currently own any other pets? *

Yes
No

a.*(List species/breed, name/age of each and if neutered/spayed) If not applicable please ignore.

B. Are your current dogs licensed for your township, village or city? *

Yes
No
Not Applicable

Are your dogs up to date on all vetting? (shots, heartworm testing and preventive)

Yes
No
Not Applicable

d. Have you ever given away or re-homed a pet. If yes please give details. *

If you answered yes above, please provide details.

3. What type of dwelling do you live in (house/apartment/condo)? *

4. Do own or rent your home? *

a .*(Renters: Please provide Landlord name and contact number)

Is your yard fenced? *

Yes
No
Not Applicable

6. Gertie’s Small Dog Rescue rescues all purebred and mixed breed dogs less than 20 lbs. What breeds of small dogs would you be willing to foster? *

a. What type of fencing do you have? If not applicable enter n/a *

b. * (If you do not have a fenced in yard- what other ways will you use to secure the animals safety?)

7. What traits/characteristics are you interested in for your pet? *

8. How will you train the animal (potty/leash/behavioral training)? *

9. Other animal concerns: a. How much alone time will your foster have? If you work outside the home what arrangements would you make to ensure your foster has potty breaks/ walks. *

b. Where will the pet be kept when left alone? *

c. Where will the pet sleep? *

d. Would there ever be an occasion the pet will be allowed off a leash or out of a secured area? (Please describe when/why ) *

e. Who will be the primary caretaker for the pet? *

10. Are you familiar with the necessary vetting a dog should have (vaccinations, heartworm testing, spay/neuter and any other vetting the foster may need? (Gertie’s Small Dog Rescue PAYS FOR ALL VETTING)

Yes
No

11. Are you able to provide transportation and time to take your foster to the Vets? *

Yes
No

12. Are you willing to foster a pet that is older?

Yes
No

13. Are you willing to foster a pet who has been abused and may have behavioral problems such as fear biting/aggression toward people or other dogs? *

Yes
No

14. Are you willing to foster a pet who requires continual housetraining?

Yes
No

15. Are you willing to foster a pet that is NOT reliable with children? *

Yes
No

16. For what reason would you ever give up your foster? *

17. What experience do you have that will be helpful in fostering? (Please be detailed) *

18. Most of our dogs come with either health or behavioral issues. Do you have the patience to work with your fosters to help them overcome their issues? *

Yes
No

19. How many fosters can you take at one time? *

20. How would you train a dog with the following problems? (Please be detailed) a. Toy aggression? *

b. Food aggression? *

c. Separation anxiety? *

21. Can you afford quality dog food, toys, pet beds, crates etc for your foster? *

Yes
No

22. Are you able to take your fosters out in public for socialization? *

Yes
No

23. Personal Information (Answers to these questions will not affect your approval to foster. They are only meant to gather information on your experience and see what other tasks involved in rescue you may be able to help with. 24. What is your occupation? * *

25. Have you ever volunteered for a Rescue before? *

Yes
No

If yes, please explain.

26. What are your hobbies?

27. Do you have any experience in:

If you checked any of the above, please explain.

What do you consider your best skills? *

29 How did you hear about Gertie’s Small Dog Rescue ? *

30 List any other helpful information about yourself: *

31 This is a must answer question!!! Please explain in detail why you feel you would be a good foster home. *

I certify the information provided on this application is true. (Type First and Last Name) *

Gertie's Small Dog Rescue

Foster Application