1. First Name
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2. Last Name
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3.Occupation
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4. Address
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5. City
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6. Zipcode
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7. Home Phone- Area code first
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8. Cell Phone-Area code first
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9. Work Phone-Area code first
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Your work number is required.
10. Email
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11. Spouse/Significant Other
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12. Spouse/Sig. Other Occupation
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13. Names/Ages of Children
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14. Desired type of dog:
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15. Does EVERYONE in your family want to foster a dog?
Yes
No
Please select yes or no
16. If you live in a Condo or Apartment, does the association allow pets?
Yes
No
I live in a house
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17. If renting, do you have permission to keep a dog?
Yes
Not yet
No
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18. Please tell us the landlords name and phone #.
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19.What are your primary reasons for wanting to foster a dog?
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20.If you have children, please describe their previous experience with dogs:
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21. Has any member of your family ever experienced animal-related allergies?
Yes
No
Please select an item.
22. Does your home have a pool?
Yes
No
I live in an apt/condo
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23. How do you introduce the dog to the pool?
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24. Do you presently have a dog?
Yes
No
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25. Have you previously had a dog?
Yes
No
I had a dog as a kid
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26. If you presently have dogs please list their name, breed, age & sex (or if they are neutered/spayed):
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27. If you have previously had dogs please list name, breed. Also write what happened to the dog.
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28. If you have other pets besides dogs, please list their species & ages
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29. Is there anyone home during the day?
Who?
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30.When will the dog be inside?
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31.When will the dog be outside?
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32.How many hours per day will he dog be left alone and where will it be when left alone?
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33. What rooms are off limits to the dog?
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34.What outside areas are available to the dog:
fenced yard
enclosed patio
garage
balcony
dog house
unfenced common area
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35. Who would be responsible for the care of the dog?
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36. Where would the dog sleep?
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37. Where would the dog be left when he/she is alone or when you are away from your home?
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38. Is your yard fenced?
Yes
No
I don't have a yard
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39. Type of fencing
Chain link
wood
block wall
other
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40. Height of fence at its highest and lowest:
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41. Please tell us what kind of locks you have on the gates?
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42. Have you recently inspected your fence and is it secure, without holes, gaps, or low points? If NO, and your application is accepted, do you agree to thoroughly inspect your fence and make any necessary repairs before the home visit?
fence is sound
fence has gaps
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I agree to repair fence
I won't be able to fix fence
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43. Who has access to your yard?
44. Do you have a doggie door?
Yes
No
Please select an item.
45. Preferred level of exercise with dog?
couch potato
short walks
vigorous walks
hike/jog
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46. If currently have dogs what kind of food do you feed? Please list brand and type (dry or canned)?
An entry is required. An entry is required.
47. How would you rate your level of dog owning experience?
first time owner
beginner
intermediate
advanced
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48.How would you discipline your dog if he or she misbehaved?
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49.Do you understand that in fostering a rescue dog you may be dealing with hair on the furniture, possible stains on your rugs, a warm body on your bed, and an animal that might be destructive at times?
yes
no
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50.Under what circumstances, if any, could you imagine would cause the return of your foster dog?
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51. Name of vet and/or reference.
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52. How did you hear about our adoption program?
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53. Is there anything else you would like to tell us about yourself or your home environment?
An entry is required.
