Lost Angels Animal Rescue, Inc.
Dog Foster Home Program Application
The
information you provide on our application will help us determine the best
possible match for you as well as for the dog/puppy. Please complete the following
questionnaire in its entirety. If a question does not apply to you, please fill
in the blank with N/A. Please do not leave any blanks. Note: "LAAR" =
Lost Angels Animal Rescue.
Date: _________________________
Applicant’s
Full Name: _______________________________________________________
Address:
__________________________________________________________________
City/State/Zip:
_____________________________________________________________
Email
Address: _____________________________________________________________
Home
Phone: _____________ Work Phone: _____________ Cell Phone: ______________
Work
Location: ______________________________________________________________
1.
Which would you prefer to foster? (Choose all that apply) Puppy Dog Younger Adult Senior Small Medium Large Specific Breed:_______________________
2. How many fosters are you willing to have at
any given time? ______________________
3.
Are you willing to paper-train and/or house-break a puppy? Yes No
4.
What is your method of paper-training and/or house-breaking? __________________________________________________________________________
5.
Are you willing to foster the dog/puppy until it is successfully adopted? Yes No
6.
Sometimes a foster can remain with a family for several months. Do you have a
time limit on how long the foster may remain with you? Yes No If there is
a set time limit, please explain
______________________________________________________________
7.
Do you own a crate to house the dog/puppy while unattended? Yes No
8.
Do you agree to hold LAAR harmless from any damages to your home that may occur
due to not keeping the animal crated when unattended? (Note: It will be assumed
if the damage is substantial, the dog was not crated while unattended.) Yes No
9. Please describe your experience with
handling dogs with respect to behavioral discipline (such as chewing, loud
barking, etc.) ______________________________________________________________________________________________________________________________________________________
10.
Are you willing to continue fostering the dog/puppy if it becomes ill? Yes No
11.
Are you willing to make any necessary medical office visits, administer
medications and/or provide special diet to a foster dog if necessary? (Foster
families are required to supply food, toys and items of comfort for a foster
dog. LAAR will cover only those medical expenses that have been pre-approved
prior to an office visit and must be rendered by an approved LAAR
veterinarian.) Yes No
12.
In case of illness, are you able to separate pets in the household? Yes No
13.
Do you agree to hold LAAR harmless from infections and diseases to your pet(s)
that are spread by a foster dog? (LAAR will only cover the medical costs for a
LAAR foster.)Yes No
14.
In which type of dwelling do you live? Apartment Duplex Condo Town Home Single Family Home Single Family Mobile Home
Other ________________________
15.
Do you rent or own your dwelling? Rent Own
16.
If you rent, please provide the name, address and phone number of your
landlord. (Please attach proof to this application that you are allowed to have
animals in your rented dwelling. If submitted online, proof can be submitted
via email to
LAAR.)
Landlord
Name ___________________________________________ Phone ______________
Street
Address/City/State/Zip ___________________________________________________
17.
Do you have a fenced in yard? Yes No
18.
If yes, what type of fencing: Wood Chain Link Brick wall Other __________
19.
How high is fencing: 4 ft 5 ft 6 ft Other ____________________
20.
If you do not have a fenced-in yard, do you agree to walk the dog only on
leash? Yes No
21.
Will the foster dog ever be outdoors unattended? Yes No
22.
Do you own a pet(s)? Yes No
23.
If yes, please list names and breeds.
______________________________________________________________________________________________________________________________________________________
24. Is your pet(s) spayed or neutered? Yes
No
If not, please explain. ___________________________________________________________________________
25.
Is your pet(s) current on the following?
Heartworm
preventative Yes No Type of
heartworm preventative_________________
Parasite
(worm) control Yes No Type of parasite
(worm) control: ________________
Flea
control Yes No Type of flea
control:__________________
Bordetella
(kennel cough) Yes No
26.
What is the name of your current veterinarian:
__________________________________
27.
Clinic Name: _______________________________________ Phone: _______________
28.
Has your pet(s) had experience with dogs in the household? Yes No
29. If not, please explain how you will
handle the introduction and/or problems that may arise:_________________________________________________________________________________________________________________________________________________
30. Are there
children in the household? Yes
No
If yes, indicate how many and their ages.
_____________________________________________________________________
31.
Does anyone in the house have any known allergies to dogs? Yes
No
32.
How many hours per day will the foster dog be alone? ____________________________
33.
Have you ever applied for or adopted a dog from LAAR? Yes No If yes, what was the animal's name at time of adoption? __________________________
34.
Are you prepared to bring the foster dog to all adoption opportunities? Yes No
35.
Do all appropriate family members agree to this foster program? (Their
signature will be required below.) Yes No
36.
Do you agree to unannounced visit(s) from a LAAR Director to your home Yes No
37.
Do you agree to notify LAAR in advance of needing to have the foster dog/puppy
placed elsewhere and to allow sufficient time, which may take several weeks, to
locate a new foster home? Yes No
38.
Do you agree to not place the foster animal with anyone other than a person who
has been pre-approved by a LAAR Director? Yes No
39.
Do you agree to surrender the foster dog if requested to by a LAAR Director? Yes No
40. Most of these dogs come from histories of
abuse or neglect. If accepted, you will be given Foster Guidelines that
recommend the fostered dog be watched initially for signs of destructive
behavior. If destructive behavior is noticed, there are steps to take such as
verbal and physical praise but only verbal disapproval, etc. Do you agree to
isolate or otherwise handle any destructive behavior appropriately without the
use of physical discipline? Yes
No
___41. By
checking this box, I understand that, if approved, this is considered a signed contract.
Signature__________________________________________________________________
Signature
_________________________________________________________________
Promise to Foster Families: Lost Angels Animal Rescue will never
knowingly place an ill dog or a poorly socialized dog in a foster family
without first apprising the foster family of the situation. Thank you for your
application.
*****************************************************************************************
For Lost Angels use only: Approved __________ Denied ____________
Reason:
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Date:
_______________ Lost Angels Director: ____________________________________
Lost Angels Animal Rescue, Inc.
(813)514-0595
www.lostangelsanimalrescue.org