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First Name:*
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Last Name:*
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Co-applicant First Name:
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Co-applicant Last Name:
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Address:*
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City, State and Zip Code:*
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Home Phone:*
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Email:*
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Work Phone:
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Cell Phone:
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Name of present or last employer:*
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Scheduled Hours (eg. M-F 9-5):
*
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Coapplicant's present or last employer: (Mandatory if there is a coapplicant)
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Coapplicant's Scheduled Hours: (Mandatory if there is a coapplicant)
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Why do you want to foster a rescue dog/cat?*
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What type of animal are able to foster? (check all that apply)*
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Please list all members of your household and include their ages (include yourself).*
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Who will be the primary caregiver for the dog?*
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Is anyone in your home allergic to animals?*
Yes
No
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Do you own or rent?*
Own
Rent
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If renting, what's your landlord's name and phone number (leaser will be contacted for approval if you are renting)
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Is your yard completely fenced? If so, please describe the size of the yard, and state the height and type of fence.*
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Please list all of your current pets: Name, breed, gender,age, and how many years owned.*
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Please list all of your previous pets during the past 10 years: Name, breed, gender,age, and how many years owned.*
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For each pet, was it spayed / neutered? Up to date on all vaccinations? On heartworm preventative? (Required if you have pets)
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Please describle your relationship with your pets, be detailed if possible.*
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Do you have any experience with disabled or sick animals? If so, please explain.*
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If you have cats, where do they usually stay?*
Inside Only
Outside Only
Both
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Have you ever trained a dog? If so, please explain.*
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Will you work with your foster dog on obedience training?*
Yes
No
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How long will the dog be left alone at a time?*
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Where will the dog be kept while you are gone?*
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Are you willing to housetrain a dog?*
Yes
No
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What do you feel is the best method of house-training?*
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Under what circumstances do you think it is permissible to allow a dog off-leash?*
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Are you willing to bring your foster animal to adoption events?*
Yes
No
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Are you willing to conduct home visits with potential adopters?*
Yes
No
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Are you willing to have potential adopters meet the foster pet in your home?*
Yes
No
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Do you have any comments for us?
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First Veterinary Reference (Name, Address, Phone, Pets treated and number of years treated) (Required if you have or had pets.) Please note: We cannot process your application without your vet's phone number.
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Second Veterinary Reference (Name, Address, Phone, Pets treated and number of years treated)
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First personal reference (not related to you): Name, Address, Phone, Best time to contact, years known, and relationship to you: *
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Second personal reference (can be family member): Name, Address, Phone, Best time to contact, years known, and relationship to you:*
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As a foster parent for A Buddy For Life Inc. you will be solely responsible for the conduct of your foster animal and or animals and for any damage to persons and or property that the animal may cause while he and or she is in your care. All of the above information is true, complete and accurate to the best of my knowledge. Applicant's name (acts as a legal signature) and date:*
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