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Foster Home Application form you can email to us.

If you are interested in possibly fostering one of our rescues, and live in NY NJ DEL PA KY NC MD please fill out this form to give us information about yourself. All information requested is helpful in matching prospective foster homes with the right dog, so please answer everything as fully as possible. We will get back to you very shortly upon receipt of your request.

Please note: You must be at least 21 years old to apply to foster. Puppymill dogs are not your typical dogs. They may still have behavioral issues from being in the mill. If you not feel that you have time or patience to deal with possible issues, please do not apply.

All items are required.
Your application will not be processed items are omitted.

If you do not have verifiable vet history then please do NOT fill out the application as we MUST have that information.

Name:
Age:
Spouse's Name:
Spouse's Age:
E-mail Address:
	No E-mail?: Check this box

Home Address:	Must be completed
Street:
City:
State/Province:	* Zip :
Mailing Address:	Leave blank if same as above.
Street:
City:
State/Province:	Postal Code:

Home Telephone:	( ) - Day Eve.
Work Telephone:	( ) - Ext. Day Eve.
	Can we call you collect, if it is long distance? Yes No

Your Occupation:
Spouse's Occupation:

Others living in your home:
Name:	Age:	Female Male
Name:	Age:	Female Male
Name:	Age:	Female Male
Name:	Age:	Female Male

Current number of pets:
	Pet 1		Pet 2
Name:		Name:
Age:		Age:
Sex:		Sex:
Species:		Species:
Breed:		Breed:
Spay/Neuter:		Spay/Neuter:
Temperament:		Temperament:
Vaccinations:		Vaccinations:
	Pet 3		Pet 4
Name:		Name:
Age:		Age:
Sex:		Sex:
Species:		Species:
Breed:		Breed:
Spay/Neuter:		Spay/Neuter:
Temperament:		Temperament:
Vaccinations:		Vaccinations:

Veterinarian Information:
* Vet's Name:
* Clinic Name:
* City:	*State/Province:
* Clinic hours:
* Telephone:	( ) -

General Questions:
1.	What is your past experience with dogs? (how long have you owned dogs, have you attended obedience classes, etc.)

2.	Have you ever owned a puppymill dog? Please explain.

3.	Have you or are you now fostering a rescue dog? Please list information such as breed of dog fostered, temperament of foster dog, name of rescue group and contact name, telephone number, and email address.

4.	What environment are you able to provide a foster dog? (City, Suburban, Rural)

5.	Do you rent or own you home? If renting, please provide landlord information.

6.	Do you have a fenced area, yard or kennel? If so, please describe the area.

7.	Do you have a pool? Is it securely fenced?

8.	Do you own a dog crate, food & water bowls, leash, bath items, etc.? Please list:

9.	Where will the foster live & sleep? Explain fully?

10.	How will you exercise your foster? How often? Explain fully.

11.	When you must transport your foster, how will the dog be transported?

12.	What will you do with foster when you are at work or on vacation?

13.	What is your idea of proper discipline for a puppymill dog?

14.	What is your idea of proper and nutritious food for a dog?

15.	Do you understand that the rescue dog must live in your home as a loved family member?
16.	Are you prepared to meet the grooming and exercise requirements of a puppymill dog?
17.	Do you understand that you are expected to administer medication or treatment if needed? This includes taking the foster dog to the Vet when/if needed.
18.	Do you understand that you are expected to keep in contact with your Foster Coordinator and to contact PuppymillRescue directly if you have any problems.
19.	Are you agreeable to a home visit as a condition to becoming a foster home for PuppymillRescue?

Additional Comments: Please include information if you own more than 4 pets