EmailMe Form - Homeward Bound Dog Rescue Foster Application

Basic Information

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

What is the best time to reach you by phone? *

Email *

General Information

How did you hear about us? *

What is your occupation? *

Emergency contact name and phone number: *

How many adults live in the home? *

Please list the number of children under 18 living in the home. *

Please list the relationship with members of the household ( if not children) *

Do you or any member of the household smoke *

Yes

No

N/A

If you answered yes to smoking, where does this take place *

Inside the home

Outside the home

both inside/outside

N/A

Are all members of the household in agreement with the application to
foster, the decision to foster and aware of the commitment involved
therein? *

Who will be the dog’s primary caregiver? *

Do you or any member of your family have any on-
going medical conditions or physical limitations (including any allergies) that might interfere with fostering a rescue dog? *

Do you live in a house, condo, townhouse, apartment, other? Please describe
your residence. *

Please note that renters must include documentation that dogs this size are
allowed to live in this dwelling or must list the landlord’s name and
telephone number below that we may contact them

Landlord’s Name/Telephone number *

HBR does not allow use of off leash/dog parks - a waiver must be signed upon acceptance. Do you understand this policy *

yes

no

Do you have a completely fenced yard suitable for a dog? If so please describe the height and type of fence. If you don’t have a fenced yard, how will you handle the dog’s exercise/toilet needs? *

Do you have central air or air conditioning? *

May we visit your home before and during the dog’s stay? *

Please list all current pets and if they are spay/neutered *

PLEASE NOTE:

HBR does not foster outside of Ontario and will not foster to homes with Intact dogs (unless in a breeding contract or for medical reasons) proof must be supplied.

Do your dogs get along with other dogs? *

Are your cats “dog savvy”? *

If any pets are not fixed/up to date on shots please explain why? Example medical etc *

Do you test for heartworm every year? Do you use a preventative medication? *

If you have other pets how will you introduce your foster dog to them? *

Can you isolate the foster dog from your other pets initially or in the
event that they cannot get along? *

Please provide the name, address, phone number, email and length of time with your current/last veterinarian *

May we contact them as a reference? *

Due to privacy requirements please contact your veterinarian to notify them that a rescue volunteer will be calling and that you give your permission
for a veterinary reference to be provided

Please list all former pets that have lived in your household in the last 5 years that you no longer own *

Do you have experience with the “Flat faced breeds” that you are interested in fostering? Please explain in detail: *

How many hours a day would the dog be left alone? *

Where will the dog spend most of the day? Most of the night? *

What do you know about the proper use of a crate and how do you feel about it? *

Do you have a crate available? What type/size? *

When a Homeward Bound Rescue dog comes into the rescue’s care, the dog may be dirty, have fleas, or an undiagnosed illness or infection. Are you prepared to deal with such a situation? To treat, care for and bathe *

Will you be able transport your foster to an HBR-approved vet for necessary medical care? *

Foster homes may have to deal with behavior issues. These might include things such as house training, barking, submissive urination, territorial issues or separation anxiety. Many dogs will require basic obedience training, including leash walking and crate training. Some foster dogs may chew your belongings or engage in other destructive behavior. Dogs that come from a puppy mill may have very different behavior patterns than dogs that are owner-surrendered. Do you feel you are capable and prepared to deal with any behavior issues and work to rehabilitate your foster dog? Please describe *

Please list any circumstance, such as a particular behavior that would cause you to refuse to foster a dog, or cause you to ask that the rescue move your
foster to another home? *

Types of dogs you are willing to foster:

Under 30lbs *

30-60lbs *

60-100lbs? *

Over 100lbs? *

Senior dog? *

Mixed breed? *

Blind or deaf? *

Requires daily medication? *

Is disabled? *

Requires house training? *

Other Information

How often do you often travel away from home? *

How long do you generally go away for that the dog will not be accompanying you? *

If you go away or on vacation who will take care of your foster dog? What arrangements are in place for your current pets? *

Do you understand and agree that a foster caregiver for a dog rescued by Homeward Bound Rescue will not be allowed to keep said dog without going through the regular adoption process? *

Please list two references that we may contact (please ensure that at least one is not related to you) *

Is there any other information you would like us to know?

AGREEMENT

I attest that the information provided on this application is true and accurate to the best of my knowledge. By submitting this application to the Homeward Bound Rescue, I agree and consent to the collection, use and transfer of my personal information for the purposes of processing my application.

Name (Signature) *

Age of Applicant- Must be over the age of 18 *