EmailMe Form - SIMPLY SOUTHERN RESCUE FOSTER APPLICATION

Date Time

MM / DD / YYYY

Name

First Last

Address

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

Phone

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

Email

What dog/cat are you interested in fostering?

Are all of your personal pets up to date on vaccinations?

Yes

No

Name and phone number of personal vet?

Are all your current pets spayed/neutered?

Yes

No

Which of the following would you be willing to foster?

Do you have experience with the above?

Yes

No

Which of the following are you able to do?

Pills

Liquid medication

Other

All of the above

Do you have a separate room or area to keep your foster away from other animals if necessary?

Yes

No

Are you able to take your foster to vet appointments at Sexton animal clinic in Ruston?

Yes

No

Some fosters are short term while others need may need long term. How long are you willing to foster?

Short term (1-3 weeks)

Long term (1-6 months)

Many of the dogs we take in have an unknown past and may have come from an abusive or neglectful household. Are you willing to be patient with them while they learn to trust humans again?

Yes

No

How would you describe your household?

Very quiet, only a few residents and not many guests

Average, not too quiet but not party animals

Very busy, lots of people coming in and out

How many adults and children are in your house?

How old are the children in your home?

Do your children know how to correctly handle dogs/puppies and kittens?

Yes

No

How much time can you spend working with or socializing your foster?

Name, age, and type of animals in your house presently

What form of discipline do you use for your pets?

Where do your personal dogs live at your house

Inside

Outside

Dog pen

Chained

What qualities are you looking for in a foster and what do you hope to avoid?

What will you do with your foster while you are away?

Where will your foster sleep?

Have you ever fostered before?

Yes

No

Do you have a fenced yard?

Yes

No

If you don't have a fenced yard, are you willing to leash walk your foster?

Yes

No

We take fostering very seriously and want our animals treated like members of the family. They must be kept indoors with outside potty and play breaks only. If there are exceptions to this we will tell you in advance. We are happy to have you aboard and look forward to meeting you!

**I agree that I have answered the questions to the best of my knowledge and have not knowingly submitted false or misleading replies. I also agree to allow SIMPLY SOUTHERN RESCUE to perform a home visit and vet check prior to fostering. I also agree That SIMPLY SOUTHERN RESCUE is not responsible for any damage or physical harm caused by this animal.

The foster animal is the property or SSR and must be returned whenever you are asked to bring the animal back.

Thank you very much for fostering. You are truly saving a life by opening your home to a homeless animal.

PLEASE SIGN IF YOU AGREE!

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