Foster Application – Queen City Pitties

Name*

First Last

Address*

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

Home Phone

Work Phone

Email*

Cell Phone*

How old are you?*

What is your occupation?*

How many adults 21 and over live in your home? Who are they in relation to you?*

How many individuals under the age of 21 live in your home? What are their ages?*

Does anyone in your household have a fear of dogs?*

Do you own or rent your home?*

If you rent, have you received approval from your landlord to foster a large breed dog??*

If you rent, please provide your landlord's name and contact information.*

What type of home do you live in?*

Describe your home's activity level: busy/noisy, Moderate comings/going, quiet with occasional guests?*

Please describe what the dog's living situation will be?*

How many hours a day will he/she be home alone?*

Where will the dog be kept when you are not at home? (Example: crate, pen, outside kennel, free roam in house, gated off area/room)*

How will you exercise the dog?*

Where will the dog sleep at night?*

How will the dog be cared for during overnight absences or while on vacation?*

What type of setting is your home in?*

What is the size of your yard?*

Is your yard fenced?*

What type of fence?*

Do you have other dogs in your home? If so, please provide the breed, gender, age, spayed/neutered, and if shots are up to date.*

Have your current pets been exposed to or are tolerable of other animals?*

If you have had other dogs in the past, please let us know their current whereabouts and details. (Example: I still have, died of old age/sickness, given away, hit by a car, disappeared/lost, turned in to the shelter)*

Do you have any other animals in your home? If so please list.*

Who will be the main caregiver?*

How would you address undesirable behaviors?*

What are your thoughts and views on training?*

Do you have reliable transportation?*

Are you willing to take the dog to training?*

Will you be able to take the dog to vet appointments, monthly QCP events and allow potential adopters to visit the animal?*

Will you be able to medicate an animal if necessary, even if it is only monthly heartworm or flea prevention pills?*

Why are you considering this specific breed of dog or this organization?*

Do you have experience with this breed? If so, please explain.*

What will you do if the dog soils the floor or claws/chews the furniture?*

What will you do if the dog gets into trouble by ruining something of value?*

What types of behaviors do you consider Unacceptable?*

In your opinion, what physical symptoms and/or behaviors would warrant immediate medical attention?*

How will you discipline the dog?*

What would you do if you could not keep your foster?*

What circumstances, in your opinion, justify giving up your foster? (ie. barking, housebreaking, chewing, jumping up, shyness/other fears, shedding, digging, etc)*

Have you ever given up a pet? If so, please explain?

Please list the name and phone number for your current veterinarian. Please also give QCP permission to speak to your vet.*

Please list TWO references (that are not family members) and their contact information.*

Do you have a vacation scheduled within the next two months? If so, please explain.*

Are you currently fostering for any other organizations? If so, please include organization name and contact information.*

How did you hear about QCP?*

Is there any other information that you'd like us to know about you?*

I certify that the information entered on this application is true.*

Enter your name and date.

Phone

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