First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone*
x

Cell Phone*

Name of Current Employer*

Address of Employer*

How did you hear of The Rescue Haven Foundation?

Birthdate*

Where do you live?*
Choose one: Own your home Renting home Renting Apartment Live with family

Type of dwelling*
Choose one: House Apartment Condo Multi-family home

If renting, you MUST provide the name and number of landlord below.

REQUIRED if renting phone number of landlord

Do you have a homeowners or renters insurance policy?*
Choose one: Yes No

Name of insurance company

Do you plan to move within the next 6 months?*
Choose one: Yes No

If you plan to move, will you continue to foster?
Choose one: Yes No

How long have you been at your current address?*

Do you have a city or county ordinance that limits the number of dogs you are allowed to have in your home?*
Choose one: Yes No Don't know

If yes, how many

On average how many hours will you have to leave your dog alone during the day?*
Choose one: 1 hour 2-3 hours 3-5 hours 6-7 hours 8+ hours

Do you plan to use a crate?*
Choose one: Yes No Don't know

Name and ages of ALL occupants in household (including yourself)?*

If no children currently live with you, do you plan on having children or will children be visiting the household?
Choose one: Plan on having children Children visit No children in or visit home

Are any members of your household allergic to animals?*
Choose one: Yes No

List ALL current and past pets including age & breed. *

NAME, ADDRESS, and PHONE NUMBER of current or most recent veterinarian? *

Have you ever had a pet run away?*
Choose one: Yes No

If yes, explain

Have you had to give up a pet during your lifetime?*
Choose one: Yes No

If yes, explain

If you currently have a dog(s), how do they react to new dogs?

If you currently have a dog(s), describe any behavior issues that he/she has.

Do you object to having Rescue Haven Foundation conduct a home visit before and during your foster period?*
Choose one: Yes No

Are your present pets up-to-date on their annual vaccines/wellness checks?*
Choose one: Yes No N/A

If no, explain

Are all past/present pets spayed or neutered?*
Choose one: Yes No N/A

If no, explain

How do you plan on exercising your foster?*

Does your home have a fenced in yard?*
Choose one: Yes No

If you have a fence, please describe it (height, material, size, etc.).

How much time will your dog spend outside unsupervised?

Where will the dog eat?*

Where will the dog sleep?*

Are you willing to bring the foster to adoption events?*
Choose one: Yes No Don't know

How far are you willing to travel for adoption events?*
Choose one: Up to 10 miles 11-25 miles 26-50 miles 51-100 miles I'll go anywhere for the little furball

Have you fostered any animal in the past?*
Choose one: Yes No

If yes, what kind?

Name of rescue/shelter/organization

Phone number of rescue/shelter/organization:

What are you willing to provide for a foster animal? (check all that apply):

Are you willing to provide transportation to and from the vet, adoption sites, etc. as needed?*
Choose one: Yes No Don't know

Would you agree that if your foster animal didn't work out in your home, at any time in the future, that you would notify ONLY Rescue Haven Foundation and to NEVER surrender/give up your foster to any other party (including family) outside of your household? *
Choose one: Yes No

Please give a brief description of why you want to foster an animal from Rescue Haven Foundation *

What breed/type of dog are you interested in?*

Please check which level of foster care you would like to provide. (check all that apply)

Age of dog you would consider fostering (check all that apply):

Energy level of dog you would consider fostering (check all that apply):

Size of dog you prefer(check all that apply):

If considering a puppy, are you prepared to deal with the following issues: House training, Chewing, Barking, Crying at night, Energy Level, Nipping, Socializing, Training*
Choose one: Yes No Don't know

How would you deal with any behavioral issues that may come up?*

Is your entire immediate family prepared to foster a dog?*
Choose one: Yes, we've discussed it an we're all on board There are some family members that are still unsure One or more do not want to foster

Have you been involved in domestic disturbances in which the police were called?*
Choose one: Yes No

Is there anything else you would like to tell us?*

Please provide 2 references (only 1 can be a family member). Include Name, Phone number, and relationship to you:

Do you understand that throughout the foster period, you are ABSOLUTELY NOT permitted to give the dog to anyone else, or give it to another shelter/rescue for any reason? It may only be surrendered to Rescue Haven Foundation. *
Choose one: Yes No

You understand that if you no longer care for your foster, it is required that you give Rescue Haven Foundation as much notice as possible to find an alternate foster home and also return him/her to Rescue Haven Foundation only.*
Choose one: Yes No

You agree to follow all local and state ordinances pertaining to your new dog.*
Choose one: Yes No

You agree that you will never, under any circumstances, allow your foster dog off leash outside of your home aside from in a secured fenced in area.*
Choose one: Yes No

You agree to schedule meetings with potential adopters via their phone number or email.*
Choose one: Yes No

You agree to sign and return a foster agreement to Rescue Haven Foundation *
Choose one: Yes No

You agree to cooperate with Rescue Haven's adoption coordinator regarding applications for the foster animal(s):*
Choose one: Yes No

You agree that vetting decisions, including when, where, and how vaccinations, deworming, emergency care, and spay/neuter will be performed, are made by Rescue Haven. In case of a life-threatening emergency where pre-approval is not possible, I agree to send medical records and invoices to Rescue Haven with my request for payment.*
Choose one: Yes No

You agree that the adoption process, including processing and approving applications, collecting adoption fees, and determining the time and place of adoptions, is the responsibility of Rescue Haven Foundation, with my cooperation.*
Choose one: Yes No

You agree that Rescue Haven owns the foster animal(s) and has the right to relocate the foster(s) if the rescue decides it is in the best interest of the animal or the rescue.*
Choose one: Yes No

You agree to go read all Rescue Haven's training materials and possible get hands on training before you will be able to foster.*
Choose one: Yes No

You certify that the above information is true and correct. You understand that any falsification of the above information is grounds for denial of this application. You acknowledge that this application will remain the property of the Rescue Haven Foundation. *
Choose one: Yes No

I have read the above information carefully and have filled out this application honestly. I understand that omission of information and or failure to answer all questions and sign the application can result in this application being declined. Also, if an omission or untruth is discovered after a foster is placed in my home, I understand that Rescue Haven reserves the right to reclaim the animal. If the application passes this review, I agree to a home visit on a mutually agreed date by Rescue Haven before I will be given a foster. (e-signature required- type full name) *

Date*