Foster Application

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Email*

Home Phone*

*=required

Availability

Morning	Afternoon
Evening

Can this number send/receive texts?

Yes

Date of Birth (ex: 01/01/2021)*

Driver's License (ex: RI 8675309)*

If you are on Facebook, please provide your username.

Residence*

Own	Rent
Live with parents	Other

Details, if any

Landlord's name, if applicable (first/last). **If you do not own your home, you must provide landlord information.**

Landlord's phone #, if applicable. **If you do not own your home, you must provide landlord information.**

Select your requested animal if looking for a specific pet

If not interested in a specific animal, what type(s) of animal are you interested in?

Puppy < 1 year	Adult Dog 1-7 years
Senior Dog > 7 years	Service Animal
Rehabilitation Case	Small Breed < 25 lbs
Medium Breed 25 - 60 lbs	Large Breed > 60 lbs
Cat	Any

Have you owned dogs or cats before?*

Yes

Do you currently own pets?*

Yes

If you own pets, what can you tell us about them?

If you currently own pets, where are the usually kept?

Indoors

Outdoors

If you currently own pets, are they up-to-date on their vaccinations?

Yes

If you currently own pets, are they spayed / neutered?

Yes

If approved, how many hours a day will your animal(s) be alone?*

If approved, where will your animal(s) be kept while you're not at home?

Loose in the house	Confined in a room
Confined in a crate	Loose outdoors - fenced in
Outdoors - dog run / tethered leash	Outdoor kennel

If approved, the animal(s) will need to get along with:

Kids	Elderly
Other Dogs	Cats
Small Animals

Please list /tell us about anyone else living with you*

If you have a current veterinarian, what is their name? (first/last)

If you have a current veterinarian, what is their phone #?

Please check any boxes you'd like to discuss with us:

Introducing other pets	Behavior issues
Special needs	Containment / fencing
Routine health care	Manners and obedience
Crate Training

Is there any additional info you want to disclose or discuss?

How did you hear about Rhode Home Rescue?

*=required

Certification of Applicant

By selecting "I AGREE" below and submitting this form, you certify that your answers on this application are true and complete to the best of your knowledge. You also grant your permission and consent for us to contact the necessary resources and references to verify your responses on this application.*

I AGREE

Type your full name. By typing your name below, you agree to consider and accept it as if it were a signature. This is enforceable considering we maintain forensic metadata at the time of submission, including but not limited to, timestamps, email address, and IP address of the applicant.*

*=required