First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Type of house

Where is the home?
Choose all that apply: Rural Semi-rural Suburban Wooded Open acreage Waterfront Highway frontage Street frontage

Describe the interior

Where will the dog be when the owners are not home? Will it be inside? In a crate? Outside? In a kennel?

Describe the fencing*

Do you have an outside dog run for a foster dog?

Describe the kennel, if there is one.

Give the ages of the children (if any), and note their behavior and interaction with parents. Will they be supervised around the dog? Do the parents expect the children to be responsible for aspects of the dog's care?

Describe the behavior of the family. Are they noisy? Is it hectic? Are they respectful of each other?

How will the foster family provide a safe space, indoors or out, for a foster to retreat?

How will you provide a safe transition environment for a foster dog?

What role will each household member play in the foster dog's care?

Are the other pets treated like family members?

Are other dogs/animals managed easily enough to allow time to teach/rehabilitate a foster dog?

Has the applicant ever owned more than one dog at the same time?

Is the applicant prepared for the costs, commotion, other changes from a new family member?

How committed is the applicant?

What are the applicant's responses to both good and bad behaviors? Does applicant demand perfection?

Do other dogs obey happily, or are the undisciplined and out of control?

Does applicant appear to know some basic training techniques?

How will you create a safe space to allow for separation of an incoming foster from existing pets?

Explain that re-homing is stressful for the dog and that there may be accidents during the first few weeks, even if the dog is house-trained. What is the applicant's response to an accident?

Is there any additional information you'd like to include?

Is there anything in general or specific that would make you uncomfortable about placing a dog with the applicant?

Recommendation for placement

Evaluator's Name*