First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

Date of birth:*

What is the best time to reach you?

Where do you live? *
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home?*
Choose one: Rent Own - I can not provide proof ownership Own - I can provide proof ownership

If you rent, does your landlord permit dogs?
Choose one: Yes No

If you rent, please list any rules your landlord has about dogs (weight limit, breed)

If you rent, please enter your landlord's name and phone number

Do you have a fully fenced in yard? (This will be verified during the Home Visit)*
Choose one: Yard is not fenced in 4 foot chain link 6 foot chain link 6 foot privacy Invisible Other - please describe

If you chose "Other" please describe your fencing

How many hours a day would any foster dogs be left alone?**

Where will any foster dogs be kept during the day?*

Where will any foster dogs be kept at night?*

Do you have a crate available for a foster dog?*
Choose one: Yes No

If you have one, what size is your crate?

How many people are in your home? (besides yourself) *
Choose one: None 1 2 3 4 5 6 7 8 9 10 11

Please list all the people in your home, their ages and their relationship to the applicant:

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

Who will be mainly responsible for the care of any foster dogs?*

Name:

Breed:

Age:

Name:

Breed:

Age:

Name:

Breed:

Age:

Name:

Breed:

Age:

If you currently have dogs, where do they spend most of their time?

Name:

Declawed
Choose one: Yes No

Age

Name

Declawed:
Choose one: Yes No

Age:

Name

Declawed
Choose one: Yes No

Age:

Name:

Declawed
Choose one: Yes No

Age:

Are all the dogs and cats in your home spayed/neutered? If not please explain:

Please list all other animals currently in your home (name and type):

Please tell us about the last pets that you had and where they are now:

Please list the name and phone number of all veterinarians you have used and the names of the pets they saw:

If necessary, are you willing to take any foster dogs to a vet approved by K9 Kindness Rescue?*
Choose one: Yes No

Have you ever crate trained a dog before?*
Choose one: Yes No

Are you willing to house-train a dog if necessary?*
Choose one: Yes No

Are you willing to foster a special needs or senior dog?*
Choose one: Yes No

Are you willing to house a dog recovering from surgery?*
Choose one: Yes No

Are you willing to administer medication to a dog if necessary?*
Choose one: Yes No

Will you be able to provide any foster dogs with quality dog food? (must be other than generic, Old Roy, Kibbles n' Bits, etc.)*
Choose one: Yes No

Please tell us about about any time you have "given up" on a dog (returned it to a rescue or shelter, placed with family or friends)

Please list all rescue groups or shelters you have fostered for in the past:

What method of correction will you use to correct the behavior of a foster dog?*

Please tell us why you want to foster a rescue dog:*

Name of Reference*

Phone #:*

Name of Reference*

Phone #:*

Name of Reference*

Phone #:*

I hereby certify that all of the information I have provided on this application is true and complete. I understand that providing false information on this application or at any time that I am providing temporary care for a K9 Kindness dog will prevent me from housing a dog for K9 Kindness.*
Choose one: Yes No