First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Cell Phone*

Alt Email

rescue use only

Applicant Name*

What are the ages of the adults in your household?

Best Phone Number to reach you

Occupation

Please tell us a little about yourself and why you could provide a good home for one of our rescue dogs. Please include any other comments you'd like to add for consideration of your application.

Spouse/Partner Name

Have you adopted a dog from us before?

List current Vet- If you currently do not have a vet, please provide us with the name and phone number of the vets you previously used for your pets.*

Vet Phone number

Under what name AND PHONE are vet records listed?

Name of pets treated at vet

List Personal Reference *

What is their phone number?*

Please list an additional reference (who is not a family member)*

Reference phone number*

How many Adults reside in your household*

List Gender and Ages of all children residing in or visiting your home.*

Do you own or rent your home*
Choose one: Rent Own

If you have travel plans (or are not able to accept a dog into your home) within the next month, please wait until your return to apply.

If you rent, or live in a townhome or condo, please enter your property manager's name and phone number

In what type of home do you live*
Choose one: Apartment Condominium/Townhouse Duplex House Live with Parents Military Housing Mobile Home Ranch/Farm

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence*
Choose one: Chain Link Invisible None/Other Privacy

How high is the lowest part of your fence?*

List the name, size, gender and age of dogs in your home. *

What other animals or livestock are in your household?

Why do you want to foster a German Shepherd Dog?*

Which type of dog can you foster?

Are you able to foster any others or have limitations? Please list.

How much time will the dog spend WITHOUT HUMAN contact during the day? *

Where will the dog sleep?*

Where will the dog be kept when you are not home?*

Will the animal be kept inside or outside?*
Choose one: Both Inside and Outside Inside Outside

Some dogs may need to be housebroken. Are you willing to housebreak a dog?

We do not offer a foster-to-adopt program with our German Shepherds unless specifically listed with that dog. When you foster, you must be willing for the dog to move to their forever home. Is that your understanding and do you agree to this?

I confirm that all the details, answers and information given on this application are true, accurate and complete. A volunteer will contact the references you have provided. We understand that you are excited about adding a new member to your family but please understand that we are an all volunteer organization and this process could take up to 14 days. ****When you submit this application you will get an acknowledgment. We have been told that some firewalls prevent this form from coming thru to us. If you don't get the acknowledgment, please submit using a different browser or an actual computer.*****
Choose one: I understand and confirm I decline