First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Please tell us a little bit about why you are interested in fostering a dog in need?*

Have you ever fostered a companion animal in need?*

What experience do you have with animals?*

Which type of companion animal would you like to foster (please mark all that apply)?

Do you have any restrictions for fostering such as size of animal, breed of animal, inability to transport animals to adoption events or for veterinarian appointments, etc?

For what reason(s) might you need to consider returning your foster dog?

Where will the dog live? *

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

Where will the dog sleep?*

How much time will the dog spend alone during the day? If broken up by a lunch break, please specify. *

How will you exercise the dog?

Including yourself, how many adults reside in your household? List names, ages and relationships*

Are there any children living in the home or who visit frequently? If yes, list ages.*

Are all members of your household on board with fostering dogs in need?*

Who in the household will care for the pet?*

Does anyone living in your home smoke cigarettes or vape?*
Choose one: Yes, both inside and outside the home Yes, only outside the home No

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home?*

If you rent, have you received the approval of your landlord to have a dog?

If you rent, have you confirmed that the dog(s) you are interested in does not fall into any breed/weight restrictions that your landlord may have?

Is your yard fenced?*

If yes, please describe what type of fence you have (privacy, chain link, invisible, etc.), it’s height and condition. Is it secure?

Do you currently have pets?*

If yes, please list your current pet’s breed, age and gender

Are all dogs and cats in your home currently spayed or neutered? *

If one or more of your pets are not fixed, please describe why.

Healing Hearts Rescue will always supply food for foster dogs as needed, however many of our fosters choose to feed their own dog's food. If applicable, please list your current pet’s diet including brand of food and type (kibble, canned, freeze-dried, home-made, raw, etc).

Please tell us about your past pets and/or experience with companion animals (For example, what type of pet? How was your pet obtained? How long did you have it? etc.).

How did you hear about Healing Hearts Rescue?
Choose one: HHR website HHR event Pet adoption website (Petfinder, Adopt-a-pet, etc.) Facebook Instagram Twitter Referral from a person Previous adopter Other

We frequently communicate via Facebook. Do you have a Facebook account?

Which volunteer opportunities are you interested in helping with?

I want to stay connected so I can help save more lives through rescue. Please sign me up for Healing Hearts Rescue emails

Do you have any travel plans scheduled in the next 30 days? If yes, please describe.*

Personal Reference 1: Please list the name, phone number, email and relationship to you*

Personal Reference 2: Please list the name, phone number, email and relationship to you*

Personal Reference 3: Please list the name, phone number, email and relationship to you*

I certify that the information entered on this applicant is true. Enter your NAME and DATE.*

IMPORTANT - if you do not see a pop up box after you hit "submit" saying "Your form has been submitted! Be sure to scroll to the top of this webpage for more information!", your form was not submitted. If you are having issues, take a screen shot of your answered questions and email us at hhrescuemn@gmail.com.

Thank you