COMPANION ANIMAL FOSTER TO ADOPT APPLICATION
Date:
APPLYING FOR:
Name of Animal:
Species:
Description:
Age:
Special Needs:
APPLICANT'S INFORMATION:
Full Name:
Address:
City:
State and Zip Code:
Phone Number:
Email Address:
Age:
Place of Employment:
Address of Place of Employment:
Phone Number Place of Employment:
How Long in Present Job:
Phone Number Place of Employment:
Supervisor's Name and Extension:
Spouse/Roommate Name:
Place
of Employment:
Phone Number Place of Employment:
How
Long in Present Job:
Supervisor's Name and Extension:
HOUSEHOLD INFORMATION:
Where Do You Live?
House
Condo/Apt.
Mobile Home
Student Housing
Military Housing
Neighborhood : Urban / Suburban / Rural
How long at your present address?
Do You Own Your Own Home?
(If yes, please provide proof of ownership.)
Do you rent?
If yes, landlord's Name
Landlord's Phone Number:
Are you planning to move within the next year?
If yes, what are your plans for your companion animal when you move?
If you decide to move in the future, what will you do with your companion animal?
What provisions have you made for your companion animal in the event of your illness or death?
How many adults in your home?
Are there children in your home?
If yes, how many and what are their ages?
Are all members of your household aware of your plans to adopt an animal?
Are any members of your household allergic to animals?
Where will animal be during the day hours while at work?
Where will your companion animal sleep?
How many hours will your companion animal be alone?
Who will be responsible for the animal?
Does anyone in your household smoke?
If yes, where?
Do you have any health conditions which could restrict your ability to care for an animal?
If yes, please describe:
VACATION:
How often do you go on vacation?
Who will care for your companion animal when you go on vacation?
OTHER ANIMALS:
Do you have cats?
If yes, how many?
Do the cats live strictly indoors?
Are the cats declawed?
Do you have dogs?
If yes, how many?
Do dogs live indoors?
Other animals?
If yes:
How many?
Describe living conditions of other animals:
Are all animals in your household spayed/neutered?
Where will pet be contained?
During the day?
At night?
Name of Veterinarian:
Address:
Phone Number:
If no companion animals at this time, have you had any in the past 8 years?
If yes, what happened to them?
REFERENCES:Please list people other than family who you have known for at least 5 years.
Name:
Phone Number:
Name:
Phone Number:
Name:
Phone Number:
QUESTIONS: (Use back of application to answer)
Why do you want to adopt an animal?
What type of personality are you looking for?
(If applicable) Have you ever had a special needs animal before?
If yes, describe:
If necessary, how will you discipline the animal?
What kind of dog training do you use?
We agree to enter the Reunion Rescue/Animals First foster to adopt program. During the foster to adopt program, we will
spay/neuter the pet should the animal be unaltered. We agree to complete basic obediance classes. We agree to try the raw
diet and treat homeopathically. Should any medical issues arise, we will notify Reunion Rescue/Animals First Rescue before
taking the animal to any clinic or hospital.
While in our care, the dog will be supervised at all times and crated while not supervised. We will always leash the pet
when in public. We will never leave the dog unattended in the backyard or any common area.
We
realize we are entering a foster to adopt program and will maintain updates with Reunion Rescue/Animals First Rescue regarding
our foster dog's progress. We agree to all requirements stipulated in this application and will be available for periodic
check-ins during the foster period.
I hereby certify that all information supplied by me on this application is true.
Signature:
Date:
