Foster Application Foster Application Foster Applicant Information First Name * Last Name * Age of Applicant (Years): * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Address Primary Email * Secondary Email Primary Phone * Secondary Phone Please provide the name, age, and relationship for those who will be residing in the home alongside the foster dogs. Click the “+ Add” button to add more rows Resident(s) information First Name Last Name Age Relationship Relationship to ApplicantSpouseSignificant OtherChildParentSiblingGrandparentGrandchildRoommateOther plus1 Add minus1 Remove Housing Situation Subdivision Name * Enter “None” if you don’t live in a subdivision Ownership Status * Own Rent Live w/parents Live w/others Housing Type * Single Family Detached Townhome Condominium Apartment Apartment/Condo Complex Enter the name of your apartment or condo complex Landlord name Please provide the name of your landlord or the company that manages your complex Landlord Phone # * Please provide a phone number where we can contact your landlord If you indicated that you rent your home, you must provide a copy of your lease/rental agreement that includes a pet clause authorizing you to have dog(s) in your home. If you indicated that you live in a condominium, you must provide a copy of your condo docs that includes a pet clause authorizing you to have dog(s) in your home. You may either upload the required document below (PDF, PNG, JPG, or DOCX format,) or submit it via email to [email protected]. File Upload Drop a file here or click to upload Choose File Maximum file size: 67.11MB Please answer the following Questions Are all adults in your household aware that you are considering becoming a Foster? * Yes No To the best of your knowledge, has any member of your household ever been convicted of an animal welfare law violation such as neglect, animal cruelty, abandonment, etc.? * Yes No Does anyone in your household have allergies to any pet dander/ hair/ or saliva? * Yes No Do you understand the requirement that you must provide care for the assigned foster(s) until a permanent home can be found? * Yes No Do you understand the requirement that you must transport the assigned foster(s) to and from Adoption Events at the Webers in Chantilly/ Herndon every Saturday unless the event is cancelled? * Yes No Do you understand that you may be required to transport your foster(s) to specific AFH Approved Veterinary Hospitals that may ‘not’ be locally convenient to you? * Yes No Do you understand that you may be required to administer medicine and other treatments to your foster as directed by AFH? * Yes No Who will be the primary caregiver for the foster dog(s) Caregiver First Name * Caregiver Last Name * Do you give heartworm tablets/flea and tick preventive every month all year round? * Yes No Did you or do you attend obedience classes with your own puppy/dog? * Yes No Is your yard Fenced? * Yes No What type of fencing do you have? How tall is your fence? Do you have a doghouse, outside dog pen or kennel? * Yes No Where will the foster(s) be kept when you are home? * How long will the foster(s) be alone during the day? * Where will the foster(s) be kept when you are away? * Have you volunteered with shelter or a rescue organization before? * Yes No Shelter or rescue name * Where was the shelter/rescue located (city, state)? * When did you volunteer for the shelter/rescue? * Are you willing to foster an elderly or special needs pet? * Yes No What size dog are willing to foster? * Toy Small Medium Large Extra Large Doesn’t matter Are you willing to foster one dog over the age of 6 months? * Yes No Are you willing to foster more than one dog over the age of 6 months? * Yes No Are you willing to foster a litter of puppies? * Yes No Is there a limit to the number of puppies? * Yes No Maximum number of puppies you’re willing to foster: Are you willing to foster a mother and her puppies? * Yes No How will you exercise your foster(s)? * How will you correct your foster when there is an accident? * How will you encourage appropriate behavior and prevent inappropriate behavior? * Are you willing to foster a dog that needs behavior modification (shy, timid, separation anxiety, etc.)? * Yes No Are you interested in other volunteer roles with AFH? * Yes No Select areas of interest Homechecker (virtual) Transport Driver Dog Handler @ Adoption Events Adopter Interviews (at adoption events) Adopter Interviews (virtual) Care Team Administrative Roles Pet History Please list all pets you, as an adult, have been responsible for; explain what happened to each and indicate if they were spayed/neutered. Do not list family pets that you were not responsible for. Use the “+Add” button to add more entries. Pet’s Name Species SpeciesDeguDogDonkeyDuckFerretFishFrogGeckoGerbilGoatGooseGroundhogGuinea PigHamsterHedgehogHorseIguanaLizardLlamaMouseOtterPigPonyPrairie DogRabbitRatSheepSkunkSnakeSugar GliderTarantulaTortoiseTurkeyTurtle Disposition/What happened? Was this pet spayed/neutered? * Yes No plus1 Add minus1 Remove Veterinarian Information Please provide information for veterinarians you have used in the past. Veterinary Practice Name Veterinarian’s Phone Veterinarian’s City Veterinarian’s State Do we have your permission to contact your vet for a reference? * Yes No plus1 Add minus1 Remove *Please be aware that by signing (or typing) your name on this document, you are verifying you have received, read, understand, and agree to comply with all the requirements set out in the information you have received and will receive during interview and follow up information regarding the care of our animals. Date * Signature * signature keyboard Clear Submit If you are human, leave this field blank. Δ
