Date
of Application:
Applying to FOSTER ONLY
Applicant Name:
Email Address:
Home Address:
City:
State:
Zip:
Home Phone #:
Employer:
Empolyer's Address:
Employer's City:
Employer's State:
Business Phone #:
Cell/Pager Phone #: Cell Pager Have Neither
Please provide us with contact information for two personal references (non-relatives) that we may contact on your behalf:
Co-Applicant
Co-Applicant
Name:
Spouse Roommate Other, Please List:
Employer:
Business Phone #:
Home and
Family Information
Number of
adults in home:
Ages of
Adults:
Number of children in Home:
Ages of children:
Estimate how
often you have visitors in your home:
How
would you describe your household activity level?
Type of Home
You Live In:
House
Condo
Apartment
Duplex
Other, Please List:
Do you OWN or RENT your
home?
If you rent, you will be required to have written permission from
your landlord.
Landlord's name and telephone number is: (Please list
name, phone, full mailing address)
Do you have a fenced
in yard?
Fully Fenced
Partially
Fenced
No Fence
If you have
a fence, Please list the type and height:
Pet
Information
Do you currently have
any pets: Yes No
Please list
all current pets: (breeds, sex, age)
Where are
they during the day:
Where do
they sleep at night:
Are your
current pets spayed or neutered? Yes No N/A
If no, why not?
Are your
current pets vaccinated yearly? Yes No N/A
If no, why not?
Are
your current pets on monthly heartworm prevention? Yes
No N/A
If yes,
what type?:
Pro Heart
Interceptor
Heartgard
Sentinel
Other:
If no, why not?
Are your
current pets on flea prevention? Yes No N/A
If
yes, what type?
If
no, why not?
What food do
you feed your current pets?
Name of your Veterinarian:
Clinic Name:
Clinic Address:
City:
State:
Phone #:
Foster Questionnaire
Would
you accept a pet that has been abused? Yes No Maybe
Has special
needs (such as blindness or
deaf)? Yes No Maybe
Minor Health Problems (allergies, skin problems,
etc)? Yes No Maybe
Major Health Problems (heart murmur, cancer, etc)? Yes No Maybe
Do you
prefer MALE, FEMALE, or EITHER?
What age would you prefer?
Are you
aware of the importance of keeping a pet on a leash or in a
fenced area when it goes outside?:
Yes No
Most small breed pets adopted through PPR, Inc. are primarily house dogs. They can be kept outdoors for short times in a kennel or dog house with an attached run. Or they can use a
doggie door to go in and out. They CANNOT be chained, tied outdoors or
left outdoors alone for long periods unsupervised. Do you agree to these
conditions?: Yes No
Are
you willing to follow your local ordinances pertaining to owning/housing
an animal?
(ex: leash laws, required
vaccinations, dog licenses, etc)? Yes No
Will you accept a pet
that is not fully housetrained? Yes No Maybe
Will you work with your
new pet on housetraining? Yes No Maybe
(Please know that any new pet will take time to adjust to
its new home, including on housetraining. Expect and be prepared for
some potty accidents, however, if the pet you are fostering is not fully
housetrained, we will let you know in advance.)
If this pet does not work out as planned at your home, will
you agree to return it only to Precious Paws Rescue, Inc. and no other third party?
Yes No
*Do you certify that all answers you have
provided here are true and accurate? Yes No
*Do you certify that you are over the age of 21? Yes No
Any
Additional Comments:
By
submission of this application, I/We unequivocally state that all
statements and answers given in said application are the complete truth.
Any misrepresentation of the truth in this application will invalidate any
subsequent foster agreement and will give Precious Paws Rescue, Inc. the right to reclaim the
fostered pet immediately. Submission of this online application constitutes agreement and acknowledgement by the Adopter of the
PPR,
Inc. Foster /
Volunteer Guide.