LDR Foster Application

Contact Information

First name

Last name

Phone

Email

Multi-line address

Country/Region

Address

City

Zip / Postal code

Experience Questions

Please answer these questions to the best of your abilities

How did you hear about LDR?

Have you fostered for a Rescue?

Yes

No

If yes, what is the name of the rescue?

Do you have experience with dachshunds?

Yes

No

Are you willing to foster a pair of dogs that cannot be seperated?

Yes

No

Are you familiar with IVDD? If so, are you familiar with treatment options? Please include specifics.

Home Environment Questions

Do you or anyone in your home currently own, foster or watch any animals?

Yes

No

If yes, please provide the name, species, breed, weight & age of each animal.

If you own dogs, how would you describe their personalities? (Dominant, submissive, playful, etc)

If you own cats, have they been exposed to dogs? How do they react?

Have ALL of the animals listed above (if any) been spayed or neutered?

Yes

No

If no, what are the circumstances?

Please list (including yourself) the name, ages and relationship of all people residing with you.

Residence Questions

Type of Residence: (house, apartment, etc)

Do you own or rent?

Own

Rent

If renting, is the landlord agreeable to you having a foster dog?

Yes

No

If renting, please provide your Landlord's contact information

Landlord's Name

Landlord's Phone

Landlord's Address

Country/Region

Address

City

Zip / Postal code

Are there stairs inside or outside of your home?

Yes

No

Is your yard completely fenced?

Yes

No

If so, how high is the fence?

Is your home a smoking or non-smoking home?

Smoking

Non-Smoking

Foster Questions

How many hours will the dog be left at home during the average day? Where will the dog be kept when alone?

What do you intend to feed your foster? Please be specific (including the brand).

What routine medical treatments/preventatives do you consider necessary for a dog?

What is your opinion of obedience training? Have you ever done it with one of your own dogs or previous fosters?

Where will the foster dog sleep? (Please be specific: what floor/room in the house? In a crate, on a big bed, dog bed, etc)

Veterinarian's Contact Information

Please provide the name, location and telephone number of your veterinarian (required for all applicants who have owned a companion animal).

NOTE: By submitting this application, you give permission to Long Dogs And Friends Rescue to retrieve information from your veterinarian. PLEASE CALL YOUR VET AND TELL THEM TO RELEASE THE INFORMATION WE NEED TO LONG DOGS WHEN THE REPRESENTATIVE CALLS! We cannot process applications without information from your vet.

PLEASE ALERT YOUR VET WE WILL BE CALLING THEM.

Clinic Name:

Veterinarian's Name

Telephone

Full Address

Country/Region

Address

City

Zip / Postal code

Please Provide Non-Family Personal References

Please provide the name, location, and telephone number of someone who knows you well and is not a family member (for example an employer, neighbor or associate in an organization). You may also provide additional references. Please be sure to include a telephone number for each reference.

Name of Non-Family Personal Reference #1

Reference #1 Phone

Name of Non-Family Personal Reference #2

Reference #2 Phone

Final Questions

When are you able to foster?

Do you have any comments or questions?

Final Signature

The information provided in this application (in its entirety) is true to the best of my knowledge as of the date on this application. I agree that submission of this form will constitute a legally signed document.

Signature (Type your name here)

Today's Date