FOSTER PET PROGRAM APPLICATION Name(Required) First Last Address(Required) ZIP / Postal Code Phone(Required)Email(Required) Emergency Contact Name(Required) First Last Emergency Contact Phone(Required)Have you ever applied to foster with PAWsitive Recovery?(Required) Yes No Where did you hear about us? Are you in long term recovery?(Required) Are you willing to let us do a home check prior to accepting you as a Foster?(Required) Yes No Do you have previous fostering experience?(Required) Yes No If yes, when and with what group? Do you currently have other pets in your home?(Required) Yes No If yes, list the type, breed and age of each pet:(Required)*Regardless of any local ordinances regarding the number of allowable pets, the Department of Agriculture will allow no more than eight dogs or cats to be housed in any foster home at any time. A female dog with puppies under 8 weeks of age or a queen with kittens under 8 weeks of age will be considered one adult. This limitation of eight cats or dogs includes the Foster’s owned pets as well as foster pets. Are your pets spayed or neutered?(Required) Yes No Are your pets current on their vaccinations?(Required) Yes No Do any of your current pets have any behavioral issues?(Required) Yes No If yes, please explain:Do any of your current pets have any illnesses?(Required) Yes No If yes, please explain:If you do not have any current pets in your home, have you had pets in the past?(Required) Yes No If yes, please explain why they are no longer in your homeAre there children living in your home?(Required) Yes No Does any member of your household have an allergy to dogs/cats?(Required) Yes No If yes, to which species and how are allergies managed?Do you(Required) Own your house Rent your house Rent Apartment *If renting, it is your responsibility to verify authorization and breed/size restrictions with your landlord prior to fostering our rescue pets. In addition, the Department of Agriculture requires fosters to state they understand and agree to adhere to all relevant zoning and animal control codes and ordinances, whether local, county or state, so it is your responsibility to verify the same prior to becoming a foster. Describe the activities participated in by those in your household and describe which activities the dog will participate in with you (e.g. lifestyle, hobbies, sports, traveling)(Required)How often are you away from home overnight? What arrangements will you make to take care of your foster pet when you will be away?(Required)If the fostering a dog, and the dog will be let outside: Do you have a completely fenced yard?(Required) Yes No Other What kind of fence? Height of the fence: Is there any wildlife in your area that could pose a risk to a pet outside? Yes No If yes, please explain:Do you have a dog/cat door leading outside?(Required) Yes No If yes, is there a way to shut the door to keep pets from going inside/outside?(Required) Yes No Where will the pet be kept during the day and for how long?(Required) Where will the animal sleep?(Required) Will the pet spend any time in the garage?(Required) Yes No No If yes, please explain:(Required)Do you have or can you provide your own kennel?(Required) Yes No How long will the foster pet(s) be left alone?(Required) Where will you keep the foster pet(s) when you are not home?(Required) What type of exercise will you provide for the foster pet(s)?(Required) Are you willing to administer medication if needed and keep a record?(Required) Yes No *The Department of Agriculture requires treatment records be kept on all pet animals that receive any medications or immunizations used in the treatment of prevention of illness, or the treatment of injury, while in the care of a foster. These records must include the identification of the pet receiving medical treatment, signs of illness, reason for treatment, or veterinary diagnosis, the name of the medication or immunization used, the amount of medication used and the time and date on which the medication or immunization was administered. Are you able to accommodate animals with special nutritional needs?(Required) Yes No If medical attention is necessary, are you willing to transport the foster pet for veterinarian visits?(Required) Yes No Are you willing to only use veterinarians approved by PAWsitive Recovery?(Required) Yes No Who is your veterinarian? Veterinarian Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Do you give us permission to speak to your veterinarian about this application? Yes No Do you work with other animal professionals? (Trainer, pet-sitter, behaviorist)(Required) Yes No Do you give us permission to speak to these professionals about this application?(Required) Yes No If no, please explain:(Required)Professional #1: Name(Required) First Last Professional #1 Occupation(Required) Professional #1 Address(Required) City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Professional #1 Phone(Required)Property Photos:Inside(Required) Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 10 MB, Max. files: 2. Outside(Required) Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 10 MB, Max. files: 2. Fence / Back Yard(Required) Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 5 MB, Max. files: 2. View from the front door outside(Required) Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 5 MB, Max. files: 2. Please provide two personal references:References #1 Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code References #1 Phone(Required)References #2 Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code References #2 Phone(Required)Special Concerns:Do you think we should know anything else about you or the home you can provide for a foster pet?Consent(Required) Do you argee with the followingI affirm that the information provided is true and accurate to the best of my knowledge and belief. I understand that any misrepresentation may be grounds for terminating me from the foster program if this application is accepted and any animal fostered pursuant to this application must be immediately returned to the PAWsitive Recovery. I understand that my application may be denied for any reason or no reason. I understand that all foster pets are owned by PAWsitive Recovery and in no way will I have any legal entitlement to any foster pet. If completing this agreement online, I understand that by typing my name below, my typed name will serve as my electronic signature:Name First Last Δ
