Foster Family Application

Basic Information

Name

First Name

Last Name

Date of Birth

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is everyone in the home on board with having a dog in the home?

Do you have reliable access to transportation?

Does you or anyone in your home have dog allergies?

Please list everyone in your home including name, age, and relationship,

Employment

Are you employed?

Are you Full Time, Part Time or Self Employed?

Employer

May We Contact Your Employer?

Employer's Phone Number

(###)

###

####

Basic Job Duties

Living Situation

Type of Home

Own or Rent

Landlord's Phone Number (if rent)

(###)

###

####

Do you have a fenced yard?

How do you plan to exercise your dog?

Pet Information

Do you have any other pets?

List all pets (include species, name, age, sex, size and if they are fixed)

Where does each pet reside?

inside or outside

Are all pets up to date on vaccines?

Have you had to re-home a pet?

If yes, please explain

Have any of your previous pets died of unnatural causes?

If yes, please explain

Veterinarian Information

Veterinarian Name

Veterinarian Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Veterinarian Phone Number

(###)

###

####

Additional Questions

Are there any necessities that you are willing to cover for the dog?

(food, veterinary care, gear, etc)

If you answered yes, please let us know what you are willing to cover.

Why did you decide to apply to become a Foster Family?

How will you/your family deal with re-immersion into the program?

(this is when the dog leaves your home to come live and train at the facility full time)

Anything Else you would like us to know about you

Thank You for Your Application

Providing Pawsable reserves the right to deny services to any applicant which doesn’t meet the criteria necessary for placement of a service dog or who requires services not trainable within the guidelines of the training facility.