Foster Care Application Instructions APPLY VIA Email: 1. From the website, download this form to your computer and fill out the application. 2. Create a new email, address it to AFTAInc@hotmail.com, and attach the completed application. PLEASE NOTE: 1. The responses you provide will help us find the best possible match between you and the dogs available for adoption. 2. AFTA reserves the right to conduct a home inspection prior to and post foster care arrangements. 3. If any information on this form is omitted, it will be discarded. 4. If it is discovered information was knowingly falsified, the adopter will return the dog sans fees to AFTA. 5. AFTA reserves the right to refuse any application. c: 11 Jun 06 Foster Care Application Please “x” the appropriate box if question does not require a written response. Foster Care Information: 1. Was there a particular dog on our web site that you were interested in? ( Y ( N (If “yes,” please provide the name below.) 2. If that dog has been adopted, or if you did not see a dog on the website: Is there a particular breed/mix you would be interested in? ( Y ( N (If “yes,” please describe below.) 3. Sex: ( Male ( Female ( No preference 4. Preferred Age? 5. Oldest dog you would be willing to accept? 6. Would you be responsible for a dog with some health problems? ( Y ( N ( Perhaps 7. Would you take a dog with some behavioral problems? ( Y ( N ( Perhaps 8. Are looks or size important to you? ( Y ( N (If “yes,” please describe below.) 9. Are you prepared to you abide by, as applicable, AFTA policies, city, county, and state laws concerning pets? ( Y ( N Personal Information: 1. Complete name: 2. Complete residential address: 3. Complete mailing address (if different from residential address): 4. Home phone: 5. E-mail: 6. Best time to call: 7. Work status: ( Full-Time ( Part-Time ( ?Work at home ?( Don’t Work ( Retired Employer’s name and adress: Employer’s phone: 8. Personal reference of an unrelated individual who has known you at least 1 year: Name: Phone number: Email: Your Family: 1. Marital status: ( Married ( Single ( Partner ( Widowed 2. Number of adults residing in your home? Relationship (if not noted above): 3. Is your spouse/partner in agreement with this foster care arrangement (signature required)? ( Y ( N 4. Is (are) your roommate(s), if applicable, in agreement with sharing their home with this animal (signature/s required)?: ( Y ( N 5. Number of children (and ages) living in your home: Number: Ages: 6. Will the addition of children give cause to displace this animal? ( Y ( N Your Home: 1. What type of home do you have? ( Single Family House ( Duplex ( Condominium ( Apartment ( Mobile Home ( Garage Apartment 2. Do you own or rent? ( Own ( Rent 3. Renters a. What provisions are in the lease regarding pets? Please include a copy with this application (if emailing the application, annotate the pet provision is being sent via USPS. Your application will be held 1 week in anticipation of delivery.). b. Landlord Name: Phone: 4. Length of time at current address: ( 1 year or less ( 1 to 2 years ( 3 to 5 years ( 5 years or more ( If less than 1 year, provide complete previous address: 5. Is your property fenced? ( Y ( N (NOTE: No dog under the age of 6 mos will be homed with a family comprised of children 10 yrs or younger unless there is a fully secured fenced-in property, or 10’x10’ sheltered kennel.) a. Type of fence: b. Height of fence: c. In good repair? ( Y ( N d. If you do not have a fenced yard, what arrangements do you plan to make for exercise and toilet duties? 6. Does the property have a swimming pool? ( Y ( N Caring for Your Foster Dog: 1. Do you understand animals, like humans, requires routine vaccinations, health exams, and treatment for illness as well as emergency care? ( Y ( N 2. Animals are as individual as people. Are you willing to expend the time and effort helping this pet adjust to your home and lifestyle? ( Y ( N How much time? 3. Will you have time to give this dog daily companionship? ( Y ( N How much time/day? 4. Is someone at home during the day? ( Y ( N Who/Age? Who/Age? 5. Where will the dog be when you are at home during the day? (“X” all that apply) ( Loose Indoors ( Loose outdoors in fenced yard ( Crate ( Basement ( Tied or chained outside ( Garage ( Kennel Run ( Other (describe) 6. Where will the dog be when you are away from home during the day? (“X” all that apply) ( Loose Indoors ( Loose outdoors in fenced yard ( Crate ( Basement ( Tied or chained outside ( Garage ( Kennel Run ( Other (describe) 7. Is someone at home during the night? ( Y ( N Who/Age? Who/Age? 8. Where will the dog spend the night? (“X” all that apply) ( Loose Indoors ( Loose outdoors in fenced yard ( Crate ( Basement ( Tied or chained outside ( Garage ( Kennel Run ( Other (describe) 9. How many hours, on average, will the dog spend alone? 10. Who will have primary responsibility for the dog? 11. Should the primary caregiver become incapacitated or is unable to continue caring for the animal, who will take responsibility to properly care for the dog? 12. If the dog became destructive, what would you do? Your Pet Ownership History: 1. Do you own any other pets? ( Y ( N 2. Provide name(s), species, breed(s), sex(es), and age(s) of each: Name Species Breed Sex Age ______________ ______________ _______________ _____ __________ ______________ ______________ _______________ _____ __________ ______________ ______________ _______________ _____ __________ ______________ ______________ _______________ _____ __________ ______________ ______________ _______________ _____ __________ 3. Are all your pets spayed or neutered? ( Y ( N (if “no,” please explain why) 4. Please list any veterinarian(s) used for current or former pets. (If you do not have a veterinary reference please provide the name, telephone number and email address of a second Personal Reference.) Veterinarian Name: Address: Phone: Veterinarian Name: Address: Phone: or Personal Reference Name Phone Email 5. How many pets have you owned in the past 5 years? a. Type of pet(s): b. How/Why obtained: 6. If you no longer have them, please give details explaining what happened to them: 7. If you have had a pet die at an early age or have ever lost a pet, please provide details: 8. Have you ever given a pet up for adoption or euthanized (“put to sleep”) a pet? (if “yes,” why?) 9. Have you, anyone in your household, or anyone with access to your home been charged or convicted of cruelty to or neglect of animals? ( Y ( N How did you learn about us? The information supplied is correct, truthful and complete to the best of my/our knowledge. This form will be held on file for at least 7 years. Signature: ____________________________ Date: ____________________________ Signature: ____________________________ Date: ____________________________ (Please type full name in the “Signature” space above. You will be required to sign this form at the time of your Foster Care orientation.) Thank you for your application. All For The Animals, Inc. c/o 20 Homestead Rd Sagamore Beach Ma 02562 www.AllForTheAnimals.org AFTAInc@hotmail.com Page 4 of 8