Type of Volunteer work you are interested in?

Your Name:

Phone Number:

Email Address:

Home Address, City State and Zip:

Applicant's Occupation

and Employer:

About Your Residence:

Time at Present Address:

Is Your Yard Fenced?

If Fenced, Fence Type:

Number of Adults at Residence/ages:

Number of Children/ages:

Foster/Volunteer Application

Is there anyone in the home that needs special consideration, please explain:

Tell us about your current pets:

Do you have Dogs:

If yes, please list and indicate sex,age, and spayed or neutered:

Other Pets?

If yes please list type:

Current Veterinarian:

Vet Phone Number:

Other Vets used in last 5 years:

Number of dogs owned in the past 5 years and what happened to your last dog(s)?

Have you ever volunteered for a rescue groups, animal shelter or humane society?

Where will the foster dog stay during the day?

Where will the foster dog stay at night?

Additional Comments:

If no, how will toilet needs and

exercise be handled?

What are your size, breed, gender

restrictions, if any?

Type of Residence:

HouseApartmentTrailerCondoOther

OwnRentLive With ParentsOther

Less Than 1 year1-2 years3-5 yearsGreater than 5 years

Chain LinkPrivacyInvisibleOther

yesno

yesno

yesno