Maltese Foster Application

Referred by:

What breed(s) do you wish to foster?

Please tell us your name:

Please tell us your e-mail address
(VERY IMPORTANT: Be sure to check your email address carefully. If your email is not input correctly in both blanks this form will not be sent for review.)

Confirm email address:

Street Address(must be physical address, no P.O. Box)

City/State/Zip

Home Phone

What major city are you near ? How many miles to you from this city ?

Work Phone

Have you fostered for a group before ? If so please list group and experience.

Age of Applicant:

Applicant's Occupation:

How many members are there in your household? If there are children, please list their sex and ages.

Do all adults work full time?
YES NO

Approximately how many hours each day will there be no one in your home ?
--Select_One-- never/rarely 1 to 3 hours 4 to 6 hours 7 to 9 hours 10 to 12 hours

Where will the dog(s) be kept when you are not home ?

If you are ever away for a few days who takes care of your dogs ?

Does anyone in your household have any known allergies to animals?
--Select_One-- Yes No

What animals do you currently have ? What kind? Size? Age? - Spayed/Neutered ? owned/fostered/rescued ?
(example:3 y.o. male neutered collie-owned 2 years-from shelter)

Have you a veterinarian that will give you rescue prices ?
--Select_One-- Yes No

What is the name, address and phone number for your veterinarian?

What does your vet charge for the following ?
Spay ?

What is the name, address and phone number for your groomer? Or if you groom yourself indicate here.

Do you live in a house, townhouse, apartment, duplex, condominium or other?
--Select_One-- House Townhouse Apartment Duplex Condominium

Do you rent or own?
--Select_One-- Rent Own

If you rent or lease, are you permitted to have animals ?
--Select_One-- Yes No

Do you have a fenced in yard?
--Select_One-- Yes No

Please select the best description of your fence:
--Select_One-- Chain Link Wood Fence Stone

Other, if not listed what is the type of fence?

Does the fenced go around your back yard completely?
--Select_One-- Yes No

Do you have a dog door?
--Select_One-- Yes No

If there is no fence, how do you plan for the dog(s) to relieve itself ?

How do you house train a dog ?

What breed are you wanting to foster ?
--Select_One-- Maltese Bichon Yorkshire Terrier Shih Tzu Chinese Crested Westie Pom Any Small Mixed Breed

Other breed(s), not listed above ?

Why do you want to foster this breed ?

Size of dog (lbs)

Number of dogs you can foster ?

Sex Preference:
--Select_One-- Male Female Either

What is the Oldest age you will accept in foster ?
--Select_One-- 1 to 3 years (fewer available) 4 to 6 years Over 6 years Any Age

Will you foster a dog that has been abused?
--Select_One-- Yes No

Will you foster a dog who has a treatable medical problems?
--select_one-- Yes No

Will you foster a dog who needs help with housetraining ?
--Select_One-- Yes No

Please describe your experience(s) with Puppy Mill Dogs.

Comments/suggestions?

When you foster a dog you will be asked to sign a Foster Contract. We also require a home visit prior to foster and at selected times during the year. Is this acceptable?
--Select One-- Yes No