Name
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First Name
Last Name
Are you interested in fostering or adopting?
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Please name the animal(s) you are interested in
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Home Phone
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(###)
###
####
Cell Phone
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(###)
###
####
Email
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Current Employer
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Are you over the ago of 18?
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Are you a U.S. Citizen?
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Are you currently serving in the Military?
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In what type of home to you live?
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Single Family
Duplex
Apartment
Condo
Townhouse
Mobile Home
Military Housing
Do you own or rent your home?
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If you rent:
You must list your landlord's contact information*
How many individuals live at your residence (include yourself)?
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How many of those individuals living in your residence are above the age of 18 years (including yourself)?
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Please list all individuals 18 years and older living in your residence:
Do you have children under the age of 18 years living in your residence ?
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Please list all individuals under the age of 18 years living in your residence:
Is everyone in agreement on adopting/fostering the animal?
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Why not?
How many pets have you owned in the last 10 years?
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Are all of these pets still with you?
Yes
No, I currently have no pets
Some of the pets are still with me
Please explain what happened to the pets that are no longer with you:
Please list all current pets:
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Write "None" if you currently have no pets
Are all current pets current on vaccinations?
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If you answered NO to the previous question, is there a medical reason as to why your pet(s) is not current on its vaccines?
Are all current pets spayed/neutered?
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If you answered NO to the previous question, is there a medical reason as to why your pet(s) is not spayed/neutered?
Are all your current pets on heartworm preventative?
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If you answered NO to the previous question, is there a medical reason as to why your pet(s) is not on heartworm preventative?
Are you aware that the cost of vet care for an animal in good health is at least $300-$600 per pet per year ?
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What is the name of veterinary clinic you will be taking your new animal to?
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Main phone for your veterinary clinic
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(###)
###
####
Are you currently using this clinic for your pets?
*
What is the name of the veterinary clinic that your current/past pets have been seen at (if different from the above)?
What is the phone number for the veterinary clinic your current/past pets have been seen at?
(###)
###
####
How do you plan on exercising your new pet?
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What will you do with your pet if you move?
*
If you chose OTHER to the above question:
Where will your new animal primarily reside?
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Inside
Outside
A mix of both
What type of yard/fence do you have?
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Open (not fenced in)
Fenced In (wooden fence)
Fenced In (privacy fence)
Fenced In (chain link)
Electric Fence
How do you plan on containing your adopted P.O.E.T. animal?
*
Does anyone in your home have medical or allergy conditions?
*
If you answered YES to the above question, how will you handle this situation with the new pet?
If allergies or medical issues present themselves to a family member after adoption, what is your plan to handle that situation?
*
Where will the animal reside when you're not at home?
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Approximately how many hours a day will the animal be left alone?
*
Where will the animal reside during the night?
*
Who will be the primary caretaker of the animal?
*
How do you plan on preventing or correcting possible behavioral problem?
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Train myself
Read books
Use the internet or other online resources
Seek professional training
Except my dog to be perfect when he/she arrives
None of to above
What of the following behaviors would cause you to relinquish or return your adopted P.O.E.T. animal?
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Do you plan to stay committed to your foster pet(s) until s/he is adopted?
Are you prepared for an extended adjustment period for you and a foster pet?
If for some reason you are no longer able to foster a pet, do you agree to contact a Board Member immediately and return the pet only to us (or a P.O.E.T. Board Member appointed representative) within one week?
What types of animals are you willing to foster:
How many foster pets are you willing to care for at any one time?
What age range(s) are you willing to foster?
What weight range(s)are you willing to foster?
In a few words, please tell us why you wish to become a P.O.E.T. foster parent for this animal:
Please choose the option below that best describes you:
If you responded that you have previously volunteered as a foster parent for another foster group, please provide their information:
As a previous foster parent, were you able to foster the pet until adopted?
If you stated you were not able to foster the pet until adopted, please explain:
Do you plan to foster for another organization and/or privately rescue pets while fostering for P.O.E.T.?
Do you understand and plan to implement proper quarantine procedures to keep P.O.E.T. pets safe?
Do you understand that these pets will be solely your financial responsibility, including any illnesses, parasites, injuries, etc. passed on to P.O.E.T. pets while in your care?
Do you know how to tell if your foster dog is sick?
If your foster dog becomes sick, how will you handle the situation?
If you were no longer able to keep your pet, what would you do?
Please sign the application and agree to the following By signing this application I agree to allow P.O.E.T. Animal Rescue to contact the veterinary office listed above, contact my current landlord, and set up an appointment to visit my house. I understand that by filling out this application, P.O.E.T. Animal Rescue reserves the right to deny my application for any reason that is not in the best interest of the dog. Should my application be approved, I understand that I must thoroughly read through and agree to P.O.E.T. Animal Rescue Adoption/Foster Agreement. I understand that if I neglect my foster dog while it is in my care, I will be fully responsible for any and all medical charges and other out of pocket expenses that result from the neglect of the foster dog. Any falsification of this application will result in denial of the application. Incomplete applications will not be processed.
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Name
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First Name
Last Name
Today's Date
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MM
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YYYY
Home Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
