ࡱ> Z\Y 3bjbjVV 4H<<* 8SgD x- / / / / / / "$J/ / D mmmF- m- mmm%x yrm Z 0 m$q~$m$m,m4/ / ~ $ :  Foster Application 11700 Preston Road #660 Ste 335 Dallas, TX 75230 214.446.0553 In order to foster a pet from A Different Breed: You must be 21 years of age or older. You must have some form of identification with your current address. You must have the knowledge and consent of all adults living in your household. You must be able and willing to spend the time and money necessary to provide proper care, food and flea control meds. At A Different Breed, the welfare and happiness of our animals are our top priorities. We usually have a variety of pets from which to choose. We will do our best to find all applicants a pet with whom they are compatible. Finding a perfect match is important to us, the animal, and to the future foster parent. Fostering a pet is a significant responsibility. The following is a list of questions which will better aid us in finding a foster pet that is best suited for you. Please answer all of the questions thoroughly and honestly. Please remember, the animals in our care belong to A Different Breed, and they are fostered at our discretion. A Different Breed reserves the right to refuse fostering to any applicant. Name: _______________________________________________________ Date: ______________ Name of spouse or life partner: ________________________________________________________ Address: __________________________________________________________________________ City: ____________________________________________ State: _______ Zip Code: __________ Home (___) _________________ Work (___) _________________ Cell (___) _______________ DOB: _______________ Spouses/Partners DOB: _______________ Drivers License #: _______________ email: _____________________________________________ Occupation: _________________________________________________ Full Time __ Part Time __ S/Ps occupation: _____________________________________________ Full Time __ Part Time __ Are you a student: Yes __ No __ Name of the pet in which you are interested in fostering:_______________________________ Please answer the following questions: 1. Have you ever applied for a pet from A Different Breed before? Yes __ No __ If yes, when? ______________________________ Which pet? ______________ 2. Have you ever owned a pet(s) before? Yes __ No __ If yes, was it a dog(s) __ cat(s) __? Where did you get it? ____________________ How long has it lived with you? ___________ If you no longer have it, what became of it? Lost __ Gave it away __ Sold it __ Died__ Other: ____________ Briefly explain: ____________________________________________ 3. How many pets do you currently have at home? ___ Dog(s) ___ Cat(s) ___ Other Briefly describe: ______________________________________________________________ 4. Are all of your canine or feline pets spayed or neutered? Yes __ No __ 5. Are they on heartworm preventative? Yes __ No __ 6. How many pets other than your current pets have you had within the past five years? ___ Dog(s) ___ Cat(s) ___ Other Briefly describe: __________________________________ 7. Where do your current pets stay during the day time? If you have a cat(s): Inside only __ Outside only __ Inside & Outside __ If you have a dog(s) Inside only __ Outside only __ Inside & Outside __ 8. Where do your current pets stay during the night time? If you have a cat(s): Inside only __ Outside only __ Inside & Outside __ If you have a dog(s): Inside only __ Outside only __ Inside & Outside __ 9. What type of foster pet are you looking for? Puppy __ Dog __ Kitten __ Cat __ 10. Are you looking for a specific breed? Yes__ No__ If yes, what kind? _____________________ 11. What size of you prefer? Under 12 lbs __ Under 25 lbs __ Under 100 lbs __ Over 100 lbs __ 12. This pet would be: A.) A foster companion pet for me __ a child __ an elderly person__ A gift for someone else__ B.) Kept as a watch dog __ a hunting dog __ a guard dog for a business __ C.) Kept as a barn cat/mouser __ 13. Where would your new foster pet stay during the day time? If you adopt a cat(s): Inside only __ Outside only __ Inside & Outside __ If you adopt a dog(s): Inside only __ Outside only __ Inside & Outside __ 14. Where would your new foster pet stay during the night time? If you adopt a cat(s): Inside only __ Outside only __ Inside & Outside __ If you adopt a dog(s): Inside only __ Outside only __ Inside & Outside __ 15. Do you leave your windows and doors open at home? Yes __ No __ Sometimes __ 16. Do you have screens on your windows and doors? Yes __ No __ 17. Do you want your foster pet spayed or neutered? Yes __ No ___ 18. Do you want your foster pet to have a litter of puppies/kittens? Yes __ No ___ 19. Do you have a fenced in back yard? Yes __ No __ Is there a lock on the gate? Yes __ No __ What type of fence is it? Chain-link __ Wood __ Brick/Stone __ Other: ____ How high is it? 4 ft. __ 5 ft. __ 6 ft. __ 8 ft. __ Other: ______ 20. Do you have a pool? Yes __ No __ 21. If fostering a dog, do you plan on keeping him/her on a chain? Yes __ No ___ If yes, how many hours a day? ________ 22. Have you ever house-trained/litter box trained a pet before? Yes __ No __ If yes, briefly describe your approach: ______________________________________________ _____________________________________________________________________________ 23. Are you willing to do research or read books on pet training? Yes __ No __ 24. If fostering a dog, will you work with an ADB pet behaviorist, if needed? Yes __ No __ 25. Do you have the spare time during the days or evenings to spend meeting your fosters companionship needs? Yes __ No ___ 26. Have any of your current pets had medical problems in the past six months? Yes __ No __ If yes, explain ___________________________________________________ _____________________________________________________________________________ 27. Do you or anyone in your household have any allergies to animals? Yes __ No __ Dont know __ 28. On the average day, how many hours would your pet be left alone? ________ 29. Do you travel frequently? Yes __ No __ 30. Who watches your pet while you travel? A family member __ A neighbor/friend __ A pet sitter __ A kennel __ A pet hotel __ A veterinarian __ 31. How many children are in your household? ___________________ Ages: ___________________ 32. Are there any children who visit you household frequently? If so, please state age(s) and gender(s). _____________________________________________________________________________ 33. Is a new baby expected? Yes __ No __ If so, how will this affect your companion? __________ _______________________________________________________________________________ 34. What if the personality or size of a pet as an adult is not what you expected? Explain:___________ _______________________________________________________________________________ 35. How will life be different with a puppy/kitten vs. an adult animal? ___________________________ ____________________________________________________________________________ 36. What if your new foster is a digger, biter, scratcher, or claws the furniture? __________ _____________________________________________________________________________ 37. Do you have a veterinarian reference? Yes __ No __ If yes, how long have you been visiting him/her? ______________ Name of Clinic: ______________________________________ Phone #: _________________ Vets Name: ______________________________________ (Please give phone number.) Is the pet(s) listed under a different name than the applicants? Yes __ No __ If yes, give name: _________________________________________________ Pet names on file with this vet: __________________________________________________ 38. Please give a personal reference, other than a family member. Name: __________________________________________________________ Address: ___________________________________________ State: ___ Zip: __________ Birth date or age: ______________________________ Phone #: _____________________ 39. Do you live in: An apartment __ House__ Condo__ A mobile home__ Do you: Own__ Rent__ 40. If you rent, can written permission be obtained from your landlord along with proof of deposit paid? Yes__ No__ Landlords name: ___________________________________ Phone #: _________________ Name of complex or mobile home park:___________________ 41. Is there a limit to the size or number of pet(s) you can have? Yes__ No__ If yes, what are the limits? _______________________________________________________ 42. How long have you lived at your current address? ____________________ 43. Do you plan to move soon? Yes__ No__ If yes, do you know your new address yet? _________________________________________ ________________________________________________ State: _____ Zip: _____________ 44. What will happen to your foster animal if you move? _________________________________ _____________________________________________________________________________ 45. Would you be willing to allow an ADB representative to visit your home? Yes__ No__ 46. Do you agree to abide by the ADB requirements of administering monthly heartworm medication to the animal (provided to you by the rescue group), bringing the dog/cat to Saturday Adoption Days and any special events, to return the dog/cat if the animal is not a good fit for your household and to immediately notify us if it becomes ill or is behaving strangely? Yes__ No__ 47. Please indicate approximately how much you think it will cost you to A. Feed your foster pet for a week: ______________________ C. Administer flea medication: _______________________ 48. How did you hear about us? ________________________________________________________ 49. Are there any other comments you would like to make to support your application or any questions you may have? _____________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ We do our best to place the right animal in the right home. Therefore, if we feel that the animal(s) and the applicant are not compatible, we retain the option to deny this application without giving a reason. Questions left unanswered may disqualify your foster application. 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