Applicant Information

Family & Residence Information

* How many adults live in your home?

What relationship are these adults to you?

* How many children in your home?

If there are children, what are their ages?

* Do your children have any fear of dogs?

Do your children have any experience with dogs?

........ none 1 2 3 4  or more *

Do you have other children that visit you?

If children do visit, how often?

........ never yes,  but infrequently yes, frequently   *

* Type of Residence you live in?

* Do you own or rent?

own rent

* if you rent, do you have your landlord's permission to have a dog?

Yes No

* Do you have an enclosed yard?

Yes,  No 

if yes, how tall is the fence? *

Who will be primarily responsible for the dog?

* Do all members of your household want a foster dog?

Yes, No 

if no, who is not and why?

* How many pets do you currently have? ......... 0 1 2 3 4 5

List each pet: *

Do you have any vacation plans coming up?

Foster Information

Do you have any dog training experience?

* Housetraining Experience:

  Yes No

* Crate Training Experience:

  Yes No

Describe any Obedience Training Experience(if any):

What personality traits are you looking for in a foster dog?

Energy Level?
  [Pick one] low moderate high

Size: No preference Small (under 35 lbs) Medium (35 to 70 lbs) Large (over 70 lbs)

Gender: Male Female Either

Hair: No preference short medium long

Age range: No preference under 1 1 to 2 years 2 to 3 years 3 to 5 years 6 to 8 years 9 or more years

* Is there any type of dog that you would not consider fostering (e.g., breeds, behaviors)? If so, please explain

* Why are you interested in fostering a dog?

* Are you ready to foster a dog immediately?

Yes,  No

if not, when would you be ready?

* Do you have a time limit on fostering a dog?

Yes,  No

if yes, how long?

* How long will the dog be alone and where will he/she stay during the day? 

* Do you have a way to go home during the workday and check on the dog? 

* Where will the dog be when no one is home?  

* Where will the dog be when someone is home?  

* Where will the foster dog sleep?

* Would you be willing to take a foster dog to training at the expense of Smiley Dog Rescue if a behavior problem should arise? 

Yes No

* If your other animals do not get along with your foster dog do you have a way to separate them when you are not at home?

Yes No

* How else would you handle a problem between your animals and your foster dog?

* Would you be willing to take a foster dog to at least two mobile adoption events on Saturdays (1-4pm) in Oakland or Lafayette?

Yes No

* Are you aware we require a home visit prior to fostering a dog?

Yes  No

Is there any other information that you feel would be important for us to know about you or your living situation?