Houston Pekingese Rescue
Foster Application

Just complete this form. Click on "Submit" when ready to send.

Please complete this application in order to begin the foster process. All applications must be approved prior to placement in a foster home. It is very important that you answer all the questions honestly so that we can place a pet in your home that will be a good match for the pet's needs and your ability to provide what is necessary during the period of foster care. Your honest answers will help us place a pet that is good for your particular circumstances. Please contact us if you have any questions.

This application is quite in-depth, however, do not let this discourage you from completing it and returning it to us!

We genuinely care about the welfare of all our dogs, therefore, it is standard procedure to do a home visit as part of the application process prior to placing an adoptable dog in a new foster home. We also check references as part of our process.

Fostering a rescue dog is sometimes quite different than bringing home a brand new puppy or kitten.  Sometimes our rescued dogs come from great homes where they have received lots of TLC, but for one reason or another, the family cannot keep them. Sometimes the dog has been a stray for some time before coming into our rescue, or has not been in the best of homes.  We do not place aggressive dogs in foster care.  When you foster a rescue dog, there will be a period of adjustment for both human and pet. Lots of understanding, patience and quiet time may be in order for family members. We hope to hear from you soon and thank you for your interest in becoming a foster home!

When filling out this application, please use the "TAB" key or mouse
to move from one field to the other. Do NOT use the "return key", it
will end the application process and send before you are finished.

Date:
Your Full Name:
Spouse/SO Full Name:
Email address:
Home Address:
City:	State:       Zip Code (5 digits):
Home Phone:
Work Phone:
Cell Phone:

 

 
 
 

 

 

 

Name of dog if you are applying to foster a specific dog:

Please, feel free to expand your answers to any of these questions.

PET HISTORY

Have you owned pets in the past?  yes/no:   
Where are these previous pets now?  Please, elaborate.

HOUSEHOLD

Names and ages of all family/household members: 
 

Do you often have visitors in your home?  yes/no   
Grandchildren?  yes/no       Other children?  yes/no   

Is everyone in the residence agreeable to fostering a rescue dog? yes/no         

ARE YOU WILLING TO::

Teach young children the proper care and treatment of this dog?  yes/no   

Always monitor young children with dogs, even a foster dog that has proven reliable around young children?  yes/no

Welcome a foster dog into your home as if your own and as a family member? 
    yes/no   

Immediately return any foster dog upon demand to Houston Pekingese Rescue? 
    yes/no   

Immediately report any health, medical, or other problems to Houston Pekingese Rescue? 
    yes/no   

Return the dog ONLY to Houston Pekingese Rescue or their designated representative if  you decide that he/she cannot remain in your home for any reason?  yes/no   

Maintain any and all treatment protocols designated by Houston Pekingese Rescue and/or presiding veterinarian for Houston Pekingese Rescue with provided instructions, supplies, and/or medications?  yes/no   

Do everything in your power, with the help of Houston Pekingese Rescue, to ensure that the dog is kept healthy, happy, and safe?  yes/no   

HAVE YOU GIVEN CAREFUL CONSIDERATION TO AND ARE YOU WILLING TO PROVIDE:

The financial obligations of responsible fostering, to include bedding, food, and toys for this pet?  yes/no   

The special needs, time, and patience involved with a new foster dog in the home?
    yes/no   

Who will care for the foster dog and where will he/she be kept?    

Why do you want to foster a rescue dog? 
 

Do you currently own other pets?  yes/no   
If so, please, list them; species, breed, and age of each:
 

RESIDENCE:

Type of residence (house, condo, apartment, mobile home):    
How long have you lived at this residence?    
Do you own or rent?    
If renting, is your landlord agreeable to you having a foster dog?  yes/no
If renting, a signed statement from your landlord must be received prior to fostering. 
Landlord, if applicable, name, address, email, and phone number: 

Do you have a yard?  yes/no   
Is it fenced?  yes/no     Type of fence:
Fence height:      Size of fenced area: 

If you don't have a fenced yard, how will you take care of a foster dog's exercise and toilet duties? 

CARE AND TRAINING:

Where will the dog be kept during the day?    

How many hours a day will the dog be left at home alone?    

Where will the dog sleep?    

Who will take care of the dog while you work?    

If necessary, would you be willing to take the dog to obedience training?  yes/no   

If necessary, would you be willing to take the dog only to a veterinarian designated by
Houston Pekingese Rescue?  yes/no   

Are you willing to keep identification on this dog at all times?  yes/no   

What do you intend to feed the dog?
 

YOUR REFERENCES:

Your veterinarian - name, address, phone number, and email address
 

Give 3 personal references; names, addresses, phone numbers, and email addresses of individuals that are NOT related to you or living in your home:
1  
2  
3  

EMPLOYMENT:

Your employer:   
Your occupation:   
Work address:   
Work phone number:   

Spouse/SO employer:   
Spouse/SO occupation   
Spouse/SO work address:   
Spouse/SO work phone number:   

Do you have any further comments you would like to make?

I certify that the information provided in this application is true to the best of my knowledge as of the date of this application.  By typing my name below (electronic signature), I signify that I have filed this application, and understand all that is contained within.  I also understand that before a foster dog is placed in my home by Houston Pekingese Rescue, I will be required to sign a Foster Agreement. 
Signature:   

(click the "Submit" button to submit your application)
(click the "Reset" button to clear the application and start over)

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Form revised on December 30, 2008

Copyright © Houston Pekingese Rescue 2007