Pacific Pug Rescue Foster Application
(PLEASE NOTE! Our foster homes are ONLY located in the Portland/Vancouver Metro Area, we do not accept foster applications from other areas!)
Full Name
First Name
Middle Name
Last Name
Spouse/Partner
First Name
Middle Name
Last Name
Cell Phone
-
Area Code
Phone Number
Home Phone
-
Area Code
Phone Number
E-mail
Current Address
Street Address
Street Address Line 2
City
State
Zip Code
How long have you lived at your current address?
Do you own or rent your home?
*
Own
Rent
If you rent, please provide:
Landlord Name:
First Name
Last Name
Landlord Phone:
-
Area Code
Phone Number
Employment History
Employer
What are your hours and okay to contact you there?
How Long Employed
Work Phone
Postal / Zip Code
Spouse/Partner Employer
What are your hours and okay to contact you there?
Work Phone
Work Phone
Postal / Zip Code
What are the ages of any children living in your home?
Is anyone in your household allergic to dogs?
Yes
No
Is everyone in the family in favor of fostering a Pug?
Yes
No
Please tell us why you have decided to foster:
Pet History
List all pets currently residing in your home and their ages.
Do any of your animals have any physical problems?
Yes
No
If so, please describe
Are any of your pets currently under treatment or taking medications?
Yes
No
Are they spayed or neutered?
Yes
No
Are all pets up to date on vaccines?
Yes
No
Do your animals get along with other dogs?
Yes
No
Have you fostered any animals in the past?
Yes
No
Have you ever owned or fostered a Pug?
Yes
No
How have you educated yourself about this breed of dog?
Please list your regular Veterinarian/Vet Clinic
Veterinarian Phone
-
Area Code
Phone Number
What age of foster will work best in your home?
Puppy
Adult
Senior
No Preference
Sex
Male
Female
No Preference
Where will you keep your foster:
During the day?
At night?
If you are away from home overnight?
Do you have a fenced yard?
Yes
No
Kind of fencing and height?
If you do not have a fenced yard, how will you:
Exercise the dog?
Provide for their need to eliminate?
What is the maximum number of hours your dog will be left alone during a 24 hour period?
Where will he/she spend this time?
Do you object to the appropriate use of a crate?
No
Yes
What will you do if your foster is destructive when left alone?
How would you handle problem behavior (aggression, excessive barking, marking)?
Have you ever surrendered to an animal shelter or sold any of your pets?
Yes
No
If yes, please explain the circumstances:
Have you ever trained a dog before?
No
Yes
If yes, please describe
Are you willing to house train a foster?
Yes
No
Are you willing to foster a special needs Pug?
Yes
No
Can you administer medications?
Yes
No
How would you introduce a foster dog to your family and current pets?
Has anyone in your immediate family/household ever been convicted of a charge related to cruelty to animals or child abuse?
Yes
No
Have you ever volunteered for any organization fostering animals?
Yes
No
If so, please list organization and describe responsibilities:
Please provide the names, email addresses, and phone numbers of two non-related individuals (not living with you) who can serve as references:
Reference #1
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Reference #2
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Are you able to transport your foster to: Veterinarian appointments? Monthly “Outreach” Events? To prospective adoptive homes for preadoption “Meet ‘N Greet”?
Yes
No
I understand that there is a possibility of health or injury risk to humans and personal pets when caring for Pacific Pug Rescues foster animals. I will not hold Pacific Pug Rescue liable for any injury or illness that may result from my foster activities.
I understand that there is a risk of damage personal property when caring for Pacific Pug Rescues foster animals. I will not hold Pacific Pug Rescue liable for any damage to personal property that may result from my foster activities.
Thank you for taking your time to complete this application. By signing below you attest to the truthfulness of your answers and give permission for a Pacific Pug Rescue Volunteer to verify any of the above.
If there are two responsible adults in household, both must sign as an applicant.
Applicant Signature
First Name
Last Name
Applicant Signature
First Name
Last Name
"Signed"
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AM/PM Option
Submit Application
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