Pacific Pug Rescue Foster Application

Pacific Pug Rescue Foster Application
PLEASE NOTE! Our foster homes are ONLY located in the Portland/Vancouver Metro Area. We cannot accept foster applications in other locations.
Full Name*

First NameMiddle NameLast Name
Co-Applicant (Spouse/Partner)

First NameMiddle NameLast Name
Cell Phone
Home Phone
E-mail*
example@example.com
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
How long have you resided at your current address?
Do you own or rent your home?*

OwnRent
Landlord Name:

First NameLast Name
Landlord Phone:
Landlord Email
example@example.com
Employment History

Employer

What are your hours and okay to contact you there?

Length of EmploymentWork Phone

Postal / Zip Code
Employer of Spouse/Partner

Spouse/Partner Employer

What are your hours and okay to contact you there?

Work PhoneWork Phone

Postal / Zip Code
What are the names and ages of every human member of your household?*
Is anyone in your household allergic to dogs?*

YesNo
Is everyone in the house in favor of fostering a dog?*

YesNo
Please tell us why you have decided to foster:
Pet Ownership History
Do you currently have pets in the home?*

YesNo
Please list all pets currently living in the home including name, age, and species
Do any of your pets have any physical limitations?

YesNo
If so, please describe:
Are any of your pets currently under treatment or taking medications?

YesNo
Are your pets spayed or neutered?

YesNo
Are all pets up-to-date on vaccines?

YesNo
Do your pets get along with other dogs?

YesNo
Have you fostered any animals in the past?*

YesNo
Have you ever owned or fostered a pug?

YesNo
How have you educated yourself about this breed of dog?
Please list your regular veterinarian/vet clinic
Veterinarian Phone
Foster Dog Preferences
What age of foster will work best in your home? (select all that apply)*

PuppyAdultSeniorNo Preference
Sex*

MaleFemaleNo Preference
Are you open to fostering pug mixes or other breeds of dog?*

YesNo
Are you willing to foster a special needs dog?*

YesNo
Where will you keep your foster during the day?*
Where will you keep your foster at night?*
Where will you keep your foster if you are away from home overnight?*
What is the maximum number of hours your foster will be left alone during a 24 hour period?*
Do you have a fenced yard?*

YesNo
What type of fencing and height?
If you do not have a fenced yard, how will you exercise the dog and provide for their need to eliminate?
Do you object to the appropriate use of a crate?

NoYes
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 a pet to an animal shelter or sold any of your pets?

YesNo
If yes, please explain the circumstances:
Have you ever trained a dog before?*

NoYes
Please describe training methods:
Are you willing to house train a foster?*

YesNo
Are you able to transport your foster to: vet appointments, PPR outreach events, to prospective adoptive homes for pre-adoption meet and greets?*

YesNo
Are you able to administer medications?*

YesNo
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?*

YesNo
Have you ever volunteered for any organization fostering animals?*

YesNo
If so, please list organization and describe responsibilities:
Personal Reference

Please provide contact information of a non-related person (not living with you) who can serve a reference. We may reach out to them via email if we have any questions.
Reference*

First NameLast Name
E-mail*
example@example.com
Fostering Agreements

As a potential foster:
I understand that there is a possibility of health or injury risk to humans or personal pets when caring for a foster animal. I will not hold Pacific Pug Rescue liable for any injury or illness that may result from my foster activities.*

I agree
I understand that there is a risk of damage personal property when caring for a foster animal. I will not hold Pacific Pug Rescue liable for any damage to personal property that may result from my foster activities.*

I agree
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 your household, both must sign as an applicant.
Applicant Signature*

First NameLast Name
Co-Applicant Signature

First NameLast Name
"Signed"

MonthDayYear
Hour MinutesAM/PM Option
Should be Empty:

Pacific Pug Rescue Foster Application

Pet Ownership History

Foster Dog Preferences

Personal Reference

Fostering Agreements