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
Spouse/Partner

First NameMiddle NameLast Name
Cell Phone

Area CodePhone Number
Home Phone

Area CodePhone Number
E-mail*
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:

Area CodePhone Number
Employment History

Employer

What are your hours and okay to contact you there?

Length of EmploymentWork Phone

Postal / Zip Code
Employer Address

Street Address

Street Address Line 2

CityState / Province

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?*
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
List all pets currently residing in your home and their ages. If there are no pets, enter None.*
Do any of your pets have any physical problems?

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

Area CodePhone Number
Pacific Pug Rescue will call your vet clinic to verify pets are up-to-date on routine vet care and spayed or neutered.
Foster Dog Information
What age of foster will work best in your home?

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?
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?
Provide for their need to eliminate?
What is the maximum number of hours your foster will be left alone during a 24 hour period?
Where will your foster spend this time?
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:
References

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 NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Reference #2*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Please double-check above email addresses and phone numbers for accuracy. Pacific Pug Rescue will reach out to references by email.
As a potential foster:
- 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 your household, both must sign as an applicant.
Applicant Signature*

First NameLast Name
Applicant Signature

First NameLast Name
"Signed"

MonthDayYearHourMinutesAM/PM Option
Should be Empty:

Pacific Pug Rescue Foster Application

Pet Ownership History

Foster Dog Information

References