Foster Applications – Mid Florida Sheltie Rescue

About You

Name

First

Last

Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Age

Employer

Hours you are at work?

Work Phone

May we call you at work?

Yes
No

How did you hear about us? (Internet, Advertisement, Friends):

About Your Home

Do you have any special training or experience in working with dogs?

Yes
No

Do you currently have any other animals?

Yes
No

If yes, please list: type, age & sex and if they are spayed/neutered. If your pets are not spayed or neutered, please explain why?

Do you keep all of your pets up-to-date on all shots?

Yes
No

If not, explain why?:

Do you keep all of your pets up-to-date on heartworm prevention medication?

Yes
No

If not, explain why?:

Do you keep all of your pets up-to-date on flea prevention medication?:

Yes
No

If not, explain why?:

Do you keep all of your pets licensed in your county?:

Yes
No

If not, explain why?:

Are your pets vaccinated against Kennel Cough? (If not, they will need to be)

Yes
No

Which brand of heartworm and flea prevention do you use for your pets?:

Do you currently have a Veterinarian?:

Yes
No

Name of Vet:

a is premium

Vet Phone #:

Can we use your vet as a reference?:

Yes
No

Do you live in a:

House
Apartment
Condo
Other

Do you own or rent your home?

Own
Rent

If renting, what is the name and phone number of your Landlord?:

If renting, does the landlord allow pets?:

Yes
No

Do you have a fenced yard for the dog to use?:

Yes
No

If not, how will you exercise the dog?:

Is your yard securely fenced on all sides?:

Yes
No

Does a door from your house open directly into the fenced yard?:

Yes
No

Is anyone home during the day?

Yes
No

Who and for how long?

If not, what hours would this dog be left alone?

Where will this dog stay during the day, while you are at work?:

Who lives with you (ie..Mom-Dad-2 kids)?:

Please list ages of everyone living (even part-time) in your home:

Who, other than you, will be responsible for the care of this dog?:

Are you able to keep a dog that is not good with children?:

Yes
No

Are you able to keep a dog that is not good with cats?:

Yes
No

Please check all that apply in your home:

Busy household-visits from friends, in and out, children, parties at home
Noisy-TV, stereo, machinery, tools, children playing, dogs barking
Moderate-normal comings and goings
Quiet-“homebodies” few guests, come home and stay home
Lots of children in the neighborhood
Live on a busy street

Where do you intend to keep this dog:

Indoors
Outdoors

Please tell us what supplies you already have for a foster dog:

Large crate
Leash
Food and water bowls
Brush

Would you be able to supply a premium dog food to the foster dog, or would you need us to?

Yes
No

Have you ever owned a Sheltie before?:

Yes
No

Have you ever handled a very scared dog?:

Yes
No

Have you ever taken a dog through an obedience class?:

Yes
No

Have you ever handled an aggressive dog?:

Yes
No

Are you able to help housetrain a dog?:

Yes
No

Are you able to take a "special needs" (blind, deaf, sick) dog?:

Yes
No

Are you able to administer medication in a timely manner?:

Yes
No

Are you able to work with a "behavior problem" dog? (we don't take known biters):

Yes
No

Are you aware of all a Shelties needs? (ie.. grooming, exercise):

Yes
No

Are you aware that Shelties are barkers?:

Yes
No

Are you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with?:

Yes
No

Do you have the time to offer these needy animals the extra attention and love required for their adjustment prior to permanent adoption?

Yes
No

Please specify which tasks you are willing to perform:

Respond to calls from pounds and identify if a dog is a Sheltie.

Yes
No

Search newspapers and Internet for Shelties for adoption.

Yes
No

Bail Shelties from pounds and hold until rescue can make arrangements for foster care.

Yes
No

Transport dogs to foster homes or vet.

Yes
No

Groom and bathe rescued Shelties.

Yes
No

Foster Shelties for extended time periods.

Yes
No

Interview potential adopters and perform home checks.

Yes
No

Post information about Sheltie Rescue at local vets or on the Internet.

Yes
No

Contribute Equipment, such as crates.

Yes
No

Verification

Please list two people who can offer references on your ability to care for our dogs:

Reference Name #1:

Reference Name #1 Phone #:

Reference Name #2:

Reference Name #2 Phone #:

Comments

If you have any personal comments you would like to share with us please leave them here:

Your Agreement is Required

I have agreed to give care and shelter to a rescued Sheltie for a limited period. I understand that I am accepting this dog as my own until a new home can be found. I also understand that Mid Florida Sheltie Rescue has no prior knowledge of this dog’s temperament, and I will therefore take all due care to protect others and myself who may come in contact with this animal from bodily harm.

I will indemnify and hold Mid Florida Shelite Rescue blameless from damage to property or harm to persons or other animals caused by this animal.

I have read the above and agree to abide by the rules and regulations of Mid Florida Sheltie Rescue. I understand that members of the group are available to answer questions and offer advice, and I must contact them should any problem arise.

Agreement

I agree that all of the answers I have given, are true and correct to the best of my knowledge.

Mid Florida Sheltie Rescue

Before filling out this application, please make sure you have time to answer all of the questions carefully and accurately. We want to know all about the people we entrust to care for these beautiful souls until their furever home can be found.

If this describes you, please continue filling out the form below.

Please Note: We DO NOT adopt out of the state of Florida. Must be 18.

This application is extensive and may take up to 20-30 minutes to complete. Please keep this in mind before you begin.

Please answer every question completely and as accurately as possible. Please note that if all the questions are not answered your application could be delayed or denied.

About You

About Your Home

Verification

Comments

Your Agreement is Required