Corgis & Friends of Walmarsh
Edisto Island, SC

Fostering Application

Application Information
1. / First Name:
2. / Last Name:
3. / Address (line 1):
4. / Address (line 2):
5. / City: / State: / Zip:
6. / Phone (day):
7. / Phone (evening):
8. / Email:
9. / Are you over 21 (Yes/No)?
Family and Residence Information
10. / How many adults live in your home?
11. / What relationship are these adults to you?
12. / How many children are in your home?
a. / If there are children, what are their ages?
b. / Do your children have any fear of dogs?
c. / Do your children have any experience with dogs?
13. / Do you have other children that visit often (Yes/No)?
a. / If children do visit, how often?
14. / Type of Residence you live in?
15. / Do you own or rent?
a. / If you rent, do you have your landlord’s permission to have a dog (Yes/No)?
16. / Do you have an enclosed yard?
a. / If yes, how tall is the fence?
17. / Who will be primarily responsible for the dog?
18. / Do all members of your household want a foster dog (Yes/No)?
a. / If no, who is not and why?
Pets
19. / How many pets do you currently have?
20. / Please list each pet…
Type of Animal / Age / Sex / Spayed/
Neutered / Where Pet Lives
1.
2.
3.
4.
5.
6.
21. / Do you have any vacation plans coming up?
Foster Information
22. / Why are you interested in fostering a dog?
23. / Is there any type of dog that you would not consider fostering (e.g., breeds, behaviors)? If so, please explain?
24. / Please describe your dog training experience (if any)? / a. / Housetraining Experience (Yes/No)?
b. / Crate Training Experience (Yes/No)?
c. / Describe any Obedience Training Experience:
25. / What personality traits are you looking in a foster dog? / a. / Energy Level (No preference, Low, Moderate, High):
a. / Size (No preference, Small, Medium, Large):
b. / Gender (No preference, Male, Female):
c. / Hair (No preference, Short, Medium, Long):
d. / Age Range:
26. / Are you ready to foster a dog immediately (Yes/No)?
a. / If not, when would you be ready?
27. / Do you have a time limit on fostering a dog (Yes/No)?
a. / If yes, how long?
28. / How long will the dog be alone and where will he/she stayduring the day?
29. / Do you have a way to go home during the workday and check on the dog?
30. / Where will the dog be when no one is home?
31. / Where will the dog be when someone is home?
32. / Where will the foster dog sleep?
33. / Would you be willing to take a foster dog to training at the expense of Corgis & Friends of Walmarsh rescue if a behavior problem should arise (Yes/No)?
34. / If your other animals do not get along with your foster dog do you have a way to separate them when you are not at home (Yes/No)?
35. / How else would you handle a problem between your animals and your foster dog?
36. / Are you aware we may require a home visit prior to fostering a dog (Yes/No)?
37. / Is there any other information that you feel would be important for us to know about you or your living situation?

October 29, 20111 | Page