Telephone   (home) (work) (cell)

Best time / place to call home work cell

Occupation

How did you hear about Muttville?

Do you:   own   rent

If you rent, do you have landlord approval to have a dog or multiple dogs in your home? select Yes No

Does your current residence have a secured, fenced backyard? select Yes No   If so, how high is your fence?

Please describe your yard.

Do you have stairs? select Yes No   If so, how many sets of stairs?

Are you the only person living in your home? select Yes No

If not, please list each person living with you, their age if a minor, and their relationship to you.

Do children visit your home? select Yes No

If so, please list their ages and how often they visit.

Would you agree to a home visit prior to your fostering a Muttville dog? select Yes No

Are there any animals currently living in your home? select Yes No

If so, please supply the following information for each animal in your home.

Please describe any additional animals living in your home.

How long are you away from home each week?   hours per day   days per week

Where will your foster dog be when you are not at home?

Where will your foster dog be when you are at home?

Where will your foster dog sleep at night?

Who will be the primary caregiver of your foster dog?

Any previous dog experience? If so, please explain.

Do you currently have a vehicle? select Yes No

Would you be willing to drive your foster dog to veterinary appointments? select Yes No

Would you be willing to drive your foster dog to outreach events? select Yes No

Would you be willing to meet with potential adopters to discuss any information regarding your foster dog? select Yes No

Would you be comfortable giving your foster dog medications? select Yes No

Are there any time limits in the amount of time you can foster a dog?

Are there any size limitations, personality traits, etc. in a foster dog that you would not consider?

When are you available to start fostering?

What provisions will you need Muttville to provide (dog bowls, beds, food, etc.)?

Is there anything else you would like Muttville to know?

CERTIFICATION

I certify that, to the best of my knowledge, the information provided in this application is true and complete. I recognize that any misrepresentation of that information will result in my losing the privilege of fostering a rescued dog from Muttville. I understand that Muttville has the right to deny my request to foster a dog, and I authorize checking all information provided in this application.