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Dog Foster Care Application
Date
*
/
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(mm/dd/yyyy)
Some dogs who come to Noah’s Ark Society are not ready to be adopted immediately. In addition to needing extra love and care, they have to learn to trust people and to live in a human environment. Foster parents help these dogs by providing a temporary home until the dog is ready for adoption. Taking one of these unique dogs into your home for a period of a few days, weeks, or months is a lifesaving gift to the dog. Thank you for your interest in becoming a foster parent.
To be considered as a foster parent, you must:
- Be 21 years of age or older
- Have identification showing your current address
- Have the knowledge and consent of your landlord (if applicable)
- Be able and willing to spend the time necessary to provide proper care for the dog
Completion of this application does not guarantee acceptance as a foster home/parent.
- We will verify Breed Specific Legislation (BSL) restrictions in your state/city/neighborhood/HOA/or Rental Agreement
- We are not permitted to foster Bull Terriers to service men or women living on base housing due to breed specific legislation within the armed services.
We appreciate your understanding of the policies which we have put in place for the lifelong safety of the dogs in our care.
First Name
*
Last Name
*
Street Address
*
Suite / Apt #
City
*
State/Province
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavat Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip
*
Phone
*
Email
*
Why do you want to foster a dog?:
Are you interested in fostering?:
Puppy
Adult
Senior
Litter
Is there a particular dog that you would like to foster?:
Yes
No
If YES, give the dog's name and a brief description:
If you have pets, how will they adjust to a foster dog?:
Are all of your pets spayed or neutered?:
Yes
No
I don't have pets
Are all of your pets current on vaccinations?:
Yes
No
I don't have pets
Please list the total number of people living in your home and their ages:
Does any member of your household have an allergy to dogs?:
How many hours a day will the animal be without human companionship? Please explain:
What type of home do you live in?:
House
Apartment
Condo
Mobile Home
Other
Do you own or rent your home?:
Own
Rent
Do you have a fenced yard?:
Yes
No
If YES, what is the height of the fence?:
Where will the dog stay while you are at work?:
How long will you be able to foster the dog?:
Do you require food assistance to allow you to care for your foster care:
Yes
No
Have you ever been convicted of abuse or neglect of a child or an animal? If YES, please explain:
Are you willing to follow Noah’s Ark Society’s guidelines as to the best way to work with the dog?:
Yes
No
Need more information
Additional comments from applicant:
I certify that the above information is true. I also understand that giving false information on this application is grounds for denying foster care.
*
Yes
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