| Name* |
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| Street Address* |
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| City* |
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| Day Phone* |
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| Evening Phone* |
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| Cell Phone |
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| Email Address* |
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| How Long have you Lived at your Current Residence? |
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| If less than 1 year, please provide your previous address |
| Previous Street Address |
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| Previous City |
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| Type of Foster You're Applying to Become* |
Temporary foster
(i.e., pull from long-distance shelter and hold for transport)
Regular foster |
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| Describe Your Current Home* |
Own a single family home
Rent single family home*
Own condo/townhouse
Rent condo/townhouse*
Own duplex
Rent duplex*
Rent apartment*
Own or Rent Mobile Home*
Other
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Please Note: If you rent or lease your
home, we will need a copy of your lease or a letter from your landlord stating
that you are allowed to have large dogs. Please have this in hand prior
to submitting your application so that we may get a copy once we receive this
application. |
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Please List Everyone Who Lives in Home*
(Include Name, Relationship, and Age) |
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| Describe your Home and Yard and how you will provide for the exercise
needs of your foster(s)* |
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| Approximately how long will your foster be home alone on an average
day?* |
Less than 3 Hours
3 to 7 Hours
7 to 9 Hours
9+ Hours
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| If you answered '9+ Hours', what arrangements will you make for the
elimination needs (potty breaks) and exercise needs of your foster on these
days? |
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| Are you a member of any animal-related or animal-welfare-related
organizations, clubs, cyber groups, or Internet bulletin boards? If so,
please list |
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| Have you or anyone in your home ever been investigated for animal
cruelty? Have you or anyone in your home ever been turned down to adopt
or foster an animal from a shelter or rescue?* |
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| If yes, please explain |
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Please list all Current Pets. Include:
Name, Breed, Age, Gender, How Long Owned, Spayed/Neutered, Heartworm
Prevention Used, and Where Pet is Kept |
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| Have you had any other pets in the last 10 years?* |
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| If yes, please list the name, breed, and sex of each and explain what
happened to each (i.e., died from X, gave away because of X) |
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| Do you have a veterinarian who you current use or have used in the
past?* |
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Please List All Current and Past Vets
Include Name, Address, and Phone Number for each |
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| Any additional notes about vetting |
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| Please Note: Unless you are a significant distance from
any of the vets with whom we currently have working relationships, you may be
required to utilize a vet other than your own for your foster dog. We do
have working relationships with many vets. |
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| Have you ever owned a lab before?* |
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| Please list all relevant experience with Labs |
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| Have you crate trained a dog before? Do you own a crate? If so, what size/type?* |
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| What dog training experience do you have? Have you taken or taught classes or done any advanced training such as agility or dock?* |
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| Have you ever fostered a dog for an animal organization before?* |
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| If yes, please provide the organization's name and, if possible, their web address |
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| Are you comfortable with dogs that may have issues? (Examples include: shy/timid, under-socialized, Heartworm treatment, pregnant) Please explain* |
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| Do you have friends or family in a field of animal care/training or animal welfare? If so, please provide their name(s) and phone number(s) |
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| Please list the name, phone number, and email (if possible) for each of the following references |
| Veterinary Reference* |
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| Personal Reference #1* |
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| Personal Reference #2* |
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All of the information I have given above is true and complete. Any dog
I may foster will reside in my home as a pet. I will provide it with good
clean, fresh food and water, secure shelter, training, affection and medical
care.
I understand that Love of Labs, IN or authorized agents are not responsible
for the accuracy of information received about the temperament, habits and
physical conditions of dogs placed for fostering. I understand that LOLIN, and any person associated with its adoption efforts, is in no
way liable or responsible for any damage, accident or injury resulting from
the placement of a dog into my household. I also understand that I will be
required to sign a foster contract to place a dog in my home. I am in full
agreement with these terms of fostering. By electronically signing, I
acknowledge that I have read and understand this paragraph. I understand that LOLIN is a non-profit, 100% volunteer non-profit public charity.
We reserve the right to refuse any application for any reason. |
| Signature* |
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| Date* |
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