Foster ApplicationDatePersonal InformationName(s):Name [1](required)First M. LastName [2](required)First M. LastAddress:Street(required)Apt #City(required)State(required)Zip(required)Contact Information:Home(required)Work(required)CellEmail address(required)Employment Information:Your Occupation(required)Spouse OccupationYour Place of Employment(required)Name, Location and Contact NumberSpouse Place of EmploymentHousehold InformationPlease list children/minors in the home (name/age)[1][2][3][4][5]AgeAgeAgeAgeAgeDo children/minors have experience with dogs?(required)YesNoWhat level of supervision will children/minors have with the dog?List other family members/roommates/boarders that reside in household? (List name, age and relation)[1][3][5][2][4][6]Has everyone in your household been included and agree with the decision to foster a pit bull type dog?(required)YesNoWho will be the primary caretaker for the dog?If no, please explain...(required)Other Pets in the HouseholdDo you own other pets?YesNoPlease list them below:Pet #1NameBreedSexMaleFemaleTemperment SpeciesAgeSpayed/NeuteredYesNoPet #2NameBreedSexMaleFemaleTempermentSpeciesAgeSpayed/NeuteredYesNoPet #3NameBreedSexMaleFemaleTempermentSpeciesAgeSpayed/NeuteredYesNoAre all pets up to date on vaccinations?YesNoAre all pets on heartworm prevention?YesNoWhat type?Please tell us about any other pets you have owned in the past 10 years:[1]NameBreedSpayed/NeuteredYesNoSpeciesAgeIf applicable, please explain why you no longer have this pet:[2]NameBreedSpayed/NeuteredYesNoSpeciesAgeIf applicable, please explain why you no longer have this pet:[3]NameBreedSpayed/NeuteredYesNoSpeciesAgeIf applicable, please explain why you no longer have this pet:Residence InformationResidence Type(required)HouseAttached Home/Duplex/FlatApartmentMobileOtherWhat Type of Environment is Your Home Located?(required)City/UrbanSuburbanRuralOtherDo You Rent or Own?(required)RentOwnFor Renters:Does your landlord accept dogs?(required)YesNoAre there any breed restrictions?(required)YesNoLandlord's name / phone number:(required)Do you have renter’s insurance?(required)YesNoFor Home Owners:Homeowner’s insurance company name:Name and phone number of homeowner’s insurance agent:Does your home have a yard?YesNoIs it fenced?YesNoHeight of fence?Is the fence secured with a lock?YesNoN/AIs it fenced separate from the yard?YesNoN/AFence TypeWood/VinylConcrete/Brick /Structural WallChain-LinkWrought IronElectricOtherDo you have a pool?YesNoPlans for Your Foster DogPlease tell us what purpose the dog will serve in your life (check all that apply)(required)Companion for youWorking dogCompanion for pet Companion for childCompanion for entire family Guard dog for business Guard dog for personal/homeOtherPlease Explain:Where will the foster dog spend most of its time?What outdoors areas will the foster dog have access to?How many hours will the foster dog be left alone per day?Where will the foster dog spend most of its time when alone?How do you feel about crating the foster dog?Where will the foster dog sleep at night?If you have other pets, how will they be managed when unsupervised?How do you plan to exercise the foster dog?Please describe your expectations regarding the dog’s behavior/trainingAre you willing and able to attend weekly training classes with your foster dog?(required)YesNoAre you willing and able to transport your foster dog to monthly adoption events?(required)YesNoAre you willing and able to follow the Even Chance protocol/instructional packet in regards to training, socialization, house manners, etc?YesNoWould you object to an inspection of your premises prior to fostering?(required)YesNoPlease provide 3 references not related to you that we can contact to attest your character.Name(required)Name(required)Name(required)Phone(required)Phone(required)Phone(required)Relationship to you(required)Relationship to you(required)Relationship to you(required)Please provide any additional information that you would like us to know about you as a foster parent:How did you hear of Even Chance: Pit Bull Advocacy + Resources + Rescue?We will attempt to provide you with an honest evaluation of temperament on any dog we have to place. Do you realize that often times the complete history of a dog may not be known and you may encounter some behavioral problems?(required)YesNoIf applicable, are you willing to help work with us to correct these issues?(required)YesNoAre you willing to submit to a home check, follow up visit and continued contact with us if necessary in the future?(required)YesNoAdditional comments or concerns?I/We, applicant(s), agree that all information provided is factual and accurate. I/We certify that the information provided on this form is true & correct. I am also financially and physically able to care for this animal. I understand that proper food and veterinarian care can be costly and I am able to meet these requirements. Home checks are made on a random basis following or prior to adoption. If upon inspection we find that information contained in this application to be false, we retain the right to turn down or remove the animal from your premises without a refund of moneys paid.*This application does not guarantee adoption. Adoptions are decided by all members of even chance and do not happen on a first-come, first-serve basis. Much consideration is taken for all applications for each and every dog! You will be contacted regarding your application as soon as possible.Signature [1](required)Signature [2]Submit ApplicationThis field should be left blank
