Samoyed Club of Central Arizona Rescue

Azsammyrescue@yahoo.com
http://www.geocities.com/azsammyrescue

FOSTER HOME APPLICATION

Thank you for volunteering to share your home with a rescued Samoyed.  The information you provide on this application will help us make a better match between each rescued Samoyed and a prospective foster home.  Please complete the application and return it to a CSR representative.  Thank you for caring!

1.	Name:  ___________________________________________________________________

2.	Date of application:  _________________________________________________________

3.	Spouses Name:  ____________________________________________________________

4.	Address: __________________________________________________________________
_________________________________________________________________________

5.	Telephone: (day) _____________________ (other) ________________________________
Spouse: (day) _____________________ (other) __________________________________

6.	How many hours a day are you away from your home ______________________________

7.	Your Occupation: ______________________________________________________
Spouse’s Occupation: ___________________________________________________

8.	Number of adults in household over age 18: __________

9.	Number of children in household:  _________________
Ages of children: ________________________________________________

10.	Are ALL family members willing to care for a foster dog? _____________
if not, please explain
__________________________________________________________________________
__________________________________________________________________________

11.	Type of residence:
[ ] House	[ ] Apartment	[ ] Condo	[ ] Other

12.	If you rent or lease; do you have permission from your landlord:
a) To have a dog?  ____________
b) To have a Samoyed?  ____________

13.	Will the foster dog live inside or outside the residence?  _______________
If outside, why?
_____________________________________________________________________

14.	Is your yard fenced?  _______________
If yes, what type of fencing? 
 	___________________________________________________________
If no, where will the dog be exercised and allowed to eliminate? 
_______________________________________________________________________
_______________________________________________________________________

15.	What other pets do you now or have you previously owned? ______________________
_______________________________________________________________________

16.	Please list which pets you still own and what happened to those which no longer live with you:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

17.	Have you ever used dog crates?  ________________

18.	Do you own a dog crate?  ______________

19.	How will you transport your foster dog? 
 _________________________________________________

20.	Why do you want to become a foster home? 
      	_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

21.	What do you know about the Samoyed as a breed? 
     	______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

22.	Have you had any previous experience with Samoyeds?  _____________
If yes, please explain:  _______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

23.	When possible, ALL of our dogs are altered BEFORE they enter a foster home environment.  This action is to prevent overpopulation of our breed.  With this understanding, do you have a preference as to the sex of your foster dog?	 Yes: ____	No:  ____	No preference:  ____

24.	It is extremely important that our foster dogs be made available to be seen by the general public, so that they have every opportunity to be adopted.  Are you willing to periodically take your foster dog to places that accept animals to visit, such as pet food stores?  ____________