This Questionnaire is prepared for your benefit, as a prospective foster home; the dog you plan to foster; and Rescue. This information will give us an idea of your knowledge of the breed, and to aid us in temporary placement.

Fostering allows us to know, and to train abandoned and shelter dogs, preparing them for permanent placement. Often, it is the first "home", the first place these animals feel safe and loved.  Please answer all questions.

All Fields Must Be filled Out!

Have you fostered before? 
Are you willing to have a Home Visit? 

1) What is your name? 

2) Are you already involved in Rescue? (not a requirement) 
If so, name of Rescue organization?  

3) Please provide your address*. (Information with an asterisk * will not be shared beyond your state of location without your express permission.)

4) Contact Information: Telephone* 

E-mail: 

URL: 

5) Occupation: 

6) Your Age: 

7) Are you married?: 

8) Number of children, and their age(s):
   

9) Are you expecting a child, or planning a family in the future?  

10) Do other children regularly visit your home? 

11) Please list breed, age, and sex of all other dogs in the household:

12) Are these dogs spayed or neutered? If NOT, please explain why not...

13) How long have you owned each dog?

14) How many cats share the household, and what is their sex?

15) Are these cats spayed or neutered? If NOT, please explain why not...

16) Any other critters? Ferrets, hamsters, snakes, birds, etc?

17) Please provide the name, full address, phone (with area code), and e-mail (if applicable) of at least one veterinarian reference that is familiar with you, and your pets:

18) We live in a:     
Which we: 
And our Landlord's name and phone # (if applicable):

19) Our neighborhood/property is:

20) Do you have a yard, and is the yard SECURELY fenced?


21) Please describe your fence briefly (material used, when installed or age, *height):

22) Please tell us anything further about your family that you'd like to share:

23) Do you now, or have you ever owned a Maltese? 

24) Please describe in detail any interaction you've had with the Maltese breed, including (but not limited to) other owners you have spoken to, books you have read, Maltese you have met, etc; Also please give a general description of your knowledge of the breed:

25) If requested, would you be willing to attend obedience class with your foster?


26) If someone referred you to ETMSDR,  please tell us so that we may thank them:


Information regarding the dog you are interested in fostering:
27) Gender:


28) Prefer what age?

29) Would you consider a mix?


30) Are you able to handle and train dogs through a variety of difficulties?

31) What about the Maltese appeals to you?

32) Do you support crating?


33) Where will the dog stay when alone?

34) Where will the dog sleep?

35) Please outline any other expectations or concerns you may have:

36) Would you like e-mail confirmation that your submission was received?

37) Please provide two personal references whom we may contact. References should know you and your home well, and should be unrelated to you. Please provide names, addresses and phone numbers.

 Thank You!


    

 

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