FOSTER HOME APPLICATION

Thank you for applying to Great Pyrenees Rescue Atlanta.
You must be 21 years of age to complete an application.

How did you hear about us?
I am interested in becoming a:	Regular Foster Permanent foster for a special needs dog Emergency foster for holidays and short term needs only
Name:
Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Cell Phone:
Email Address:
Fax Number:
Occupation:
Employer:
Work Schedule:
Spouse/Partner Occupation:
Spouse/Partner Employer:
Spouse/Partner Work Schedule:
Do you have a home computer:	YesNo
Do you have a printer:	YesNo
Best time to contact:
Emergency Contact Name and Number:
Please list any other adults living in household:
Please list names and ages of ANY children who live with you.
List names, ages, spay/neuter status, species (dog, cat, etc.), and breed of ALL pets in your household:
Are ALL pets in your household up to date on vaccines, including bordatella?	YesNo
If no, explain:
How does your dog(s) react to other dogs (friendly, submissive, growls, etc):
Name, address, and phone of current Veterinarian
Have you ever cared for a dog being treated for heartworms?	YesNo
Do you:	OwnRent
Do you reside in:	House Townhouse Apartment Duplex Other
If you rent, Do you have the landlord's permission to have a dog over 50 lbs:	YesNo
Landlord's name, address and phone number:
Do you have a fenced yard:	YesNo
What type of fencing do you have:
What height:
Have a pool?	YesNo
Is anyone home during the day:	YesNo
If so, who:
If no, where will the dog be during the day:
How many hours will the dog be alone:
Where will the dog be kept at night:
Have you crate trained a dog before?	YesNo
Do you have a crate available for use with your foster dog:	YesNo
How experienced are you with dogs and their training?
Have you ever taken an obedience course with a dog:	YesNo
Is your own dog obedience trained:	YesNo
Are you willing to work with your foster dog in areas such as house training, basic obedience commands such as "come, sit, stay, down, off", and walking on a leash:	YesNo
Have you had experience in introducing dogs into your household:	YesNo
Are you willing to supervise any children around your foster dog at ALL times:	YesNo
Please describe the type(s) of foster dogs you are willing to have in your home i.e. puppies, female, male, senior, special needs (examples being dogs that are recuperating from surgery, blind, deaf):
How many dogs are you willing to foster at one time: (occasionally there may be one or more dogs turned in at the same time that we will try to place together.)
Is there a preferred activity level for a dog you would want to foster:
How comfortable are you with giving medical treatment to a dog?
Have you ever been cited by Animal Control:	YesNo
If so, what State, County, when, and for what reason:
Have you ever fostered a dog before:	YesNo
If yes, for what organization:
Finally, please tell us why you would want to be a foster for a Great Pyrenees:
I/we acknowledge that all the information provided is true and correct and that I/we have answered all questions truthfully. Submission of application does not guarantee placement of a foster dog through Great Pyrenees Rescue Atlanta.