Janeen's Catahoula Leopard Dog Rescue

Personal Information

Applicant’s name:(required)

Age

Spouse's name, if applicable:

Age

Primary Phone:(required)

Mobile phone:

Best time to call:

Mornings

Afternoons

Evenings

Weekends

Street Address:(required)

City:(required)

State/Province:(required)

ZIP/Postal Code:(required)

Email address:(required)

Applicant's occupation:

Other human members of household (list names, ages and gender):

Other people or animals with whom the dog must interact on a regular basis:

Do you have many encounters with children in or out of your home?(required)

Yes

If yes, please describe (frequency, ages, location, etc.):

Do you have a securely fenced yard?(required)

Yes

Type of fence:

Fence height:

Yard size:

Pet information:

Please list all pets currently in your household.

Name of Pet #1:

Spayed/Neutered?

Yes

Species/Breed:

Sex and Age:

Name of Pet #2:

Spayed/Neutered?

Yes

Species/Breed:

Sex and Age:

Name of Pet #3:

Spayed/Neutered?

Yes

Species / Breed:

Sex and Age:

Name of Pet #4:

Spayed/Neutered?

Yes

Species/Breed:

Sex and Age:

Will the foster dog be allowed in your house?(required)

Yes

Hours per day a foster dog will be home alone:(required)

0-2 hours

2-4 hours

4-6 hours

6-8 hours

8+ hours

Do you have a crate available for the foster dog?(required)

Yes

Type (please describe):

How long have you been involved with dogs?(required)

I have never had a dog

0-5 years

5-10 years

10-20 years

More than 20 years

List breeds with which you’ve had experience:(required)

If you have any special training or experience you'd like to mention, please do so here:

Vet Reference:

We will contact your vet to verify that you properly care for your pets.

Veterinarian name and address:(required)

Veterinarian phone number:(required)

Personal Reference

We require one personal reference who can attest to your abilities with dogs.

Reference Name and Address:(required)

Reference phone number:(required)

Miscellaneous

How did you hear about our organization?

Do you have comments or questions?

Name of specific dog you are interested in fostering, if applicable:

Electronic submission consent and agreement:

Applicant: By typing my initials below and submitting my application electronically, I acknowledge that all of the above information is true, complete and accurate to the best of my knowledge. If any of the information changes, I/we will advise the organization promptly. I understand that any omission of information requested, or any false or misleading information may result in the rejection of my application.

Type initials:(required)

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Foster Application

Foster Home Application