Fostering Questionnaire

DOG FOSTER CARER – APPLICATION FORM

Thank you for enquiring about fostering.
Please complete the following form.

Your Name

Your Address

Your Home Tel No.

Your Mobile Tel No.

Your Date of Birth

Your Email (required)

How many adults live at the above address?

Do any children LIVE at or VISIT the address? If so, please state the age of each child:


Do you work and if so how many hours per day?:

Do you have any other pets at home?:
NoDog(s) (entire)Dog(s) (neutered)Bitch(es) (entire)Bitch(es) (spayed)Cat(s)Other (please specify below)

Have you owned dogs before or had experience with dogs before? Please give details:

What kind of dog are you happy to foster? Please tick applicable:
activeaveragelow energydon't mind

adultpuppyseniordon’t mind


What type of accommodation do you live in?:
flathouseterracedsemi-detacheddetachedprivately ownedcouncil rentedprivately rentedHousing Trust

Do you have any parks or open spaces near to where you live? Please give details:

If you live in rented accommodation, have you got permission to have a dog? (we will need written permission from your landlord) Please give details:

If you have a garden, is it secure?:
yesno

Do you have fencing?:
3ft4ft5ft6fthigherMeshWireWoodPlantedNo fence

How much exercise will you give the dog daily?:


Where will the dog sleep at night?:

Are you willing to take your foster dog to the vet for medical treatment if needed? (We will pay for any treatment AGREED by us - please use a vet that is recommended and/or used by ADM and always check with us before taking the dog to a vet’s)

Do you have any health problems that would make it difficult to look after a dog?:

What is the maximum length of time the dog would regularly be left alone for during the day?:
N/A1hr2hrs3hrs4hrs (we do not recommend longer than 4 hours)

Do you have a full clean driving license?:
yesno

Do you have transport available to collect a dog and how far can you travel?:
yesno

How will you secure the dog safely for travel?:

Are you prepared to have people coming to your home (carefully vetted and sent by ADM) in order to view the dog you are fostering?:

Do you have any holidays, breaks, courses or any other time where you will not be at home in the near future? Please give details:


Are you prepared to contact All Dog Matters representatives in the event of problems and to accept & act on their advice?

Many problems can arise during your fostering period which often cannot be foreseen by either ourselves or you. We need to understand that you will contact your foster helper in order to solve the problem whilst it is still manageable and not wait until you feel you cannot continue to foster the dog. We must trust that you are prepared to commit 100% to ensuring the dog is safe and settled with you and that you will try your very hardest to keep it and help it through its settling in period.

As you have looked after the dog, we may ask your opinion on prospective owners. However the final rehoming decisions are down to All Dogs Matter.

Do you agree to those conditions?
yesno


Rehabilitation of Offenders Act, 1974: you must declare any unspent criminal convictions registered against you.

And finally, please tell us in a few words why you are interested in fostering - this will just give us an understanding of what you are hoping to achieve and how we may help you.

Thank you for your application.
We’ll be in touch soon.