Foster Application Form First Name * Last Name * Date of Birth * Email Address * Address * City * How long have you been living at this address? * Living Status * Owned Rented Mobile Number * Residency Status * Number of people living at the address * Ages of people living at the house * Will the dog have regular contact with children under 5, or elderly people * Are you willing to allow a CDRRNZ representative, and potential adopters, to visit your home at a mutually agreed upon time? * NoYes I have owned dogs before? * NoYes I need a dog that is already trained * NoYes I have obedience trained before * NoYes I have lots of experience and could handle a difficult dog * NoYes Please provide ALL details of current pets (unless stock, then just name type). MUST include Name, Breed, Sex, Age, Desexed Y/N, Current Vax Y/N, Registered Y/N * If you answered no to any of the previous questions regarding your existing animals, please provide further information * Where do your current pets sleep? Where will your new dog sleep? Please be specific eg kennel, verandah, laundry. If inside, which room? * Do your current animals have any behavioural issues? Examples of this are fear, reactivity, aggression towards other animals etc. Please explain what these are and the steps you are currently taking to help this. * Which areas of the house/yard will your dog have access to, eg backyard only, backyard and laundry/kitchen etc * Have you had any pets in the past? What happened to them? Have you ever taken an animal to a shelter or released it to another party? * Is your yard securely fenced? Describe type of fencing (wooden, wire etc) and height at lowest point. If you have a pool is this separately fenced? * If no-one is at home, where will the dog stay? Inside or Outside? If the dog is outside, what type of shelter will the dog have? * How many hours will the dog be without human company for each day? * How often will you have time to walk the dog? How long for? On or off lead? * Why are you interested in joining our foster programme? * Are you actively looking to adopt a dog? * If you are renting please provide us with your landlords written verification that a dog is permitted. If this is not provided, we cannot proceed further. Employment Status * Part Time Employed Full Time Employed Self Employed Student Retired Stay at Home Mum or Dad Unemployed Name of employer/business * Age of dog preferred * Puppy under 1 year 1-2 Years 2-7 Years 7+ Years No Preference Sex of dog preferred * Male Female No Preference Size of dog preferred * Small under 7kg Medium under 15kg Large over 15kg No Preference Emergency Contact - Name, Phone Number, Email * Do you currently have a vet? If so, please provide us their name and phone number so we can contact them for a reference, together with one personal referee. If you do not have a vet please provide two personal references (must not be living with you). We reserve the right to contact these referees should the application proceed. * Have you fostered for a rescue in the past? Please advise which rescue(s) * Please tell us about you, your family, hobbies or your interest in fostering? Do you have any special training or skills (i.e. vet nurse, dog trainer etc) The more information you provide, the better we will be able to determine suitability. * Are you interested in fostering short term or long term? * Short Term Long Term Are you available to foster over Christmas? * NoYes Is there any further information you would like to attach to support your application? * Declaration: By submitting this questionnaire, you agree that ALL the information you have provided is correct.