Fosterer Application Form | Senior Staffy Club

*PLEASE DO NOT COMPLETE THIS FORM UNTIL YOU HAVE READ OUR FOSTERER PROCESS PAGE*

By completing this form you agree to our foster process and you also agree to Senior Staffy Club passing on your personal details to a volunteer in order to arrange a home visit.

Red Star is a required field – if not completed the form cannot be sent.

If 'Other' state your type details

Name *

Address Line 1 *

Address Line 2

Town/City *

County *

Postcode *

Telephone Number (Landline)

If no landline write 'None'

Telephone Number (Mobile)

If no mobile write 'None'

Email Address

Have you any disabilities that may affect how you care for a dog?If not applicable please enter 'NONE'

About Your Home

Tell us about the home and surroundings you'd share with a dog.

How many adults in the home and what age are they?

How many children in the home and what age are they?

PLEASE NOTE AS PER OUR FOSTER POLICY, WE ARE UNABLE TO PLACE FOSTER DOGS IN HOMES WHERE THERE ARE CHILDREN UNDER 5 YEARS OLD, UNLESS WE HAVE A SPECIFIC DOG THAT HAS LIVED WITH YOUNG CHILDREN IN THE PAST.

Are the children in the home used to dogs?YesNoNot ApplicableOther Answer

If 'Other Answer' please give details

Ages of any regular visiting children?

Are all regular visiting children used to dogs?YesNoNot ApplicableOther Answer

If 'Other Answer' please give details

How would you describe your home environment?NoisyQuietBusyOther

If 'Other' please give details

Do you have an enclosed and secure garden?YesNoOther

If 'Other' please give details

Briefly describe your outdoor space for the dog

What type of fencing do you have and what is its height at the lowest point?

What other facilities would you use for exercise?

Is your property rented or owned?RentedOwnedOtherIf 'Rented' we will need to see permission from the Landlord for you to have a dog

If 'Other' please give details

How long have you lived at your present address?

Have you owned a dog/dogs previously?YesNo

Do you currently have a dog/dogs?YesNo

If 'Yes' please tell us a little about it/them including breed and sex

If 'Other' please give details

Are any other animals in the home?

List or enter 'NONE'

Tell us your experience with dogs or other animals

Tell us a little about how you plan to look after the dog

Have you ever put a dog into a rescue or returned a foster or adopted dog? If so, why?

If you currently are registered with a veterinary practice. please name

We'd like details of your vet simply for our own records, the bills will be covered by the Senior Staffy Club.

Address Line 1

Address LIne 2

Town/City

County

Postcode

Telephone Number (Landline)

If no landline write 'None'

Telephone Number (Mobile)

If no mobile write 'None'

May we contact your vet either now or in future for a reference?YesNoNot ApplicableOther Answer

If 'Other Answer' please give details here

If you work, please tell us your working days / hours (and of all working adults in the home)

What is the longest period of time the dog would be left alone during the day?

How often would the dog be left alone per week?

Where will the dog be left when alone?

And where will the dog be left at night?

Have you, or would you use a dog crate?YesNoOther

If 'Other; please give details

Would the dog travel with you? If so, how often and by what method, car, walk, etc?

Would you consider training classes?YesNoMaybeOther Answer

If 'Other Answer' please give details

What will the exercise regime be like on an average day?

What will happen to the dog if you had to go away or take a holiday?With prior notice we can try to find an alternative foster home or pay for accommodation if absolutely necessary but we'd rather explore your own options first)

How will you deal with issues such as house training, lead walking, recall and obedience?

How would you overcome separation anxiety, fearfulness, food aggression, unresponsiveness?

What would your reaction be if the dog damaged your possessions or furniture?

What made you consider fostering?

Are there any circumstances under which you feel you would have to return the dog?

Please provide any other information you feel relevant to your applicationAnswer as much or as little as you like

By signing and submitting this form you confirm you have read and understand our Foster Policy and that you are happy for us to store your details for fostering purposes in compliance with current data protection regulations

Name *By entering your name here we will take that as the equivalent of signing a hardcopy form

Date *

Day

Month

Year

About Your Home

Tell us about the home and surroundings you'd share with a dog.

Tell us a little about how you plan to look after the dog

By signing and submitting this form you confirm you have read and understand our Foster Policy and that you are happy for us to store your details for fostering purposes in compliance with current data protection regulations

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