FOSTERING APPLICATION Dog Fostering Application Please enable JavaScript in your browser to complete this form. - Step 1 of 4Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Employer *Job Title *Gender *Your Age *Under 2020-3535-5050-6060+Are you willing to drive to and from Jud, ND to receive/return the foster dog? *YesNoNextHousehold InformationPlease enter information on all other members of the household. (Name, Relationship to Applicant, Age)Name, Relationship to Applicant, AgeDo all members in your family want to foster a dog? *YesNoIf yes, have you decided who will be the dog's primary handler? *YesNoDo you own or rent your home? *OwnRentDo you have permission to have a service dog in the home?YesNoPlease provide landlord's name and phone:Do you have a securely fenced yard? *YesNoIf not, are you willing to adapt your yard to make it safe for the dog? *YesNoDo you understand SDA dogs cannot be off leash unless in an enclosed area? *YesNoDo you have animals in the home currently? *YesNoPlease describe all animals currently in your home: *Breed/Type, Age, Sex, Spayed/Neutered?, TemperamentCan you provide proof of vaccinations for all pets in the home? *YesNoPlease check any of the behaviors below that are exhibited by any dogs in your home:Alert barking at door knock/bellAggressionProtects food or toysOther trouble behaviorsPreviousNextWorkplace and Daily InformationWill you be able to take the SDA dog to your workplace? *YesNoUnsureHow often will you be able to take the dog to work? *Please describe your work environment. *If you cannot take the dog to work, what are your plans for the dog during the day? *How many hours a day on average will the dog be left alone? *0-23-56-88+How many hours will the dog be left alone at one time? *0-23-56-88+Please describe your typical day (i.e., time you get up, go to work/school, other activities, etc.): *How much exercise can you give the dog each day? *How and where will you exercise the dog? *Have you ever trained a dog before? *YesNoWhat style of dog training did you use? *Are you willing to be a home that will take another dog in for another fosterer for a weekend or vacation break? *YesNoUnsurePreviousNextHow did you learn about SDA's Volunteer Fostering program? *Do you have any experience working with people with disabilities?YesNoPlease describe your feelings about returning the dog to SDA for placement? *Reference Name *FirstLastPlease provide a reference who does not reside with you.Reference Phone *Second Reference Name *FirstLastPlease provide a second reference who does not reside with you.Second Reference Phone *If you application is accepted, when would you be able to begin training? *Is there anything else you would like us to know about you?Required Acknowledgments *I understand that Volunteer Fosterers must attend and successfully pass SDA's "Volunteer Handler and Public Access" training prior to foster placement.I understand that Volunteer Fosterers must provide for the care and well-being of a service dog in training, including a smoke-free, safe home environment, and the required dog food and supplies.I understand that Volunteer Fosterers must keep and submit a training journal, monthly dog report, and will report any behavioral or medical problems to SDA's training staff.I understand that Volunteer Fosterers must provide a variety of socialization opportunities, as outlined in the training, and must follow approved socialization and handling techniques with SDA's dogs.I understand that Volunteer Fosterers must provide transportation to and from veterinary visits, group outings, and SDA events as necessary.I understand that Volunteer Fosterers must be willing and able to devote time each day to the complete care of the dog, including lots of love, feeding, grooming, socialization, daily exercise, and follow-through on training commands as recommended by SDA training staff.I understand that Volunteer Foster Program will provide orientation to all new fosterers, and will supply a dog kit, training manual and material, and be available to answer questions.I understand that only complete applications will be considered.NameSubmit
