Foster Application Application Form 1Applicant2Family3Home4Care Name(Required) First Last Age Range(Required)Under 1818-2122-2425-3435-4445-5455-6465-7475+Email(Required) Address(Required) Street Address Address Line 2 City State Post Code Phone(Required)Employment & SchoolingAre You Employed?(Required) Yes No Full or Part Time?(Required) Full Time Part Time FamilyBelow are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.Are There Other Adults In The Home?(Required) Yes No Are There Children In The Home?(Required) Yes No Are There Other Dogs In The Home?(Required) Yes No Are There Other Pets In The Home?(Required) Yes No HomeType of Residence(Required)Single family homeTownhouseApartmentDo you Rent or Own?(Required) Rent Own Yard InformationDo you have a yard?(Required) Yes No Is the yard fenced?(Required) Yes No Family & HistoryWhat Type Of Household Do You Have?Active, Noisy, A Lot Of People Coming And GoingCalm, Quiet, Seldom Visitors Or People Coming And GoingOtherOther(Required)Have you ever had a dog before?(Required) Yes No Which dog breed?(Required) Dachshund Standard – Smooth Dachshund Standard – Wired Dachshund Standard – Long Dachshund Miniature – Wired Dachshund Miniature – Long Dachshund Miniature – Smooth Which dog breed (secondary)?(Required) Dachshund Standard – Smooth Dachshund Standard – Wired Dachshund Standard – Long Dachshund Miniature – Wired Dachshund Miniature – Long Dachshund Miniature – Smooth How long did you own him/her?(Required) 0-3 Months 4-6 Months 7-11 Months 1 Year 2 Years 3 Years 4 Years 5-10 Years 11 Years+ Is Any Member Of Your Household Allergic To Dogs?(Required) Yes No Sleep & Alone TimeWhere Will The Dog Sleep?In BedroomIn Kids BedroomIn Other RoomIn GarageOutsideWhere Will The Dog Be When Alone?InsideDoghouseInside & OutsideIn GarageOutsideOutside Under ShelterCrateOtherDo You Have A Doggie Door?(Required) Yes No Is It Locked When You Are Away From Home?(Required) Yes No If You Are Gone From Home During The Day, Does Someone Let Your Dogs Out?(Required) Yes No What is The Longest Time The Dog Will Be Alone (without humans)?0-2 Hours2-4 Hours4-6 Hours6-8 Hours8+ HoursWho Will Care For The Dog While You Are On Vacation?Family MemberDog SitterNeighbourOtherBehavior & TrainingDogs Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Dog Comfortable In Your Home?(Required) Yes No What Behaviours Can You Tolerate (AND WORK ON)?Needs Social Skills(Required) Yes No Will Train Accidents In The House(Required) Yes No Will Train Inappropriate Chewing(Required) Yes No Will Train Excessive Barking(Required) Yes No Will Train Digging(Required) Yes No Will Train Separation Anxiety(Required) Yes No Will Train Other(Required) Yes No Please Explain Other Behaviors You Cannot Tolerate(Required)What Are Your Plans For Training The Dog?Train MyselfPrivate TrainerGroup TrainingNo TrainingOtherOther TrainingFoster CareFoster Care Please describe any experience or special training you have that may help you evaluate personality and temperament:(Required)Please describe any experience or special training you have had that may help you to understand and deal with potential problems a rescue dog may have:(Required)Are you willing to foster a dog with medical needs which may require trips to a veterinarian?(Required) Yes No Are you willing to foster a dog who may need training for behavior problems?(Required) Yes No Do you understand that the foster dog is the property of the Rescue and can be removed from the foster family by the Rescue or their representatives at any time and without prior notice?(Required) Yes No Do you understand that the foster dog must be treated as a housedog and a member of the family and in no case kept in any other manner?(Required) Yes No Do you understand that any foster dog entrusted to your care must be provided adequate food, water, affection, socialization, training, exercise and medical care?(Required) Yes No Do you understand that a foster family must provide a securely fenced yard or other safe means for exercising the dog and that under no circumstances is the dog to live or be kept out-of-doors?(Required) Yes No Do you understand that under no circumstances shall the foster dog be sold, abandoned, relinquished to a pound, shelter or other rescue group, transferred or given to any other individual or to any establishment for the purpose of resale, nor to any research institution?(Required) Yes No Do you understand that the Rescue and its representatives have limited information about the temperament and habits of the rescued dog?(Required) Yes No Do you agree to provide the Rescue with an assessment of the dog’s interaction with the potential adoptive family and give an impression of the likely success of such adoption?(Required) Yes No Are you willing and able to evaluate the personality and temperament of a foster dog to determine the best type of adoptive home? i.e. a home with children; adult home only; home with other animals; needs to be an only dog, etc(Required) Yes No Are you willing to foster a dog who has been abused and/or neglected who may require special attention and lots of love and reassurance?(Required) Yes No Are you willing to provide written progress reports to the Rescue's representative?(Required) Yes No Do you understand that no decisions may be made regarding veterinary care (including euthanasia,) or placement without the prior approval of the Rescue?(Required) Yes No Do you understand that under no circumstances will a foster dog be used for breeding?(Required) Yes No Do you understand that a foster family is expected to provide basic training to help increase the successful transition into a permanent home?(Required) Yes No Do you understand that if the foster family finds it can no longer keep the dog in their care, they shall notify the Rescue immediately?(Required) Yes No Do you understand that in the event the foster family wishes to permanently adopt the rescue in their care, an Adoption Application must be filed and, if approved, an Adoption Placement Contract must be signed?(Required) Yes No Do you understand that the foster family must ensure that the rescued dog is not allowed to run loose, injure or be injured by another animal or by any person?(Required) Yes No Do you agree to cooperate in accommodating those who wish to see the rescued dog?(Required) Yes No Is there anything else you would like to tell us about the care you would give a needy foster dog? Would You Consider:Select all that apply:A Mixed Breed Dog(Required) Yes No Possibly Two Dogs(Required) Yes No Possibly A Dog That Can Be An Only Pet?(Required) Yes No Possibly A Dog That Is Afraid Of Small Children(Required) Yes No Possibly A Dog That Needs Medications?(Required) Yes No Possibly A Dog That Has a Serious Health Condition?(Required) Yes No Possibly A Dog Who Needs Training For A Behavior Issue?(Required) Yes No Possibly A Dog That Has Special Needs?(Required) Yes No Possibly A Dog That is Not Completely Housebroken?(Required) Yes No Possibly A Dog That is Not Completely Housebroken?*(Required) Male Female No Preference Select Age Range(Required)Baby (0 - 5 Months)Puppy (5 Months - 2 Years)Youth (2 - 5 Years)Adult (5 - 9 Years)Senior (9+ Years)Select Temperament(Required)Couch PotatoActive & PlayfulGently & FriendlyHigh EnergyAffectionateHappyIntelligentIs There Anything Else You Would Like to Let Us Know?I am interested in receiving pet related services and products(Required) Yes No Authorisation(Required) I agree All dogs placed through the Dachshund Rescue Australia will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no Dog available in rescue at this time. I understand that if a Dog should become available, that I will be required to provide further information including, but not limited to, personal and veterinary references. I further understand that all information on my Preliminary Rescue Foster Application will be kept confidential; that my application will be kept on file until I notify the Dachshund Rescue Australia that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Dog becomes available. I understand and agree