* - Required Fields
Foster a dog in my home Transport (Pick ups from shelter or vets and transport to vets or Foster homes) Help at adoption events (Saturday or Sunday) Assist before and after adoptions Visit potential adoptive homes Reference Checks(Call references provided by potential adopter) Follow up calls and visits after adoption Fund Raising Promotional Assistance Other How many hours per week can you volunteer?
*Name: Age: Marital Status: *Home Phone: Work Phone: Cell Phone: Address: *City: * State: Zip: *E-mail:
Which of the following best describes your current residence? Own a single family home or townhouse Rent/Lease a single family home or townhouse Rent/lease an apartment Other
Does your lease or home owners assoc. restrict pet ownership?
If you lease an apartment or home, have you checked on the required pet deposit?
Are you willing to pay the required pet deposit for your leased home?
Does your town or city have restrictions on the number of dogs you can have?
Is your yard, or a portion of your yard, securely fenced? What type of Fence?
Do you have a pool? If you have a pool, is it fenced seperately so dogs have no access?
Do you have a pet door?
Approximately how many hours a day will your foster be alone?
Where will your foster spend the day while you are away from the house? Loose indoors Crate indoors Kennel run outdoors Loose outdoors in fenced yard Confined to specific area indoors Other -explained below Other information : Shih Tzu will spend his/her day...
How much time during the day will you have to spend with your foster?
Do you have a way to confine the foster to a kitchen or small area while you are away?
Where will your foster sleep?
Will you be able to take your foster to the vet and groomer as needed (At Stars expense)?
Are all family members in favor of a foster arrangement and willing to help?
Will your foster dog be treated as part of the family?
Will you authorize a visit to your home?
How many dogs would you feel you were able to foster at one time?
What type of problems would you be unable to handle? Housetraining problems Animal Aggression People aggression Fence jumper/escape artist Destructive in home/yard Additional comments on above question..... How would you handle a problem such as housetraining, aggression, or destructive behavior? Are you willing to take your foster dog to obedience training if needed? (At STARS expense) Are you willing to buy and use a crate, or other types of confinement, if needed?
Do you have any other preferences or restrictions?
Do you currently own a Shih Tzu, Lhasa Apso or other small dog? List animals currently live in the household(Please list type of animal, sex, age, date of last vaccines,Neutered?, and how long you have owned them) Are they kept inside or outside? Please list any prior dog(s) you have owned in the past 10 years and explain what happened to them.
Name, Phone number, E-Mail and relationship to applicant:
All of the information I have provided is true and complete to the best of my knowledge. I am aware that any misrepresentation of fact may result in the removal of the foster dog from my home. Should a foster dog be placed in my care, it will reside in my home as a pet. I agree to provide the dog with adequate food, water, shelter, attention and affection. I agree to notify STARS of Texas immediately if my foster dog is lost or stolen. I am aware that I must notify STARS of Texas immediately if any problems should arise pertaining to the health or behavior of my foster dog or if I can no longer care for and keep this dog as a foster dog.
Signature of Applicant: Date of Application: (NOTE: Typing your name on this form will serve as your signature)