MPR FOSTER HOME APPLICATION

Completing this application does not commit you to foster. This form provides us with basic information to help determine if a dog or dogs you have interest in fostering would be compatible to your family and lifestyle.

The more information you provide, the easier it will be for our reviewers to evaluate your foster application. All the questions in this questionnaire should be answered, and your email address must be correct in order for your foster application to be considered.

Please put "Foster Home" in the dogs name field in the Dog Selection Section. Thank you!

Dogs Selection:

Name of dog(s) you are interested in fostering or want to know more about: *

Second Choice

Third Choice

Personal Information

First and last Name *

Spouse or partner's first and last name

Address *

City *

State *

Postal Code *

Do you live within city limit?

Yes

No

Unsure

Primary Phone *

Type of Phone: *

Texts ok?

Yes

No

Secondary Phone

Type of Phone:

Texts ok?

Yes

No

Email Address *

Do you read your email daily? *

Yes

No

Occupation (yours and your spouse) *

Your age group *

Facebook Page URL or name used (or other social media): *

Have you ever applied for, fostered or adopted another dog from MPR before?

Yes

No

If so, please explain (Date, name of dog, etc) If so, please explain (Date, name of dog, etc)

Would you welcome a MPR volunteer in your house for a homecheck prior to fostering? *

Yes

No

Don't know

Do you live:

How many adults (21 and older) TOTAL in your household?

How many individuals under 21 in your household?

What are the ages of individuals under 21?

LIABILITY AND RESPONSIBILITY

Have you ever been convicted of a felony? *

Yes

No

If yes, please explain (please include the year of the offense):

By checking YES you agree to absolve MPR and all of its representatives from any liability in reference to a dog featured in this program. *

YES

NO

ABOUT THE DOG(S)

Did you read the dog(s) biography on the website? mopitbullrescue.org *

Yes

No

Please select: *

I would like to give a dog a permanent home.

I'm interested in fostering only.

Open to foster with option to adopt.

Unsure - Have questions.

Interested in fostering multiple dogs.

Do you prefer:

A Puppy

An Adult

Either one

Do you prefer:

A Male

A Female

Either one

If you have a preference in appearance such as color and weight, please describe it here:

Prefer the dog to be: *

Already spayed or neutered.

Unspayed or unneutered.

Doesn't matter (explain) Doesn't matter (explain)

Do you want a dog for:

Companionship.

Guard and protection.

Breeding.

Additional requirements about the dog you would like to add:

LIVING SITUATION AND LIFESTYLE

Do you live in:

Is your home located in:

An urban area

A suburban area

A rural area

How long have you lived in current home?

Do you own or rent?

I own home

I rent home

My parents own home

A Friend/Relative owns home

If you are renting, please provide name & phone # of homeowner or landlord (We will not process your application without contacting your landlord for approval):

If you move one day

I will make sure I move to a place that welcomes dogs.

I am aware that several cities and landlords have breed specific restrictions.

I will find the dog(s) a good home if needed.

I will relinquish the dog(s) to MPR.

I will relinquish the dog(s) to animal shelter.

Does your municipality have Breed Specific Legislation? *

Yes, and I meet restrictions - see below for specifics

No BSL - I called Animal Control and verified

Don't Know

BSL Restrictions

Dog's living situation:

Dog will be house pet; living inside with family.

Dog will live in basement, garage, porch or sunroom.

Dog will live mostly outside; inside in bad weather.

Dog will live strictly outside with a doghouse.

Other (please explain) Other (please explain)

How many hours a day will dog be home alone?

When home alone, dog will be:

How will you exercise the dog?

Leash walks every day.

Will have cable or dog run in the yard.

Will be free to run in fenced yard.

Will have supervised access to unfenced yard.

Will be free to roam around (Off leash and unsupervised in unfenced area).

Will bring to dog park (Public area where dogs can run and play together).

Home Yard size is:

Is yard enclosed by fence?

Yes

No

Partially fenced

Will install or finish fence soon

Do you have doggy-door?

Yes

No

Plan to install one

If yard is fenced, please describe fencing (height and type).

OTHER PETS & EXPERIENCE

Do you have other DOGS? (Check all that applies) *

Please specify breed(s) and age(s) of other dogs

Please describe other pet(s) living situation (inside, outside, crate, etc)

If you have or had other dogs in the past, please let us know their current disposition

Please specify what happened:

What other kind of animals do you own?

In your opinion, what are good reasons to get rid of a pet? *

Of all breeds available, why do you want to foster a Pit Bull (or another breed offered by MPR)?

Experience: Please relate any prior experience you have had with this breed.

References: Please supply the name and phone number of your current veterinarian, or the one who saw your previous pet(s), with their title identification. If you don't have a vet, please provide the name of your employer or anyone not related to you who can attest to your character. Vet references are preferred. *

Additional information you would like to provide about yourself and/or the dog you would like to foster:

Alone	With Spouse/partner
With Parents	With relative(s)
With Roommate(s)	Other Other