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HV –

Dogs Trust Foster Home from Home Scheme

Application Form

Personal

Date:
Name:
Address:
Telephone No. Day: / Eve: / Mobile:
Email
Address

Household Members

Please state the number of adults in your household:
Please state the number of children in your household:
Please give their ages:
Please give details of any other household member or regular visitors, especially children:
Are you expecting or planning a baby? If so how many weeks?
Does anyone in the house have an auto-immune suppressed condition?
NB. Expectant mothers or persons with an auto-immune suppressed condition are unable to foster unvaccinated dogs due to the risk of zoonotic diseases and parasites.
Office use only
URN: / Approval date: / Date added to DTS:

Property

Yes / No
Do you own your own property?
If No, are you allowed to have a dog in your accommodation under the terms of your tenancy agreement?
If yes, please arrange for your landlord to sign the permission letter
Do you have a secure garden/balcony area?
Please indicate if your garden/balcony is:
Perimeter: Walled / Fenced / Hedged / Gated Side Entrance / Other
Height: 3-4ft / 4-5ft / 5-6ft / 6ft+
Please indicate if your property is:
Apartment (which floor/stairs/lift) / house / maisonette / bungalow / other
Main road / side street / country lane / cul de sac / other
Would you be happy for a representative from Dogs Trust to visit your property?

Willing to Foster

Would you be willing to foster:- / Yes / No
A puppy for a period of up to 8 weeks?
If ‘no’ – how long would you be in a position to care for a puppy?
More than onedog/puppy?
A litter with or without a mother?
Would you be willing to bottle feed very young puppies?
If yes, please give details of relevant experience:
An injured dog seeking quiet recovery time?
An older dog?
A restricted breed?
Dogs that require extra care & attention / ongoing training?
Dogs nearing the end of their life?
How long would the dog/puppy be left on its’ own on an average day?
Animals
Yes / No
Do you have other dogs
If so how many? / Males / Neutered:
Females / Neutered:
Are they indoor or outdoor dogs?
Vaccination Status - Booster date:______
- Kennel Cough Vaccine date: ______
Please provide a copy of your dogs up to date vaccination records
What breeds are they?
How do they behave with other dogs?
Do you have any other animals?
If yes please give details:
If you don’t have a dog, who would be the closest vet to you in case of emergency?

General

Please give details of previous experience with dogs:
Yes / No
Would you be able to keep a written record of the dog’s/puppy’s progress and liaise with the foster home co-ordinator?
Yes / No
Are you a driver?
Are you willing to use your own car to transport the dog/puppy?
Are you willing to bring the dog/puppy back to the re-homing centre to see the vet for vaccinations/other treatment?
Are you able to attend a welcome meeting/training course?

The information given on this form will be used to help find a suitable foster dog for you. If you decide to adopt your foster dog we will retain a copy on file with the dog’s record. If you do not adopt your foster dog a copy will be retained at the Rehoming Centre for the duration of your time as a Foster Carer.

We would also like to send you more information about the work of Dogs Trust. If you do not wish to be updated, please tick this box.

Please return the completed application form to:

Foster Home from Home Co-Coordinator

Dogs Trust,

Ashbourne Road,

Finglas,

Dublin 11

Or email to