www.irishretrieverrescue.com

Irish Retriever Rescue

Application to Foster

This questionnaire is to assist us in selecting the most suitable dog for you. Please complete all parts of the form and include any other information which may be relevant.

When completed, save the form to your computer and email it to

Please insert your answers in the right hand column. Where more than one choice of answer is available, please delete as appropriate.

Your Details
Title (e.g. Mr/Mrs/Miss/Ms)
Name
Full address and postcode
Contact Tel No. (day)
Contact Tel No. (evening)
Mobile No.
Email address
Date
Transport
Do you have your own transport? / Yes / No
Are you able to travel to collect a dog? / Yes / No
How far would you be prepared to travel? (Please state maximum number of miles)
Would you be prepared collect a dog during unsociable hours? / Yes / No
Property Details
What type of property do you live in? (house, flat, etc)
Are you the property owner? / Yes / No
If rented, do you have landlord permission to keep a dog? / Yes / No
Is your garden secure?
Please provide information regarding height of fencing, hedge, wall etc. / Yes / No
Property Occupants
Number / Age / Occupation / Hours worked
Adults
Children
Do other children visit regularly? If so, what are their ages?
Pet Information
Have you previously owned a dog or dogs?
If Yes, what breed(s) / Yes / No
Do you currently have another dog?
If Yes, please state, breed, age, sex and whether neutered / Yes / No
Do you have any other pets?
If Yes, please give details / Yes / No
Do you have other dogs visiting your home?
If yes, please give details / Yes/ No
What is the maximum time the dog will be left alone?
Where will the dog be kept when you’re out?
Your Preferences
Would you prefer a dog or a bitch or have no preference? / Dog / Bitch / No preference
Would you be prepared to foster until a suitable home is found, however long it takes? / Yes/No
Would you consider fostering 2 dogs that have grown up together? / Yes / No
Would you be able to foster a dog with a disability or behavioural problems? / Yes / No
Are you willing to provide a good quality diet for your foster dog? / Yes / No
Have you ever fostered a dog for another organisation?
If yes, please provide details. / Yes / No
Have you previously had a home check by another organisation?
If yes, please state which one. / Yes / No
Please tell us your reasons for wanting to foster a rescue dog and any other information that may be useful for us to know.

Please return this form via email to:

We will be in contact shortly to arrange a homecheck. Please note that it is important that the homechecker meets all the people living in the home. Please do not feel this is in any way derogatory but we want you to be happy with your foster dog(s) and we would not want to place an unsuitable dog with you when you have been kind enough to offer assistance.

Irish Retriever Rescue
Registered Charity No 1150320

Thank you so much for contacting us!

IRRFR007 20/5/2013