Foster Application Form Name* Mr.Mrs.MissMs.Dr. Prefix First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone*Age*Under 1818-2122-2425-2930-3435-4445-5455-6465 or AboveFoster carer must be over 21.Your HouseholdDo you own or rent your current residence?*OwnRentDo you have the landlord's permission to have a dog?YesNoWhat type of residence do you live in?*ApartmentUnitTownhouseHouseAcreageFencesHow high are your boundary fences?*Under 4ft4ft5ft6ft+No FencingWhat are your boundary fences made of ?*TimberColorbondWire MeshBrickPhotos of Back fence: Drop files here or Photos of Right Side fence: Drop files here or Photos of Left Side fence: Drop files here or Photos of any Gates: Drop files here or Any other photos showing fencing: Drop files here or Family InformationHow many children currently live or regularly visit your household ?*012345678910+What are their ages and exposure level to dogs ?Do you or anyone in your household have any allergies or medical conditions that we need to be aware of ?*What is your primary reason you want to foster a dog ?*Who will be responsible for the care of the dog ?*I agree to properly supervise my children when they are around the dog.*YesNoI agree not to allow my children to tease, torment, grab, pull on or hit the dog.*YesNoI agree to teach my children to never disturb the dog when it is eating or sleeping.*YesNoOther PetsAre there other pets in the home ?*YesNoPlease list: Type, Breed, Age, Sex, Dog Friendly?Eg: Dog, Siberian Husky, 5 years, Male, Dog Friendly Eg: Cat, Burmese, 2 years, Female, Not Dog FriendlyAre your pets desexed? If not, why ?Are these pets up to date on vaccines ?*YesNoIf you have a regular vet please provide details:Eg: Johnston St Vet Clinic, Dr Will Ryan, Ph: 9416 3788Have you ever surrendered a pet ? If so, why ?Have you had a pet euthanised ? If so, why ?Commitment and ResponsibilityDo you have time to provide adequate love and attention to your foster dog ?*YesNoWhen the dog goes out, how do you plan to supervise it ?*Where will the dog stay during the day ?*Please describe where the dog will sleep at night:*Where will the dog stay when you are not home ?Hours per day will the pet be alone:*How much time are you prepared to allow for your new pet to adjust to your home ?*Can you walk your dog at least once a day ?*YesNoHave you ever housebroken a dog ?*YesNoWhat do you feel is the best way to discipline a dog ?*What would you do if your foster dog develops a problem with any of the following. If this were to happen could you keep this pet and continue to work with any of these issues: Housebreaking: Digging: Barking: Chewing: Separation Anxiety: Escaping/Running Away: Aggression:*Under what circumstances would you not be able to keep your foster dog ?*I will never allow any physical, mental, or emotional abuse of the dog*YesNoDo you have any experience training and working with dogs with behavioural issues? Please give details.Have you ever owned a Siberian Husky or any Arctic Breeds?*Siberian HuskyOther Arctic BreedNoFrom what date are you available to start fostering ?* Will your foster dog be allowed off lead in unenclosed areas ?YesNoOther InformationDo you foster for another organisation ?*YesNoDo you agree to let a representative of Homes For Huskies Rescue Inc. visit your home by appointment ?*YesNoIs there any other information you wish to add or any other questions you have at this time? (this is your chance to personalize your application).By pressing the Submit button, you attest that all of the information you have provided in this application is true and correct. Thank you for taking the first steps in giving a Siberian Husky a new beginning.