Lap Dog Rescue of NM

Foster Application

Applicant Information
Applicant Name *
Address *
City State Zip *
,
Email *
Home Phone *
Cell Phone
Work Phone
Employment Information
Are you retired?
*
Do you work at home?
*
Occupation
*
Employer
*
Work Hours
*
Computer Skills
Do you have experience using computers?
*
Please chose any or all that apply
Other box
Do you have a Facebook account?
*
Do you have a home computer (or other device such as Ipad, MAC)?
*
Do you have a computer printer?
*
Do you have a scanner/copier
*
Foster Questionnaire
Do you have a particular breed of dog that you are interested in fostering?
*
Breed/Mix preferences (list all)
*
Do you have a size preference? Check all that apply
*
Any age preference? Check all that apply
*
Do you have a gender preference?
*
Gender Preference
*
Reason for gender preference
*
Will you be a first time dog foster?
*
Are you willing to take your dog to training classes if needed (if approved and paid for by LDRNM?)
*
Do you realize that you may need to housebreak your new foster?
*
How many hours a day would a foster be left alone?
*
How will your foster spend its days? Check all that apply
*
How will your foster spend its nights? Check all that apply
*
Do all members of your family know that you plan to foster an animal?
*
Adult Household Members (Ages 18 and up)

Children in the Home
Do you have children permanently in your home?
*
How many children permanently live in your home?
*
List all ages
*
Have the children living in your home been around animals?
*
Do you have children temporarily visit your home?
*
How many children temporarily visit?
*
List all ages of children who temporarily visit
*
Have the children who visit been around animals?
Household Information
Are you 21 years of age or older?
*
What type of home do you live in?
*
Do you own this home?
*
Name of Landlord
*
Landlord phone number
*
Will you provide written permission from the landlord to have pets?
*
Do you have a fenced in patio?
*
Patio type
*
Other patio type
*
How tall are the patio walls?
* ft
Do you have a fenced in yard?
*
Height of fence
* ft
Type of fence
*
Other fence type
*
Are there any neighborhood restrictions that need to be considered?
*
Are you willing to allow a LDRNM representative do a home visit prior to fostering?
*
Current Pets

Pets Continued
Have all pets listed above been spayed/neutered?
If not, why?
*
Are all pets listed above vaccinations up-to-date?
If you don't have current dogs in the household, have you ever owned dogs in the past?
What happened to them?
*
Have you had a dog or cat with an infectious disease, or one who has come into contact with another infected animal within the last six months?
*
What kind of infection did they have?
Have you ever had a pet euthanized (put to sleep), lost a pet due to an accident, had a pet that ran away, was lost or stolen or given a pet to a shelter or a rescue?
*
Please explain
*
Additional Comments
Do you have any additional comments?
The Fine Print

To be considered for Foster Care you must meet the following:

  •   Be at least 21 years of age
  •   Have legal identification with current address (we will confirm)
  •   LDRNM has the right to refuse any person at any time
  •   LDRNM information is entered into a system requiring the use of a computer/device printer


Major responsibilities of LDRNM fosters:

  1. Pickup foster dog based on pre-planned arrangements
  2. Make appointment at one of our sponsored vet clinics and take dog for vetting
  3. Take pictures of the foster dog and write up biography for posting on adoption page
  4. Screen and review all applications for your foster
  5. Call to set up appropriate home visits. Determine which applicant/family to whom your dog goes 
  6. Notify all applicants once your dog gets adopted, letting them know the status and if you can help them find their special dog
  7. Followup with the family who adopts the dog to ensure everyone is adjusting well 
  8. Take your foster(s) to adoptathon events, which generally occur once a month on a Saturday from 11-3pm 

LDRNM pays for:

  1. All medical expenses including visits and any required medications
  2. Can pay for food, if needed
  3. Supplies collars, leashes, belly bands and sometimes harnesses (if available)
  4. Can supply one dog crate, if needed

LDRNM CANNOT GUARANTEE THE HEALTH, TEMPERAMENT, OR TRAINING OF THE DOG. LDRNM DOES NOT KNOW THE COMPLETE HISTORY OF ANY FOSTER DOG AND THUS OFFERS NO WARRANTY OR REPRESENTATION OF ANY KIND REGARDING THE HEALTH OR DISPOSITION. THE FOSTER PARTY AGREES TO RELEASE LDRNM OF ANY LIABILITY FOR ANY HAZARD OR DAMAGE IT MAY PRESENT TO ADULTS, CHILDREN, OTHER ANIMALS OR PROPERTY ONCE THE DOG IS IN HIS/HER POSSESSION. 


I certify the answers to this questionnaire to be true and that any false information may result in nullifying the foster agreement



Date: 10/19/2017