Today's Date:           Referred to HDF by:

PERSONAL INFORMATION
Name:                  Age:       

Street Address:

City:                  State:                  Zip Code:       

Home Phone (xxx-xxx-xxxx):            Work Phone:           Cell Phone:

Email address:

Occupation / Title:

Employer Name:

Employer Street Address:

Employer City:           State:           Zip Code:

Why do you think you are a suitable candidate to provide foster care for a rescued dog?
 

YOUR FAMILY
List all other adults and children living in your home. If you need more than the four available slots, then inform the HDF representative when they call or send it in an email with a reference to your Foster Questionnaire in the Subject line to info@hawaiidogfoundation.org.

Full Name:           Age:           Relationship:

Full Name:           Age:           Relationship:

Full Name:           Age:           Relationship:

Full Name:           Age:           Relationship:

What concerns may be voiced by other family members about providing foster care?

YOUR HOME
Do you own?   Yes   No     If Yes then what: House   Condo   Townhouse   Farm   Other:

Do you rent?   Yes   No     If Yes then what: House   Condo   Townhouse   Farm   Other:

If renting does your landlord and/or tenants association permit pets? Yes     No

Do you have a fenced yard attached to your home? Yes     No

If yes, describe your fence. What type is it and what is the area available to the dog?

If there is no fence, how do you plan for the dog to relieve itself?

Do you have a pool? Yes   No          If Yes, is it fenced separately? Yes   No

Do you plan to move in the near future? Yes   No          If Yes, When:           Off Island? Yes   No

PET OWNING HISTORY
Do you own or have you owned a dog before? Yes   No

If Yes, where did the dog come from, how long did you own it and what happened to it?

For the dogs you currently own, please provide the following information about each dog:
Age, Gender, Altered (Spayed or Neutered)? Breed, How long you have had the dog and it's general temperament

Can you isolate the dog from the other animals if they cannot get along? Yes   No

Do you ever crate your pets? Yes   No     If Yes, Why?

How many hours a day will the foster dog be without people? (Be realistic)

Where will this dog be kept while you are gone?

Where will the foster dog sleep at night?

How often do you plan to walk or exercise the dog?

Are your dog(s) current on shots and vaccinations? Yes   No

Do you test for heartworm every year? Yes   No

Are they on heartworm medication? Yes   No

Do you use flea preventative on your dogs? Yes   No

YOUR LIFESTYLE
Is everyone in your family willing to help with the care of this dog? Yes   No

If you are away for a few days or go on vacation, who will take care of the dog?

CARE OF THE FOSTER DOG
As you prepare to answer the following questions we want you to understand that an HDF representative will be available to guide and assist you if you need help. It is important for you to understand that you will not be alone once you have a foster dog in your home. You will be in constant contact with a coordinator or other representative.

Do you understand that the foster dog must live in your home as a loved member of the family? Yes   No

Do you realize that the foster dog should not be closed off in a separate room from your family? Yes   No

Do you understand that no physical punishment is to be used on this dog and that you will contact an HDF representative if behavior problems arise?
Yes   No

Do you realize that some foster dogs may have been abused and you will be expected to help the dog learn to trust humans again? Yes   No

Do you understand that you are expected to contact an HDF representative if you need help with any problem? Yes   No

Will you be able to attend adoption events 2 to 3 times a month with your foster dog? Yes     No

Do you have a safe method for transporting your foster dog? Yes     No

If so, please describe your vehicle:

PERSONAL REFERENCES
Please give us the names of two (2) personal references (NOT relatives):

Name:    Phone:

How do you know this person?

Name:    Phone:

How do you know this person:

Please use this space for any additional information you feel is important:

All the information in this questionnaire is true and correct and I understand and agree to abide by the terms and conditions herein. I understand that any misrepresentation of the facts may result in my not being approved to provide HDF foster care or the removal of the foster dog from my home by HDF. In lieu of a signature, type your name in the Signed box below. This will be considered as your electronic/digital signature and therefore binding as if you had printed out the form and signed it.

Signed:      Date:

Please press the Submit button to send the completed questionnaire to HDF.

You will be contacted by an HDF member for a telephone interview and a home visit, if possible. If you have any questions or concerns about our foster program, please call us at (808) 782-8387.

Thank you for your interest in helping our rescued animals.