Thank you for your interest in helping us with rescue. Please complete the following questionnaire to better help us determine what area(s) you are interested in and how you can get the most pleasure out of your experience with the Amazing Aussies.
About You You must be 25 years of age and the primary individual to be responsible for the foster
Full Name: E-mail: Spouse/Partner: Street Address: Street Address Line 2: City: State / Province / Region: Postal / Zip Code: Country: Cell#: Home#: Work#: Best time to contact you? Occupation: Hours per week you can volunteer:
How would you like to help us at Amazing Aussies
Check all boxes that apply: Foster long termFoster short termTransport? (pick up from shelter and deliver to rescue)Assist at adoption events?Call Shelters to check availability dates, holds, etc.?Home visits? (visiting potential adoptive homes)Follow up calls? (to adoptive homes)Public RelationsFund Raising Other, please specify:
History of Pet Ownership
Do you currently have an Australian Shepherd?YesNo If Yes, please describe: If not, how much knowledge do you have about the breed? (Please Explain)
What pets currently live in your household? (Please list)
Name, Breed, Gender, Age & Spayed or Neutered (1) Name, Breed, Gender, Age & Spayed or Neutered (2) Name, Breed, Gender, Age & Spayed or Neutered (3) Do you have any other animals? If yes please list:
Preferences (For Fostering Only)
Are you willing to foster dogs with a history of neglect/abuse who need extra love and attention?YesNo Are you willing to foster dogs with behavior problems who require special training?YesNo What restrictions would you have about fostering a dog?
Care and Responsibility (For Fostering Only)
Will you be able to take the foster for veterinary/eye care appointments? YesNo Approximately how many hours a day will the foster be left alone? Where will the foster stay when you are away? Where will the dog sleep at night? How many people currently live at your residence? Are there children and if so, what are their ages? What, if any, is your dog experience? What, if any is your experience with special needs dogs, ie: deaf or blind? What would be the thing or things you would like to do to help if you had your choice?
About Your Home (For Fostering Only)
Which of the following best describes your current residence? (check one) Own a single family homeRent/lease a single family home or duplexOwn a townhouse or condominiumRent/lease an apartment, townhouse or condominium Other, please explain Does your lease or Homeowners Association (HOA) have any covenants or restrictions on pet ownership? YesNo If yes - please explain: Do you have a yard? YesNo Is your yard, or a portion of your yard, securely fenced and with what type of fencing? How high is your fence? Do you have a dog door? YesNo If you have a pool is it fenced? YesNoNo Pool If you have a separate dog run, is it secure? YesNoNo Separate Run Are all members of the family in agreement to foster? YesNo Will you allow the foster to mingle and socialize with the family and pets? YesNo Would you be willing to let a representative from Amazing Aussies visit your home for a home check? YesNo
References: Please provide three names including your vet. Other references could include a neighbor or co-worker. (If fostering, one must be a vet reference.)
Name of Reference, Phone Number, Relationship to Applicant Name of Reference, Phone Number, Relationship to Applicant(2) Name of Reference, Phone Number, Relationship to Applicant(3)
Please enter any additional comments or questions have here:
I acknowledge that all the information contained on this form is true and correct. I understand that any misrepresentation of fact may result in the removal of the fostered dog from my/our home. I am aware that I must notify Amazing Aussies within 24 hours if the situation should arise in which I can no longer keep the animal, or if it appears that the animal is lost or stolen. Please date and type name in the area below, this serves as your signature.
Your Name
Date:
