Foster Family Training Application

Thank you in advance for your interest in our program. If you qualify as one of our foster families, you will be playing a vital role in expediting the process of a disabled individual receiving their service dog. The following application will allow us to better understand your personal situation in placing one of our future service dogs. Please remember that weekly classes are held in Williston Florida. Attendance is required.

    First Name (required)

    Last Name

    Your Email (required)

    Confirm Email Address

    Address


    City

    State

    Zip

    Day Time Telephone

    Cell phone

    Preferred Contact Method EmailDay Time TelephoneCell Phone

    Are you interested in fostering inFloridaPittsburgh

    Do you live in a house or apartment?HouseApartment


    Do you own or rent your home?OwnRent

    If you rent, do you have permission from your landlord?YesNo


    How long have you lived at your present address?

    Please list the names, ages and relationships of members of your household.

    List all indoor pets in your household and describe their temperaments.

    Describe all outdoor pets in your household and describe their temperaments.

    Who will the primary caregiver be?


    How many hours a day, on average, will the dog be left alone?

    Describe your typical daily schedule (what time do you get up, other activities throughout the day, what time do you go to bed, etc.)

    Describe how much exercise can you give the dog each day and what kind of exercise.

    Do you have a fenced yard or enclosure?YesNo

    Will the dog be allowed to sleep in your bedroom?YesNo

    Where will the dog stay when no one is home?

    What would you do if the dog chews something up that doesn’t belong to him?

    Have you ever trained a dog before?YesNo

    If so, what style of training did you use?


    Are you willing to follow our training program and methods?YesNo

    (Guardian Angels will take care of routine veterinary care such as vaccinations, flea control and grooming, although we will graciously accept cash donations to help defer these expenses. We ask that you provide the above listed items and keep receipts for your tax exemption.)

    While the puppy is in your care, he/she will probably be neutered by the veterinarian of our choice and at the expense of Guardian Angels.

    Are you willing to purchase recommended toys, treats, food, collar and leash?YesNo

    Are you willing to drop off and pick up this animal for spay/neuter under our direction if we need to have the surgery done while in your care?YesNo

    Are you willing to be responsible for the care and recovery during and after this procedure?YesNo

    While out in public, are you comfortable talking with strangers and answering questions about our program?YesNo

    What types of pubic areas will you be bringing the dog too?


    I understand and agree that I will have to return the dog to Guardian Angels Medical Service Dogs, Inc., when the dog is called back and under no circumstances will the dog become my permanent property unless otherwise agreed in writing by Guardian Angels.Yes I agree


    Have you ever been convicted, plead no contest, had adjudication withheld, or had prosecution deferred on any misdemeanor, felony, or DUI, or do you have any of these charges pending against you?YesNo

    If yes, please explain fully.

    Will you authorize a criminal background check?YesNo

    By submitting this form, I hereby certify that the aforementioned information is true and correct. Yes I agree

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