Palliative Care Application – Homes For Paws Dog Rescue

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HOME
OUR TEAM
APPLICATIONS
ADOPTION
- AVAILABLE FOR ADOPTION
- ADOPTED
CONTACT
DONATE
RESOURCES
- FAQ
- BLOG
PALLIATIVE CARE PROGRAM
SHOP

Palliative Care Program

Become a sponsor for one of the palliative pups in our care.

Homes for Paws Dog Rescue

FILL AN ONLINE APPLICATION

ASK US A QUESTION

Palliative Care Application Form

04_FINAL - Palliative Care Application Form_2020 (#2) (#6)

Name of the person fostering

Email

Phone Number (Include area code)

Phone Type

Name of Foster Dog (N/A if no preference or unknown)

Breed of Foster Dog (If known)

Foster Dog is of which Gender?

Female

Male

Age of the foster dog?

What type of home do you live in?

Do you rent or own?

Rent

Own

If renting, are pets allowed?

Yes

No

Names and Ages of all Permanent Residents of your home (adults/children)

Your Address (please include postal code)

Who will have primary responsibility for the dog?

Current pets in your home (species, breed, name, age, sex, spayed/neutered?)

Are all existing pets in your home use to other dogs?

Yes

No

Have you fostered a dog previously?

Yes

No

Are you aware that small objects are a very real choking hazard for dogs of any age?

Yes

No

May be

Are you aware of foods that are dangerous for dogs to ingest? (xylitol - a sweetener in candies, toothpaste, chewing gum, chocolate, grapes, onions, etc.)

Yes

No

If you are you willing to work on any behaviour issues, describe how?

Have you crate trained a dog before?

Yes

No

Have you house trained a dog before?

Yes

No

What form of exercise can you provide the dog? How often (hours/day)?

What is your philosophy or method of training a dog? If necessary, how will you discipline the foster dog?

Where will the foster dog sleep?

Do you have a fenced yard?

Yes

No

Do you work outside the home?

Yes

No

How many hours/day will the dog be alone?

Where will your dog stay when you are out?

If your foster dog is not house trained and needs some training, are you willing to help the dog with this?

How would you prevent your foster from destructive or mischievous behaviour?

Do you access to a vehicle?

Are you comfortable giving medication?

Are you comfortable giving SQ fluids if needed?

Do you have any relevant experience that may be a benefit for a palliative foster?

Do you understand that the length of the palliative foster period is unknown and in some cases may be years?

Reference # 1 (Name, Phone, Relationship) i.e. friend, neighbor, pet sitter, etc. No family members please.

Do you have any additional comments, questions or concerns?

Anything else you would like us to know to help match you up to a foster dog?

I/We hereby certify that all information is true.

Yes

Applicant's Signature (First and Last name)

Signature date

Have a Question?

Feel free to email us with any questions: homesforpaws@hotmail.com or use the Contact page.

You can also email us at: palliativehfp@outlook.com

Thank you for your interest in becoming a foster!

CONTACT US / ASK A QUESTION

Palliative Care Application Form

Palliative Care Application Form_2020 (#2)

Name of the person fostering

Email

Phone Number (Include area code)

Phone Type

Name of Foster Dog (N/A if no preference or unknown)

Breed of Foster Dog (If known)

Foster Dog is of which Gender?

Female

Male

Age of the foster dog?

What type of home do you live in?

Do you rent or own?

Rent

Own

If renting, are pets allowed?

Yes

No

Names and Ages of all Permanent Residents of your home (adults/children)

Your Address (please include postal code)

Who will have primary responsibility for the dog?

Current pets in your home (species, breed, name, age, sex, spayed/neutered?)

Are all existing pets in your home use to other dogs?

Yes

No

Have you fostered a dog previously?

Yes

No

Are you aware that small objects are a very real choking hazard for dogs of any age?

Yes

No

May be

Are you aware of foods that are dangerous for dogs to ingest? (xylitol - a sweetener in candies, toothpaste, chewing gum, chocolate, grapes, onions, etc.)

Yes

No

If you are you willing to work on any behaviour issues, describe how?

Have you crate trained a dog before?

Yes

No

Have you house trained a dog before?

Yes

No

What form of exercise can you provide the dog? How often (hours/day)?

What is your philosophy or method of training a dog? If necessary, how will you discipline the foster dog?

Where will the foster dog sleep?

Do you have a fenced yard?

Yes

No

Do you work outside the home?

Yes

No

How many hours/day will the dog be alone?

Where will your dog stay when you are out?

If your foster dog is not house trained and needs some training, are you willing to help the dog with this?

How would you prevent your foster from destructive or mischievous behaviour?

Do you access to a vehicle?

Are you comfortable giving medication?

Are you comfortable giving SQ fluids if needed?

Do you have any relevant experience that may be a benefit for a palliative foster?

Do you understand that the length of the palliative foster period is unknown and in some cases may be years?

Reference # 1 (Name, Phone, Relationship) i.e. friend, neighbor, pet sitter, etc. No family members please.

Do you have any additional comments, questions or concerns?

Anything else you would like us to know to help match you up to a foster dog?

I/We hereby certify that all information is true.

Yes

Applicant's Signature (First and Last name)

Signature date

Have a Question?

Feel free to email us with any questions: homesforpaws@hotmail.com or use the Contact page.

You can also email us at: palliativehfp@outlook.com

Thank you for your interest in becoming a foster!

CONTACT US / ASK A QUESTION

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