VOLUNTEER - FOSTER APPLICATION
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 reap the greatest pleasure out of your volunteer experience.
ABOUT YOU
(Person applying must be 21 yrs of age and the primary individual responsible for this animal)
FullName and Age  
Email Address  
Street Address
City, State, Zip
Home Phone
Work Phone
Cell Phone
Best time to be contacted
Occupation
Hours worked per week
HOW WOULD YOU LIKE TO HELP US IN RESCUE?
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Other - please specify
What, if any, is your dog experience?
WHICH SHELTERS ARE YOU WILLING TO SCOUT?                                                               
Other
Hours per week you can devote to volunteer?
What would be the thing or things you would like to do to help if you had your choice?
HISTORY OF PET OWNERSHIP
Do you personally own a Lhasa Apso, Shih Tzu, Maltese or Pomeranian or other small breed dogs ?  
If yes, describe
If not, how much knowledge do you have about the breed? (please explain)  
What dogs currently live in your household? (please list)
Name
Breed 
Sex 
Age
How long 
Where from
Where kept
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Do you have any other animals?  If yes, Please list
Please list dogs you have owned in the past 15 years and explain what happened to the dog
Name
Breed
Sex
Age
How long
Where from
What happened to dog?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ABOUT YOUR HOME
(FOR FOSTERING ONLY)
Check here to skip:
Which of the following best describes your current residence? (Check one)
      
Other (please explain)
Does your lease or homeowners association have any covenants or restrictions on pet ownership?
If yes, please explain
Does your town or city have any restrictions on the number of dogs you can have?
If yes, how many?  
Do you have a yard?
Is your yard, or a portion of your yard, securely fenced and with what type of fencing?
If you have a pool is it fenced?
If you have a dog run, is it secure?
PREFERENCES
(FOR FOSTERING ONLY)
Check here to skip:
How many dogs would you consider fostering at one time?
Do you have a separate quarantine area or an area you could keep a dog quarantined if necessary? 
If not, how do you plan to keep the dogs separate?
Are you willing to foster dogs with special medical needs? 
Are you willing to foster dogs with a history of neglect/abuse who need extra love and attention? 
Are you willing to foster dogs with behavior problems who require special training?
What restrictions would you have about fostering a dog?
Do you have any other preferences or restrictions?
Care and responsibility
(FOR FOSTERING ONLY)
Check here to skip:
Will you be able to take the foster dogs to a groomer?
Will your groomer offer you a discount?
Cost
Are you prepared to do the necessary routine care like cleaning out the eyes, ears, etc.?
Approximately how many hours will the fosters be left alone?
Where will the fosters stay when you are away?
Where will the fosters sleep at night?
How many people currently live at your residence?
Are there children and if so, what are their ages?
Are members in the family willing to help you foster?
Will you allow the fosters to mingle and socialize with the family and pets after the quarantine period?
REFERENCES:  Please provide three names including your vet and a groomer (if you have one). Other references could include a neighbor, co-worker, friend or relative who owns a Lhasa or other high maintenance breed. (if fostering one must be a vet reference)
Name
Phone number
Relationship to applicant
 
 
 
 
 
 
 
 
 
Please enter any comments or questions here: 
I acknowledge that all the information contained on this form is true & correct. I understand that any misrepresentation of fact may result in the removal of the adopted dog from my/our home. I am aware that I must notify a LHASA HAPPY HOMES 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.
Name  Date 
 
PLEASE CLICK SUBMIT BUTTON ONLY ONCE

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Lhasa Happy Homes Rescue, Inc.
Website Last updated 25-Oct-2014 Contact our webmaster webmaster@lhasahappyhomes.org