Foster Application

Thank you for your interest in fostering a dog

Please fill out all information, as applicable, in the below adoption application. When you are finished, click “Submit.” We look forward to working with you!

Personal Information










Is there another person responsible for the dog’s care? If so, please list.





Household Information

Current Residence













If rent, please complete the following:









Yard Details






If yes, please provide details of the fencing type






References

Applicant must provide two references: a veterinary reference and a personal reference or two personal references. A veterinary reference is required if the applicant currently owns or has owned a dog or a cat within the past 10 years. All resident pets must be spayed or neutered and up to date on vaccinations. If no vet reference, please provide two personal (non-family member) references.

Veterinary Reference





Personal Reference (non-family member)





Personal Reference 2 (non-family member)






Other Pets







House-breakingLeash skillsCrate-trainingSpecial Needs Experience?Leash ReactivityTimid BehaviorBlindDeafHospice








Final Details

What type of dog are you willing to foster? (check all that apply)


puppy 3 to 5 months5 months to 1 year1 to 4 years5 to 8 years8 years +


5 - 35 lbs35 - 55 lbs55 to 85 lbs85 lbs+


MaleFemale


YesNo









Free-roamingCrateGarageOutsideOther



Free-roamingCrateGarageOutsideOther




Terms

I/We understand that the application will be reviewed as quickly as possible and an ASCZ representative will contact me/us with more information via email or phone within 72 hours.

Fosters are responsible to provide food and routine care of their foster dog while in their home. Fosters are not responsible to pay for any medical care. All medical treatment or care will be covered by the rescue. However, we may ask for help to transport the dog to and from a nearby veterinary clinic.

Submitting this application does not guarantee an approval to foster a dog from A Second Chance for Ziva, Inc. Completing and signing this application states that the information provided by the applicant(s) is accurate and true. The applicant(s) also understands that background checks will be done to ensure there is no history of animal abuse or neglect. Applicant(s) will be asked to sign a Foster Contract if approved.