Thanks for your interest in fostering a Papillon Rescue! Foster Application All items marked with an asterisk (*) in the form below are required, and may not be omitted. Your application will not be considered if you do not fill in the requested information for required items. Your Full Name: Spouse or Partner's Name and age (or NONE): List any other adults in home and their ages (or NONE): * Your Contact Information Street City State-Prov *  Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Is Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Yukon Territories  Postal Code: * Country *  Canada United States of America Email Address Alternate Email Address Telephone Numbers: Home -- Select one -- day evening Work -- Select one -- day evening Cell Home and Community What are the requirements of dog ownership in your community? (i.e., licensing, rabies, leash laws, and number of dogs you may legally have) How long at current address (years-months) Do you live in:  -- Select one -- House Apartment Condo Trailer Other Do you own or rent your home? -- Select one -- Own Rent If you rent, name and address of landlord: Yard Is your yard fenced in securely for a dog? -- Select one -- Yes No If yes, is yard:  -- Select one -- Completely fenced in Partially fenced in If no to fenced yard, how will exercise-toilet be handled? Do you agree that the dog must not be allowed off lead or out of fenced area without restraint, nor left outside without supervision? Yes     No List any Humane Societies or Animal Organizations you are associated with, including PCA or other breed club: If you are currently working with any other rescues, please list them here: Children Living in Your Home (if more than 5, provide information in "Additional Comments" box below) Number:*  none 1 2 3 4 5 or more     Sex: Age: Child 1 (youngest):  Female  Male Infant 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 or over Child 2 (next youngest)::  Female  Male Infant 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 or over Child 3 (next youngest)::  Female  Male Infant 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 or over Child 4 (next youngest)::  Female  Male Infant 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 or over Child 5 (next youngest):  Female  Male Infant 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 or over Comments and Notes on Children: Veterinarian Information   PCA Papillon Rescue will contact your veterinarian. Please contact your veterinarian and give him-her permission to discuss the medical history of your current and past pets. Most of the dogs that come into rescue require veterinary attention so we need to make sure that your vet is willing to  work with us. Vet's Name: *  Clinic Name:  City: *  State-Province: *  Alberta Alabama Alaska Arizona Arkansas British Columbia California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Is Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Yukon Territories  Zip Code: *  Canada United States of America Telephone: Hours available:  Pet Information How many dogs have you owned in the last 5 years? -- Select one -- None One Two Three Four Five or more Please tell us about the pets  you currently have, providing specifics, including species, breed, size  and all other  pertinent  information Papillon Specifics What is the oldest age you would consider fostering?  Consider a dog that is disabled or requires daily medication? -- Select one -- Yes No Maybe Consider a dog that is not housetrained? -- Select one -- Yes No Maybe Do you have the time and patience to housetrain a dog? -- Select one -- Yes No Can you provide a quiet home for a dog that is recovering from surgery? -- Select one -- Yes No Can you provide an active home for a dog that is a good agility candidate? -- Select one -- Yes No How Many of what sex can you foster at one time? -- Select one -- One Male Two Males Three Males Four Males Five or more Males      -- Select one -- One Female Two Females Three Females Four Females Five or more Females Anticipated Plans and Daily Routine Where will dog spend most of each day?  -- Select one -- Indoors Indoors With a Pet Door Out Most rescues spend some time, usually at night, in a crate. Will you provide a crate? -- Select one -- Yes No If Indoors: -- Select one -- Not applicable as dog will be outside Crate Basement-Garage Free run of house Limited area of house Other If outdoors: -- Select one -- Not applicable as dog will be indoors Fenced Yard Kennel Outside Shelter Other Please provide specifics on your answer provided above: What will you do if your dog is destructive while left alone? Do you want a dog trained to stay off the furniture?  -- Select one -- Yes No   Would you accept a dog that is: Elderly Has Been Abused Not reliable with children Has a physical handicap Pregnant and will be whelping May need long term foster care May be terminally ill Unsocialized shy dog May be aggressive towards other dogs May be aggressive towards cats May be aggressive towards people I would be willing to work on the following behaviors with the dog: Food Possessiveness Growling Resource Guarding Bone Possessiveness Hoarding Toys Digging Excessive Barking Where will the dog sleep at night?  Please be specific: What is your definition of disciplining a dog? Please provide examples: What do you think of obedience training? Have you ever obedience trained a dog before? -- Select one -- Yes No Are you willing to do some basic obedience training with the foster dog? -- Select one -- Yes No   What will you feed the dog? -- Select one -- Dry dog food Wet canned food Home cooked dog food BARF (Bones and Raw Food) Diet Other If other (please be specific): What will the dog's eating schedule be? -- Select one -- Once a day Twice a day Free feeder Other General Questions  1. Why are you considering fostering a Papillon? Please indicate how you learned about the breed.  2. Is someone home throughout the day or would dog need to be alone for a part of the day? If you work outside of the home, please be specific with an example of a typical work day including if someone comes home during lunch and who it is, doggie daycare, dog's environment when alone during work week, etc. 3. How will you exercise the foster Papillon? How often? Explain fully. 4. When it is time to transport the foster Papillon to its new home, are you willing to assist in this and to what extent? Would would be willing to fly with the dog? Drive it partway to a new home? 5. How are your pets maintained when you are on vacation or out of town? 6. Do you agree to provide the names and telephone numbers of three (3) references unrelated to you? Yes No 7. Do you agree to allow Papillon Rescue to conduct a home visit? Yes No Additional Information and Comments: Have any questions? By checking this box, I am indicating that I am at least 18 years of age. By checking this box, I am indicating that this is a valid and legal substitution for my written signature on this legal document titled "Papillon Rescue Application". By checking this box, I understand that if the information contained herein is found to be false, my application can be refused I would like a copy of my application sent to my email address above.

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