FOSTER HOME VOLUNTEER APPLICATION

Note: Florida Keeshond Rescue pays all approved expenses involving the Keeshond's care.   You can help by providing foster care until a forever home is found for that Keeshond.  We urgently need your help to save lives.

Date:___________________

Name: _______________________________________

Address: _____________________________________

City: ____________________ State: __________ Zip: __________________

E-mail address: _____________   Home Phone: (____) __________ Work Phone: (____) ________________

I Work : YES ____ NO ____          Attend School: YES____ NO____

Employer or School: ___________________________________________

Other : ______________________________________________________

HOUSING: Own ____ Rent____ House____ Apt.____ Condo House____

Do you have a fenced yard available? YES ____ NO ____

Have you participated in rescue work before? YES____ NO ____

If yes, what experience do you have? _____________________________________________________________

 ____________________________________________________________________________________________

Have you worked with any rescue groups in the past? YES ____ NO ____

If yes, what groups?___________________________________________________________________________

What are your views concerning puppy mills and back yard breeders? __________________________________

____________________________________________________________________________________________

Pets for whom I (we) are the primary caregiver:

DOGS:
Breed______________________ Name _______________________ Sex  M  F   Altered?  YES  NO
Breed______________________ Name _______________________ Sex  M  F   Altered?  YES  NO
Breed______________________ Name _______________________ Sex  M  F   Altered?  YES  NO
 

CATS:
Breed______________________ Name _______________________ Sex  M  F    Altered?  YES  NO
Breed______________________ Name _______________________ Sex  M  F    Altered?  YES  NO Breed______________________ Name _______________________ Sex  M  F    Altered?  YES  NO

Other pets in my (our) custody: (Please specify) ____________________________________________________
____________________________________________________________________________________________

If you have a spouse or live-in partner, how does that person feel about your involvement in rescue? _____________________________________________________________________________________________
_____________________________________________________________________________________________

Florida Keeshond Rescue may require a home check by a Florida Keeshond Rescue member. Please initial here to show that you have read this requirement and agree to allow a home check. ________

Provide two personal references who can attest to your interest, interaction and feelings about animals in general and dogs in particular:

1) Name: _____________________________Relationship: ________________

Phone: _______________ Address: __________________________________

City:____________________________ State: __________ Zip: __________

2) Name: ____________________________Relationship: ________________

Phone: _______________ Address: __________________________________

City:____________________________ State: __________ Zip: __________

If you have had pets at any time in the past, please provide a vet reference:

Name: _______________________________________________________

Phone: _______________ Address: __________________________________

City:____________________________ State: __________ Zip: __________

By signing below, I certify the information provided by me is true to the best of my knowledge and I recognize that any misrepresentation of that information may result in my losing the privilege of being officially associated with Florida Keeshond Rescue. I understand that this application will remain the property of Florida Keeshond Rescue.

Signature: __________________________________ Date: _____________

Please return completed form to: 

NOTE: We acknowledge receipt of applications within 48 hours of receipt.  If you do not hear from us within a reasonable time after you send your application, please e-mail or call us at 904-223-6591 to arrange a re-send of the information. 

Thank you again for your willingness to assist in saving the lives of needy Keeshonden.