Heart Bandits: Foster Home application

	Foster Home Application

To become a Foster Home for Heart Bandits:
Complete this form and click "Send Application"
This will start the process of becoming a Foster Parent for a Heart Bandits Eskie.
You will be contacted by one (or more) of our Chapters.

All items marked with an asterisk (*) are required.
Your application will not be processed if those items are omitted.
Tip: The tab key will move from entry to entry.

* Name:
Spouse's Name:
* E-mail Address:
	No E-mail? Check this box

* Home Address:
* City:
* State (Province):	* Zip Code:

* Home Telephone:	( ) - Day Eve.
Work Telephone:	( ) - Ext. Day Eve.

Your Occupation:
Spouse's Occupation:

Others living in your home:
Name: Age:		Female Male
Name: Age:		Female Male
Name: Age:		Female Male
Name: Age:		Female Male

Current number of pets:

Pet 1
Name:
Age:
Sex:
Species:
Breed:
Spay/Neuter:
Vaccinations:

Pet 2
Name:
Age:
Sex:
Species:
Breed:
Spay/Neuter:
Vaccinations:

Pet 3
Name:
Age:
Sex:
Species:
Breed:
Spay/Neuter:
Vaccinations:

Pet 4
Name:
Age:
Sex:
Species:
Breed:
Spay/Neuter:
Vaccinations:

* Veterinarian:	No Vet? Check this box
Vet's Name:
Clinic Name:
City:	Telephone: ( ) -
Additional Vet Info:

General Questions:
1.	What is your past experience with dogs? (how long have you owned dogs, have you attended obedience classes, etc.)

2.	Have you ever owned an American Eskimo Dog? Please explain.

3.	What environment are you able to provide a foster dog? (City, Suburban, Rural)

4.	Do you have a fenced area, yard or kennel? If so, please describe the area.

5.	Do you own a dog crate, food and water bowls, leash, bath items, etc.? Please list:

6.	Where will the foster live & sleep? Explain fully?

7.	How will you exercise your foster? How often? Explain fully.

8.	When you must transport your foster, how will the dog be transported?

9.	How will your foster be maintained when you are at work or on vacation?

10.	What is your idea of proper discipline for an American Eskimo Dog?

11.	What is your idea of proper and nutritious food for a dog?

12.	Do you understand that the Eskie must live in your home as a loved family member? Yes No
13.	Are you prepared to meet the grooming and exercise requirements of an Eskie? Yes No
14.	Do you understand that you are expected to administer medication or treatment if needed? This includes taking the foster dog to the Vet when/if needed. Yes No
15.	Do you understand that you are expected to keep in contact with your Chapter Director and to contact Heart Bandits directly if you have any problems? Yes No
16.	Additional Comments:

"Folk will know how large your soul is, by the way you treat a dog!" ~ Charles F. Doran