Foster Application Please enter “N/A” if not applicable FOSTER APPLICATION Name * Email * Home Number Cell Number * Would you like to receive texts regarding your application (questions, status updates, etc.) on your cell phone? * Yes No Work Number Preferred Method of Contact (Daytime) * Home Number Cell Number Work Number Preferred Method of Contact (Evening) * Home Number Cell Number Work Number Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Age/Date Of Birth? * What age range can you foster? * Puppies Adults Seniors How long can you keep your foster? * Short-Term Long-Term Are there any minors under the age of 18 living in your household? * * Yes No If there are minors under the age of 18 living in your household, what are their names and ages? * Are you able to foster dogs with special needs (missing an eye or a limb for example)? * Yes No Are you able to give medications and/or treat wounds as needed, or as directed by our veterinarian/board of directors? * Yes No Your Occupation: * The name of your employer: * Phone number for your employer: * How long have you worked for this employer: * Including your work schedule and other time commitments, how long and often would your foster dog be left alone? Please include days and hours. * In what type of vehicle will your foster dogs be transported (make/model/year): * If you own a pickup truck, will you transport your foster dogs in the cab or the bed of the truck? * What kind of home do you live in (house, mobile home, apartment, etc.): * What is the square footage of your home? * Do you rent or own your home? * * Own Rent If you rent your home, do you have your landlord's permission to have a doberman pinscher? * Yes No Landlord's name and telephone number: * Will your foster dogs be kept inside or outside? Please explain: * What kind of fencing do you have for your foster dogs? * Privacy Chain Link OtherOther None Please list ALL other animals in your household that your foster dogs could come into contact with, including their name, type, and age (example: Angel, cat, 8 years old): * Are all of your other animals spayed/neutered? * Yes No If you have any unaltered animals (not spayed/neutered), please explain why: * Are all of your other animals up to date on their vaccinations? * Yes No I Don't Know Please list any behavioral issues (chewing, digging, etc) that would make you not want to foster a particular dog: * What is your veterinarian's name, address, and telephone number? * If you have ever volunteered for another shelter or rescue, please list them and a contact person with their telephone number: * Character Reference 1: Please list the full name and telephone number of a personal reference * Character Reference 2: Please list the full name and telephone number of a personal reference * Character Reference 3: Please list the full name and telephone number of a personal reference * Please acknowledge that you either (Agree) or (Do Not Agree) to the following statement: Even though Tennessee Doberman Rescue Plus (TDR+) makes every reasonable effort to ensure that their rescue dogs are safe and friendly, I understand that fostering is a risky venture, and that TDR+ cannot possibly guarantee that I will never be faced with an aggressive or ill dog. However, I understand that it is my responsibility to notify an TDR+ board member immediately in such a case, so that they may step in and remove the dog from my care. Furthermore, I understand that I must be absolutely honest with the TDR+ board concerning the individuals and other animals in my home to ensure that they are able to match a potential foster dog to my needs, and that I will be asked to sign a foster liability release and agreement before a dog is physically placed in my home. * * Agree Do Not Agree Captcha If you are human, leave this field blank.