First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
What county of the state do you reside in?*
If interested, what areas would you be able to help in? Choose all that apply: Admin organization Conduction home visits Fostering Processing Applications
Please provide your full name and age, and the full names and ages of all adults, and children, living in your household.*
What is your occupation? If applicable, what is your spouse's occupation?*
What is your daily work schedule? If applicable, your spouse's work schedule?*
How much time will the dog spend alone during the day*
List all your current pets (name, age, sex, species, breed, neutered/spayed): *
Please list any previously owned pets: names, species, breeds, ages and why they are no longer in your care.*
Please provide your veterinarian's name, city/state and phone number. (If required, please give your veterinarian authorization to release information to Mastiffs To Mutts Rescue)*
List three (non family) references and phone numbers for each - one reference should be a neighbor*
If you are interested in fostering, what size of dog are you willing to foster? Size: small, medium, large, x-large *
Rescued dogs are often confused, fearful, and / or defensive. Decompression is a calming period a dog needs when first arriving in your home. The dog must have this time to adjust to its new environment, people, and other animals. The average decompression time is about two weeks, but it differs for every animal. If you are interested in fostering, please explain in detail how you will provide time and space for the foster dog to decompress (If not fostering, enter NA)*
Do you own or rent your home* Choose one: Rent Own
How long have you lived in this home? If less than 5 years, please provide previous addresses.*
If you rent, have you received the approval of your landlord to foster a dog* Choose one: Yes No N/A
If you rent, please enter your landlord's name and phone number. (Please be advised Mastiffs to Mutts Rescue does not adopt Giant breed dogs to renters.) *
In what type of home do you live * Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
Will the dog have access to steps inside the home (e.g., to upper or lower floors)? (Please be advised Mastiffs To Mutts Rescue will not adopt a giant breed dog to homes where the dog will have access to highly varnished hardwood steps inside the home. Any inside steps to which the dog(s) have access, must have carpeting, securely fixed stair treads, or a non-skid surface. We encourage you to remediate potential safety issues while your application is under review, prior to the home visit.): *
Is your yard fenced? * Choose one: Yes No
What type of fence? Choose all that apply: Privacy Chain Link Invisible picket split rail w/wire Other-describe No fence
What is the height of the fence*
Do you have a swimming pool?
If you have a swimming pool, please describe, in-ground or above-ground, dimensions and depth. (If no pool, enter NA)*
Who in the household will care for the pet*
How and when will you provide exercise for the dog? *
Will the dog be kept inside or outside* Choose one: Inside Only Outside Only Inside and Outside
Where will the dog spend its days? *
Where will the dog sleep at night?*
What steps would you take if your pet misbehaved (e.g., house soiling, counter surfing, inappropriate chewing)?*
Under what circumstances would you give up the dog? Divorce? Moving? New baby? Allergy? Does not get along with other pets? Prefers one person over another? *
Have you ever given up a pet? If yes, please explain*
Are you currently working with any other rescues? If so, please specify what you do for the rescues. Ex: Foster, Transport, etc. *
Please list any other information about yourself that you feel is important for Mastiffs To Mutts Rescue, Inc to take into consideration.*
