Please fill out the form completely.
Your full name:
Spouse's full name:
City, State, Zip:
Phone (H): (W):
How often do you check your e-mail:
Including commute, how many hours per day will the dog be alone?
Does anyone in your family have pet allergies?
Please list the names and ages of all people residing in your household:
Type of dog you are interested in fostering
Which do you prefer to foster:
Age preference (check all that apply):
less than 1 year
8 years and older
Please tell us a little about yourself and why you want to foster Border Collies.
Your home and yard
Do you live in:
How long have you lived there?
Approximate size of yard:
Do you rent or own?
Landlord's name, address and phone number (required)
If you rent, does your rental agreement permit pets?
Does your rental agreement have a size limit on a dog?
NoYes If so, how many lbs.?
Are there any ordinances limiting the number of dogs you can have on your property?
NoYes If yes, how many?
Is your property fenced?
NoYes If yes, what type/height is the
If not, how when and where will you exercise your foster dog?
Does your home have an outside kennel or other facility with shelter or doghouse for the temporary housing
of restricted dogs?
Where will the dog spend it's time alone? (Please be specific)
Where will the dog spend it's time at night? (Please be specific)
Care and training of the foster dog
Would your dog be living with or have any of these neighbors/visitors, or encounter any of these
situations/activities regularly? (Check all that apply)
Who will provide the majority of care for the foster dog?
What activities or work will your foster dog have?
Have you ever participated in an obedience class?
How do you feel about using dog crates?
When you go on vacation, where will your foster dog go and who will care for it?
How long do you feel a foster dog needs for an adjustment period once placed in your care?
Are you and your family willing to work with a foster dog on any issues that he/she may have or develop?
What behaviors would you have a hard time dealing with in a foster dog? (check all that apply)
Your Other Animals
Please list all other animals you have owned in the last ten
years (living or deceased)
Do any of your current pets have a medical conditions?
If yes, please explain
How do you exercise your dog(s)
How did you hear about us?
Have you ever applied to adopt a dog from us?
If yes, when and which dog?
Are you willing to allow a home visit by appointment?
Have you ever been bitten/attacked by a dog?
No If yes, please explain
How will you confine the foster dog during periods of your absence?
Do you intend to keep your foster dog primarily...
Are you comfortable approaching dogs that you do not know?
Do you understand that dogs may be unpredictable and that MWBCR cannot guarantee that a dog we are attempting to rescue may become
Are you willing to accept any risk involved with working with
animals that are sometimes frightened andin unfamiliar surrounds
may become aggressive?
Are you willing to accept any risk involved in transporting a dog inside your vehicle?
Are you willing to foster a special needs (medical/health/emotional issues) dog with guidance from MWBCR?
Are you willing to foster a dog that is not housebroken?
What type of services have you performed in the past/present?
Please give any other information about yourself that you feel is relevant or important.
Please list four (4) people who have known you for at least two
years. We recommend your vet, dog trainer, neighbor, personal
friend, co-worker. No more than one family member may be listed.
Please list name, phone number, address, email address and
relationship to you.
1.Name of Vet:
Relationship to you:
Relationship to you:
Emergency Contact: Please give us the name and phone number
for a person not living with you.
I hereby affirm that all of the above information is true and
correct. I understand that submission of this application does
not necessarily mean that I will be approved to foster and that
MWBCR reserves the right to reject any applicant. I authorize
MWBCR to verify any and all information set forth in this
application and to contact my personal references. I agree to
provide any records to MWBCR of all Border Collie owned by MWBCR
that are in my care.
I understand that dogs may be unpredictable and MWBCR cannot
guarantee nor warrant that a Border Collie we are attempting to
rescue may become aggressive. I am willing to assume the risks
involved with working with animals that are sometimes frightened and
may become aggressive. I agree to assume all risks implicit in
working with dogs that have come into the care of Midwest Border
Collie Rescue, Inc. I understand that dogs can be destructive
and a foster dog may cause damage to my property. I am willing
to accept that risk and will not seek reimbursement from MWBCR for
Please contact your vet and let them know we will be calling. Without your consent, your vet may not release information to us.
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