Please provide the following contact information:

First Name
Last Name
Organization
Home Phone
E-mail

Select any of the following options that apply:

Children are living in the home with foster dog
Teenagers are living in the home with foster dog
Toddler and/or baby living in the home with foster dog

Does the dog get along with all the family members? If no, please explain.

Does the foster dog show fear or aggression towards men, women, children or other dogs? If yes, please explain.

Does any other dogs or cats live with your foster dog? How do they get along? What is the age and sex of your other dogs?

Describe foster dog's activity level:

Low Activity Level Medium Activity Level High Activity Level

Select the basic obedience commands your foster dog will do for you:

Come
Enough
Leave it
Sit
Stay

Is your foster dog crate trained?

Yes No

Where does the foster dog stay when you are not home?

Does your foster dog have any health issues/on medication?

What type of activities does your foster dog participate in with you or family members (car rides, walks in the park).

List any other behavior problem besides aggression, the foster dog is exhibiting and any type of action you are using to resolve it:

How would you describe your foster dog's personality?

What are your foster dogs favorite things to do?

Additional information or comments you would like to share with the family considering your foster dog as an adoption candidate: