Connections Pet Rescue

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Work Phone*
x

Cell Phone*

Alt Email*

What is your age?

Secondary Applicant's Name:

Secondary Applicant's Age:

Age of children (if any)? Please include visiting children and/or other children the dog may be interacting with.*

Please list any disabilities/special needs of anyone in the home (or regular visitors) that it may be helpful for us to be aware of.

How did you hear about us? (IF on a computer, please hold the "Control" key down while selecting multiple options.)
Choose all that apply: CPR Facebook CPR Website Instagram Petfinder Reddit TikTok Referral Twitter

Do you rent or own your home?

In what type of home do you live?

If you rent, please enter your landlord's name and phone number

If you rent, have you received the approval of your landlord to have a large breed dog?

How long can you provide a foster home
Choose all that apply: Overnight A couple of weeks A month or longer

Would you consider a dog with special needs such as blindness, deafness, physical limitations, etc?

Are you willing to foster a dog that needs medication?

Age preference
Choose all that apply: Puppy under 6 months 6 months to 2 years 2 to 5 years Over 6 All of the above

Gender preference:

Are you willing to housebreak a dog?*

How much time will the dog spend alone during the day?

Does your place of employment match the hours you spend volunteering?

Do you own other pets now? Please list name, age, breed, gender and if spayed/neutered

What brand of food do you currently feed your dogs?

Veterinarian's name, phone number and the name of the person records are under. Please make a note if you do not currently have a vet.

We require secure visible fencing. What is the type and height of the fence?*

What is your definition or philosophy of disciplining and training your dog?*

Please explain your knowledge of socialization, dog behavior and proper integration & rearing of a puppy or rescued adult:*

Have you crated your dog in the past?

Please tell us if you have had experience with any of the following behaviors: Counter Surfing

Experience with aggression toward other dogs?

Experience with barking?

Experience with chasing cats or other smaller pets?

Experience with fence jumping?

Experience with housetraining accidents?

Experience with inappropriate chewing?

Experience with leash pulling?

Experience with resource guarding?

Experience with separation anxiety (whining, destructiveness or acting out when left alone)

Experience with shyness toward strangers?

Additional comments regarding fostering or name of dog I would like to foster:

By submission of this application I attest that the information provided on this application is true and accurate to the best of my knowledge. I understand that completion and submission of this application does not guarantee foster of a dog from the Connections Pet Rescue (CPR). I hereby permit CPR to contact my Veterinarian(s) and Landlord, if applicable. Please contact your vet as soon as possible to give them your permission for the vet's office to discuss your vet records with our rescue. We will be sending email to the email address listed on this application. Please check your spam filter in case it gets misdirected. Please initial here:*