Your contact, personal and dog information

Full Name: 

E-mail Address: 

Home Address: 

City:   State:   Zip Code: 

10 Digit Phone Number (one required):
Home:   Work:   Cell: 

How old are you?   Gender:  Select One Male Female

Occupation: 

Dog Ownership

Do you currently own or have you ever owned a dog before?  Select One Yes No

If yes, please describe:

Have you ever owned an Alaskan malamute, Alaskan malamute mix, or other Northern Breed?  Select One Yes No

If yes, please describe:

Volunteer Considerations

Approximately how many hours per week do you have available for volunteer activities? 

References

Fostering

Are you interested in fostering a rescue dog? Select One Yes No

(If Yes – please fill out the rest of this form)
(If No – skip the rest of this form and submit this application now)

Please indicate which types of fostering you are interested in: (Check all that apply):
Temporary – Approx. 1-3 days. These foster homes would be needed in cases where there is timing issues associated with transport or for a scheduled adoption.
Short Term – Approx. 1-2 weeks. These foster homes would be needed in cases of vacations by other foster homes and some timing issues.
Surgical – 1 to 4 Weeks (may be longer depending upon the surgery). These foster homes would be needed in the cases of surgery recoveries and recovering from spaying/neutering. Please note that if you have other pets, you may need to have the facilities to keep the foster dog separate during the recovery time.
Behavioral – 1-4 months (time may vary depending on the severity of the case). These foster homes would be needed in cases where behavior modification is needed in order to make the dog adoptable.
Continual – These foster homes are willing to foster a dog until such time as the dog is adopted. The time may vary anywhere form 1 day to 6 months. The foster home will then have the opportunity to foster another dog once the original dog has been adopted.

Do you own or rent?  Select One Own Rent
If renting do you have the landlord's permission to keep a dog?  Select One Yes No
Do you live in a:  Select One House Townhouse Mobile Home Condo/Apartment

Do you have a fenced yard?  Select One Yes No

If yes what type of fence, what is the height, does the fence have a gate, and does the fence completely surround the perimeter of the yard?

If no fence, how will you handle exercise and toilet duties?

Do you currently have any dogs?  Select One Yes No

If yes how many, what breed, age, gender, and please describe any alpha tendencies or ability to get along with other dogs.

Do you have any cats or small animals?  Select One Yes No

Are your current pets spayed/neutered, current and up to date on vaccines, and on heartworm preventative and/or flea deterrents?

Vet's name, address, and phone number?

May we contact your Vet for a reference check? Select One Yes No

Describe your annual vet visit:

Do you work:  Select One Full-Time Part-Time Home Most of the Time

How many hours (on average) will the foster dog be left alone on a daily basis? Select One 0 1 2 3 4 5 6 7 8 9 10+ Hours

Where will foster dog(s) be kept when family members are at home? 

Where will foster dog(s) be kept when everyone is away to work, school or other daily activities?

Where will dog(s) be kept at night? 

Will adequate shelter such as a doghouse be provided for times that the foster dog(s) will be outside? Select One Yes No

Do you have time to play with and walk or run your foster dog(s) on a daily basis? Select One Yes No

Given the Alaskan Malamute's penchant for escaping and roaming, are you prepared to never take the dog out off lead and to make sure all gates and doors are secured at all times? Select One Yes No

Do you agree to let a representative of Polaris Alaskan Malamute Rescue visit your home by appointment? Select One Yes No

Have all children who live with you or visit frequently been taught how to appropriately interact with and respect an animal? Select One Yes No

If you currently own or have previously owned an Alaskan malamute, please provide some details about your experience:

What made you decide to foster an Alaskan malamute into your family and is everyone in the household ready to make such a commitment to this new foster dog?

Lastly, please let us know how you heard about Polaris Alaskan Malamute Rescue: Newspaper Ad Website/Internet Search Word of Mouth (e.g., friend, family) Referred by Shelter Other

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