Foster Application Step 1 of 6 16% SECTION 1: ABOUT YOUName* First Last Your Age*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*How would you prefer to be contacted?*Select an optionPhoneEmailYour Occupation*Your Employer*Your hours worked per day*Please enter a number from 0 to 24. SECTION 2: FOSTERINGHave you fostered for any other rescues?*Select an optionYesNoIf yes, please provide Rescue NameIf yes, please provide Rescue website: If yes, how many fosters do you normally take in at one time?Please enter a number from 1 to 9.Will you commit to taking the foster pug to at least one (1) adoption event per month? (NOTE: Temporarily on hold due to COVID)*Select an optionYesNoDo you understand that each foster dog you receive is the property of APARN and that adoptions of foster pugs by the foster home are not permitted? ( If you would like to foster, but also adopt a pug, please consider our Foster-to-Adopt Program)?*Select an optionYesNoDo you understand that you are volunteering to temporarily house, care for and treat a rescue pug as part of your family, and that the intent is for all foster pugs to be placed with a different forever home? ( If you would like to foster, but also adopt a pug, please consider our Foster-to-Adopt Program)*Select an optionYesNoWhy do you want to foster a rescue pug?* SECTION 3: ABOUT YOU AND YOUR FAMILYDo you have a Spouse/partner/roommate?*Select an optionYesNoSpouse/partner/roommate name*Spouse/partner/roommate age*Please enter a number from 1 to 110.Spouse/partner/roommate Occupation*Hours worked per day*Please enter a number from 0 to 24.How many adults live in your home?*Please enter a number from 1 to 99.How many children under age 18 live in your home?*Please enter a number from 0 to 20.Children's Ages*separate with commaDoes anybody in your family work from home?*Select an optionYesNoDoes anybody in the home smoke (including but not limited to cigarettes, cigars, pipes, medical marijuana, e-cigarettes, vaping)*Select an optionYesNoIf yes, please explain.Do you have changing roommates?*Select an optionYesNoAre you a US Citizen?*Select an optionYesNoIf not US Citizen, please explain*Does everyone in the home agree to participate in helping to foster the pug?*Select an optionYesNoIs anybody in the home allergic to dogs?*Select an optionYesNoDo you currently own any dogs?*Select an optionYesNoDo you own cats?*Select an optionYesNoIf you own cats, how many?*Please enter a number from 1 to 50.Are all your pets spayed/neutered?*Select an optionYesNoIf not spayed/neutered, please explain why*Are your pets current on vaccinations?*Select an optionYesNoAre your dogs currently on heartworm preventative?*Select an optionYesNoIf not on heartworm preventive, please explain why*Have you ever owned, or lived with, a pug?*Select an optionYesNoDo you currently own a pug?*Select an optionYesNoIf you own a pug(s), how many?*Please enter a number from 1 to 50.Please list ages and gender of your pug(s), as this will assist us in the matching process*Do any of them have any physical problems?*Select an optionYesNoIf any have physical problems, please explain*Do any of them have behavior problems?*Select an optionYesNoIf yes, please explain*Do you have another breed of dog?*Select an optionYesNoIf you have another breed of dog, what breed(s), and how many of each?*Please list ages and gender, as this will assist us in the matching process:*What brand of dog food do you feed your dog(s)?*Are you willing to feed a different food?*Select an optionYesNoDo your dogs have set feeding times or do you leave food out at all times for them ("free feed")?*Select an optionSet TimeFood out at all times ("Free Feed")Are you willing to work with a foster pug to housebreak it?*Select an optionYesNoWhat method will you use?*Do you often travel away from home?*Select an optionYesNoDo you agree to only allow other approved foster homes to watch your pug if you go away? (we will help to arrange)*Select an optionYesNoAre you planning a wedding within the next 3 months?*Select an optionYesNoAre you expecting a child within the next 6 months?*Select an optionYesNoAre you planning to move within the next 3 months?*Select an optionYesNoDo you have reliable transportation?*Select an optionYesNoAre you able to lift a 25 pound pug?*Select an optionYesNo SECTION 4: ABOUT YOUR HOMEWhat kind of home do you live in?*Select an optionHouseCondoApartmentMobile HomeDo you own or rent your home?*Select an optionOwnRentIf you rent, do you have permission from your landlord to foster a dog?*Select an optionYesNoLandlord’s name*Do you have a doggy door?*Select an optionYesNoDo you have a backyard?*Select an optionYesNoIf yes, is it fenced?*Select an optionYesNoHow tall are your fences/walls?*Do you have an in-ground pool?*Select an optionYesNoIf yes, is it fenced separately from your yard fence?*Select an optionYesNoDo you have a spa?*Select an optionYesNoIf yes, is it covered?*Select an optionYesNo SECTION 5: ABOUT THE PUG!Are you willing to foster a senior pug?*Select an optionYesNoWould you consider a foster pug with special needs?*Select an optionYesNoIf yes, which special needs would you accept?* Blind Deaf Seizures Daily Medications Back Problems Bladder Crystals Prescription Diet Required Eye Medications Required Food Allergies Incontinent Seasonal Allergies Weight Loss Required Where will you keep your foster pug during the day?*Select an optionLoose InsideGated In A RoomLaundry RoomCratedBackyardGarageOtherIf you answered "Other" to question above, please explain*Where will the foster pug sleep at night?*Select an optionCrateDog BedMy BedKids BedLaundry RoomGated In A RoomLoose InsideBackyardGarageHow many hours per day (on average) will the foster pug be left alone without people?*Please enter a number from 0 to 24.Is there anything else you think we should know about you or your family?* SECTION 6: SIGN AND PAY FEEHow did you hear about APARN?*Select an optionInternet SearchFacebook/Other Social Media SiteVet's OfficeFriend/RelativeAdoption EventOtherIf answered "Other" to previous question, please explain*OUR PUGS ARE LOCATED IN FOSTER HOMES THROUGHOUT THE PHOENIX METRO AREA. IF YOU ARE INTERESTED IN A PARTICULAR PUG, YOU MUST BE WILLING TO TRAVEL TO MEET HIM OR HER. WE DO NOT ATTEND EVENTS IN TUCSON, PRESCOTT OR FLAGSTAFF.Please read the statements below and check the boxes to acknowledge them* I have reviewed the answers I have given, and verify that they are accurate. I understand that a volunteer will visit me at my home before I am able to foster. APARN requires that you certify your application by submitting an electronic signature. To certify your application, provide an electronic signature (type your name) in the box(es) below. By clicking the “Submit Application” button below, you are confirming your electronic signature, and you certify that all the information in your application is accurate and true.Signature of applicant*Date* MM slash DD slash YYYY Signature of spouse/partner/roommate*Date for Spouse Signature* MM slash DD slash YYYY Captcha