PLEASE READ:**North Carolina Rottweiler Rescue Reserves The Right To Deny Any Application For AnyReasonNorth Carolina Rottweiler RescueApplication to FOSTER

Personal Information:Name:_________________________________ Age: ____________ Spouse: _________________________________ Age: _____________ Address:________________________________ ________________________________ ________________________________ Phone:_________________________Home _________________________ Your Work _________________________Spouse’s WorkEmail:_________________________________ Employer:________________________________________________ Spouse’s Employer:________________________________________________ Number of Children:________ Names Ages ____________________________ ______ ____________________________ ______ ____________________________ ______ ____________________________ ______ Have any of these children been exposed to large breed dog before? _____Yes _____NoHave any of these children been biten by a dog? ___ Yes ___ NoIf yes, please explain the circumstance:Please circle which of the following best describes your current living situation:1.HouseCondoApartmentMobile Home2.Rent OwnLive with parentsIf you rent, name and phone number of landlord: ________________________________________________________________ 3.CitySuburbanCountryHow long have you lived at this address?_____________________ If less than 2 years, please list your previous address: ________________________________________________________________ If you rent:

Does your landlord allow pets? ____ Yes ____ NoIs there a pet deposit? _____ Yes _____ NoIf yes, how much money per pet or per household?Is there a size or weight limit? ____ Yes ____NoIf yes, what is the limit?What is your landlord's name and phone number? _____________________________________________________________ How long have you lived at this address? _________________ Is there a chance you might move in the next 5 yrs? ___ Yes __NoBesides your immediate family, are there others residing in your house?YES or NOIf yes, names and relationship: ________________________________________________________________ ________________________________________________________________ Does your home have a yard?YESor NOIf yes, is it fenced?YESor NOWhat type of fence?_______________________________________ How tall is the fence?_______________________________________ Will the gate be locked with a pad-lock?YESor NOIf you do not have a fenced yard, are you prepared to walk your dog on a leash for potty breaksand exercise more than 3 times per day, regardless of the weather conditions or time of day/night: ____ Yes ____ NoWhat is the maximum number of dogs/pets allowed by city ordinance?What are your local licensing fees/requirements:?Have you ever had a pet hit by a car or lost?__ Yes __ NoIf so, please explain:Foster Placement Information:Is someone home during the day?YESor NOIf no, where will the dog stay while you are gone? ________________________________________________________________ Where will your dog be kept most of the time?InsideOutsideBasementGarage Other

(specify):____________________ If kept outside, will you have a dog run and/or dog house?Specify: _________________________________________________________ Where will the dog sleep at night:What will you do with your dog when you need to travel or go on vacation?Would you let the dog outside by itself occasionally if you had a house with lots of land andaway from busy streets?YESorNODo you plan to chain the dog in the yard at any time? ____ Yes ____ NoDo you plan to leave the dog in an outdoor kennel at any time? ___Yes __ NoDo you own a dog crate? Yes or NoIf you own a dog crate, what size it is: ________ Are you willing to purchase a crate for your foster dog? Yes or NoWhat steps have you taken to learn about Rottweilers anddog ownership? ______________________________________ ____________________________________________________ ___________________________________________________ Check any of the following you feel are valid reasons for giving away a pet: ___Fleas___Too expensive___Having a baby ___Sheds too much ___Moving to another state___Getting married or divorced ___Chews or destroys household objects ___Children will no longer take care of it ___Found a new place to live but they don't allow petsWill you accept a Rottweiler with Special Needs?__ Yes __ NoDo you understand that the dog will take time to adjust to it's new surroundingsand that certain behavioral issues might occur? __ Yes __ NoAre you willing to work with NCRR to correct these issues? ___ Yes ___ NoHave you ever fostered a Rottweiler or any other dog?YES or NOWhat organization did you foster for?If yes, tell us about your rotts or foster dogs:________________________________________