* Required
ABOUT YOU AND YOUR HOUSEHOLD
* Applicant Name
Co-Applicant Name
Street Address
City
State
County
Zip Code
Daytime Phone Number
Evening Phone Number
* E-Mail Address
Applicant's Occupation
Applicant's Work Schedule
Co-Applicant's Occupation
Co-Applicant's Work Schedule
Please list the names and ages of all persons who live in your household (or who visit regularly). Please read our Children Under 5 Adoption Policy.
All members of the family must be present for a home visit. When is the best time to conduct a home visit?
How long have you lived at your current address?
Do you own or rent?
If you rent, do you have your landlord?s permission to have a large dog?
If you rent, what is your landlord?s name and telephone number?
What type of home do you live in?
If other, please explain.
If you have a backyard, what is the approximate size that the Golden would have access to?
Do you have a fence? Please read our fence policy.
If yes, what type of fence (Wood, aluminum, chain link, invisible)?
What is the height of the fence?
Is there a gate on the fence? If so, is it kept locked?
If you do not have a fence and do not plan on installing one, how will you handle outdoor time with your Golden?
Do you have a doggie door?
Do you have a pool?
If you have a pool, is there a fence around the pool?
Do you have water access (lake-house, beach house, boat, etc)? If yes, explain:
YOUR EXPERIENCE WITH DOGS
Is this your first dog as an adult?
Have you ever adopted a shelter or rescue dog?
If yes, how was the experience?
Would this foster be your first Golden?
Please list all names, ages, breed, gender and if spayed/neutered for each pet you currently own:
Please list all names, ages, breed, gender and if spayed/neutered for any other pets you have owned in the last 3 years (if not previously listed above)
Please identify all veterinarians used for the past 3 years (please include name of doctor, name of practice, address and phone number)
Do you give AGN consent to contact your vet to discuss your pets and medical history?
If no, please explain:
Did your past pets or do your current pets live indoors, outdoors, or both? Please explain.
Did your past pets or are your current pets wearing identification and rabies tags on their collar?
If no, please explain:
Were your past pets or are your current pets microchipped?
If yes, is the microchip currently registered to you with current contact information?
Were your past pets or are your current pets on monthly heartworm prevention?
If yes, what brand and where did you purchase?
Were your past pets or are your current pets on monthly flea/tick prevention?
If yes, what brand and where did you purchase?
Have you ever had a pet that got lost?
Have you ever had a pet that got stolen?
Have you ever given away or sold a pet?
Have you ever turned a pet into a shelter?
If you answered yes to any of the above four questions, please explain the circumstances:
Have you ever had a pet die at an early age (before 8) or due to an accident?
If yes, please explain:
Have you or anyone in your family or living in your household ever had an Animal Control violation or been convicted of an animal related crime?
If yes, please explain:
YOUR EXPERIENCE WITH FOSTERING
Why would you like to foster a Golden Retriever?
In what capacity are you interested in fostering (check all that apply):




Have you ever fostered a Golden Retriever?
If yes, when and with what organization?
Why are you no longer fostering for them?
Have you ever fostered any other breed of dog?
What breed?
When did you foster?
What organization did you foster with?
Why are you no longer fostering for them?
Is the whole family in agreement with fostering a rescue Golden?
If not, who isn't, and what are their reasons?
Does anyone in your home have pet allergies?
If yes, please explain:
Who will be the primary caregiver and trainer of the fostered Golden?
What is your experience with training a dog?
Do you know how to train basic commands such as sit, down, stay, come, off? Which commands?
What method did you use to train?
Are you familiar with positive reinforcement training?
Are you familiar with clicker training?
Have you ever taken obedience training classes with either your current dog, a past dog or foster dog?
Where did you train?
What type of training classes?
What method of training was used?
Are you willing to train your foster Golden basic commands such as sit, down, stay, come, off to prepare them for their future home, seeking guidance on training techniques from AGN if needed?
Are you willing to take your foster Golden to obedience training classes that would be paid for by AGN?
Would you consider fostering a bonded pair of Goldens who already know and love one another?
Would you consider fostering a special needs Golden or Golden recovering from injury, surgery or heartworm treatments?
Do you have experience with dogs with special needs or recovering from injury, surgery or heartworm treatments?
If yes, please explain:
What age Golden are you willing to foster? (check all that apply)




What activity level is acceptable in a foster Golden? (check all that apply)


Do you have a dominant male dog in the household?
Do you have a dominant female dog in the household?
Do you have a dog that is dog reactive or aggressive towards other dogs? If so, please explain
Is your current pet/pets accepting of new dogs in the household?
How many hours will the foster Golden spend alone each day?
Where will your foster Golden be kept during the day?
Where will your foster Golden be kept at night?
How will you exercise your foster Golden?
How long and how often will you exercise your foster Golden?
Our foster Goldens are not allowed to be outside unsupervised at any time. Is that acceptable to you?
Rescued Golden Retrievers have sometimes been in neglectful and/or abusive situations; therefore, may experience difficulty making the transition to a new home. Are you willing to be patient while your foster adjusts to its foster home?
How long do you feel a foster Golden should be given for an adjustment period in his or her foster home?
Most rescue dogs are going to have some type of issue/issues that will need to be modified through appropriate training. Often those issues do not appear until in the foster home. What behaviors would be unacceptable to you? (Please be very specific)
What actions would you take to correct these behaviors?
What will you do if your foster dog chews your belongings or shows other destructive behavior?
If the foster Golden has or develops behavioral issues, are you willing to contact AGN for assistance before asking for the foster to be removed?
Have you ever used a crate?
If yes, under what circumstances and for how long each day?
If no, are you willing to use a crate if it benefits the Golden?
Are you aware that many Goldens are thunder and storm phobic?
How would you handle these phobias and are you willing to work with a trainer/behaviorist in order to handle this issue if needed?
Are you aware that most Goldens are known as "velcro dogs" as they want to be where you are and they crave attention most of the time?
Are you aware that Goldens are active and require daily exercise?
Are you aware that Goldens shed all year long?
How will you groom your foster Golden?
Would you be willing to take your foster Golden to a groomer that would be paid for by AGN if needed?
The role of the foster is to prepare the foster dog for it's forever family. Are you fully prepared to help a foster Golden heal emotionally and/or physically from their past and set the foundation needed so they are ready for their forever home?
Are you willing to make sure there is a AGN ID tag on your foster dog at all times?
Are you willing to follow all policies and procedures set forth by AGN for your foster dog?
Please tell us about yourself and your family; including any special activities in which your foster Golden would be included:
If you have any special requirements for a dog, please let us know so we can more carefully match a foster Golden to your lifestyle.
How did you hear about AGN?
By submitting this application, I/we hereby certify that all information provided on this application is true, compete and accurate to the best of my/our knowledge. I/we attest that we have read the Terms and Conditions of Adoption and also understand that completion and submission of this application does not guarantee foster/adoption of a Golden Retriever. Adopt a Golden Nashville reserves the right to refuse any foster/adoption.
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