Foster Application – MonDak Animal Rescue

Name*

First Last

Address*

Street Address City State ZIP Code

Cell Phone*

Home Phone

Work Phone

Email*

Your date of birth*

How long have you lived at your current residence?*

Do you:*

Own
Rent
Live with parents/relative/friend

If renting, does your landlord/rental agency allow pets?

Yes
No
I don't know

Landlord's name (verification required by landlord before approval)

First Last

Landlord's phone

Name(s) and ages of other adult member(s) of household

If you have children at home (or who visit frequently), what are their names and ages?

Who will be responsible for this foster animal while it's in your care?*

Who will have contact with the foster animal? List all people (visitors, babysitters, etc)*

Please list all pets that live at your house, or will come into contact with this foster pet: Breed, age, sex, whether they are spay/neutered, time owned, personality with other dogs:*

Have you ever had any disease in your home such as parvo? Feline leukemia or feline Aids?*

Yes
No
I don't know

If so, when and what?

How long can you foster an animal?*

Please check which animal(s) you are willing to foster.*

Mothers with puppies
Mothers with kittens
Puppies
Kittens
Adult dogs
Adult cats

Any certain breed or size you prefer?*

Can you give medications if needed? (pills or liquid)*

Yes
No

Are you able to transport animals to vet appointments?*

Yes
No

Where will this animal be kept during the day?*

Where will this animal be kept during the night?*

Where will this animal be kept while you are away from home?*

Do you have a fenced yard?*

Yes
No

If you have a fenced yard, how high is it (how many feet tall) and what is it made of (chain link, stockade, etc.)?

If you do not have a fence how will you ensure that the animal will stay on your property and not run away?

How much time during the day will the animal be left alone?*

Please list 3 personal references.

Personal Reference #1*

First Last

Personal Reference #1 Phone*

Personal Reference #2*

First Last

Personal Reference #2 Phone*

Personal Reference #3*

First Last

Personal Reference #3 Phone*

The MDAR is not responsible for any accidents/incidents with animal while in your foster care.

Your Signature (type your name)*

I attest, by signing, that the above information is accurate and true to the best of my knowledge.

Today's Date*

Please note that we will respond to this application within 48-72 hours Mon-Fri. After you hit the "submit" button, you should receive confirmation of your submission. If you do not receive confirmation or a response from us, we likely did not receive your application. Please email us at [email protected] if you do not receive a response. If you have questions, please call 701-577-PETS (7387). MDAR reserves the right to refuse any applicant! Thank you!