ARPH Foster Home Application

ARPH Foster Home

If you wish to volunteer to foster dogs for The Aussie Rescue and Placement Helpline, Inc. (ARPH), please complete this application and click the Submit Application button at the end.

I understand and agree that I am volunteering my time and services to be an ARPH volunteer at no cost to ARPH and I will not be compensated for either my time or services by ARPH. I also understand that I may be removed from this position, subject to ARPH's Rules & Procedures.

ARPH Foster Home Online Application

NOTE: Please keep your answers brief, with a limit of 500 characters per answer
*First Name:	*Last Name:
*Address:
*City:	*State:
*Postal Code:	Country:
E-mail:

Home Phone:	Business Phone:
Cell Phone:	Fax Number:
Best Time to Call:	Preferred Phone Number:
We encourage our volunteers to become ASCA and/or ASCA affiliate club members. Please download the ASCA Membership Form from the ASCA website, or email the ASCA business office at manager@asca.org. You also may request from ASCA a free packet of information about the Australian Shepherd.

Number of Adults in Your Home?
Number of Children?	Ages of Children?

Have you owned dogs in the past?	YesNo
If so, explain your experiences and activities with them:
Do you currently own dogs? YesNo	How Many?
What sex?	What Ages?
What Breeds?	Are your dogs spayed/neutered? YesNoBoth
What other types of animals do you currently own?

EXPERIENCES WITH DOGS

The following questions help us assess your experience with dogs so that we can place an appropriate foster dog in your home. You do not need experience in all of these areas to be approved as a foster home.

Have you had experience (hold Ctrl key to select all that apply):
Please list any other experiences that you feel will be beneficial while fostering our dogs:
Length of time you are willing to foster a dog:
Check types of confinement you can provide (hold Ctrl key to select all that apply):
Describe Fence or Kennel Height/Length:
NOTE: Use of a crate is strongly recommended
What circumstances would force you to return a foster dog in your care?

REFERENCES

Please provide at least two references that have personal knowledge of your care and experience working with dogs, and the name and address of your current veterinarian.

Veterinarian Reference:
Vet Full Name:		Vet Phone:
Vet Address:
City:	State:	Zip:
Personal Reference 1:
First Name:	Last Name:
Address:
City:	State:	Postal Code:
Phone:	Email:
Credentials, if any (such as rescue volunteer or breeder):
Personal Reference 2:
First Name:	Last Name:
Address:
City:	State:	Postal Code:
Phone:	Email:
Credentials, if any (such as rescue volunteer or breeder):

Would you be willing to let one of our representatives visit your home by appointment?	YesNo
If not, why?

All of the above information I have given is true and complete. I agree to follow all the Rules and Procedures of ARPH. I understand that it is my decision whether or not to foster any particular dog. I will not hold ARPH responsible for any damage, injury, or harm caused directly or indirectly to any person or property by any dog I may decide to foster or volunteer my time to help.

ARPH, AT ITS SOLE DISCRETION, RESERVES THE RIGHT TO REFUSE ANY APPLICANT FOR ANY REASON OR NO REASON.

Yes	~ I have read the disclaimer and agree to these terms & conditions

Clicking the SUBMIT APPLICATION button constitutes permission to contact the above named references.