Foster Application Ellie’s Legacy Animal Foundation Foster Application Step 1 of 4 25% Applicant InformationHow did you hear about us?Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Household InformationLength of time at current residence:*Type of Residence*CondoApartmentHouseMobile HomeDo you own your own home?*YesNoIf you rent or are you bound by any condo/home-owner association restrictions, do you have permission to adopt an animal?*YesNoPlease provide the name and contact info of landlord or association contact person:*Our foster process involves a home visit. Are you willing to allow us to visit your home prior to fostering the dog?*YesNoBy appointment, of course!Have you fostered before?*YesNoFor which organization?*How many adults live in your residence?123-45+Are there children in your household?*YesNoHow many? Please list their ages:*Are all adults in the household in agreement with fostering for ELAF?*YesNoWho will be caring for the dog?*Is any member of your household allergic to dogs?*YesNoIf so, how are these allergies managed?*Have you owned a dog in the past?*YesNoPlease share your experience(s):*Do you have a yard?*YesNoIs it fenced?*YesNoPlease describe fence type and height:****Please note that we highly discourage the use of electric fencing for dogs, and are happy to discuss further if you have questions.****”If your yard is not fenced or you do not have a yard; how do you plan to keep the dog from wandering when outside or provide it with bathroom breaks and exercise?****Please note that we highly discourage the use of electric fencing for dogs, and are happy to discuss further if you have questions.****”If the dog will spend more than 6 hours alone per day how do you plan on providing bathroom breaks for him/her?*Where will you keep the dog when you are not home?*Where will you keep the dog when you are home?*Do you currently have any pets?*YesNoPlease list any current pets (names, ages, species, breed, and gender)*Are all your current pets spayed/neutered?*YesNoPlease explain:*Are all of your pets current on vaccines and heartworm preventative?*YesNoPlease List your current Veterinarian’s name, address, and phone number:*Please List your former Veterinarian’s name, address, and phone number:How will you provide care for the dog when you are away on vacation or out of town?*Do you currently have a relationship with a Veterinarian?*YesNoAre you able to bring the dog to veterinary appointments?*YesNoDo you have any concerns introducing a new dog to your home?*Are you able to keep this dog separate from your other pets for the initial quarantine period? (This includes no contact with other animals.)*YesNoDo you have any specific requests for the dog you foster? (Age, sex, size, etc.)* References*Please provide three references that are not related to you.*Name* First Last Email* Phone*Relationship*How long have you known them?*Second ReferenceName* First Last Email* Phone*Relationship*How long have you known them?*Third ReferenceName* First Last Email* Phone*Relationship*How long have you known them?* ELAF Foster RequirementsConsent* I acknowledge that all of the submitted information is trueI understand that the application is not complete until signed. Once submitting the form you will be redirected to terms and eSignature. Thank you! CAPTCHA