Household & Family Dynamics


Type of residence?
House   Condo   Apartment  Mobile Home  Other

Do you own or rent?
Own   Rent   Other

If you rent, is landlord agreeable to pets on the premises?
Yes   No   Not applicable

Do you have a yard?
Yes   No    Yard size:

Is your yard completely fenced in?
Yes   No    Type/height of fencing:

If no, what type of exercise program will you set for your dachshund?

Are there stairs in your residence?
Yes   No

Please list the names, ages and relationships of those residing with you.

Do you often have other people visiting your home?
Yes   No

Grandchildren?
Yes   No

Other children?
Yes   No

Have your children (if applicable) been exposed to dachshunds?
Yes   No  Not applicable

How will you monitor young children around your foster?

Are you aware that dachshunds are not the best choice for families with very young children?
Yes   No

Is everyone in the residence and family agreeable to fostering a dachshund and helping with its care?
Yes   No

Please describe the activity level in your home:

Pet Experience


Have you ever had a dog?
Yes   No

Have you ever had a dachshund?
Yes   No

What happened to any previous dogs no longer living with you?

Do you currently have any other pets?
Yes   No

If yes, then please provide name, species, breed and age of each:

Are all your pets spayed or neutered?
Yes   No

If not spayed/neutered, please explain why.

Are all your pets up to date on annual vaccinations?
Yes   No

If not up to date on vaccinations, please explain why.

How do you think your pets will act with and react to a dachshund foster?

Are you able to isolate your foster from other pets should they not get along?
Yes   No

If yes, how would you plan to do so?

Are you familiar with the necessary shots (annual) as well as heartworm testing and prevention?
Yes   No

Are you familiar with flea/tick treatment and prevention?
Yes   No

Are you willing to provide heartworm and/or flea/tick prevention to your foster at your own cost?
Yes   No

Are you familiar with proper dental care for dogs?
Yes   No

Dachshund Breed


Are you familiar with the unique personality of a dachshund?
Yes   No

Are you aware that dachshunds are susceptible to back injuries, weight gain and house-training problems?
Yes   No

Please list some characteristics that the dachshund breed exhibits:

Care of the Dachshund


Why do you want to foster a rescued dachshund?

Have you ever fostered a dachshund or any other animals before?
Yes   No

Who will be primarily responsible for the care of the foster?

Sometimes rescue dachshunds have special needs and require patience and understanding. Please list some special needs that you think a foster dachshund may have.

How many hours a day will the foster be left alone?

If you work out of the home, are you able to come home during a lunch hour or hire a dog walker if necessary?
Yes   No

Where will the foster be kept during the day?

Where will the foster sleep at night?

Dachshunds can sometimes be difficult to housebreak. If needed, how will you housebreak your foster?

Are you familiar with crate training?
Yes   No

Do you use a crate?
Yes   No

Please describe any experiences you have had in training and/or rehabilitation work with dogs?

Would you be willing to re-train/recondition a foster following a specific behavior remediational program?
Yes   No

Would you be willing to take the foster to obedience training if needed?
Yes   No

Would you be willing to attend and pay for behavioral/training seminars?
Yes   No

Preferences


Are you willing to foster a dachshund that...

Is older?
Yes   No

Was abused?
Yes   No

Is not reliable with children?
Yes   No

Is physically handicapped?
Yes   No

Requires ongoing medication other than heartworm preventative?
Yes   No

Is recovering from medical treatment and may need foster care for up to 4 months?
Yes   No

Has previous back-related injuries?
Yes   No

Is pregnant and will be whelping?
Yes   No

Requires continued house training?
Yes   No

A pair of dachshunds that must stay together?
Yes   No

Are you willing to pick up a dog from a home or shelter if needed?
Yes   No

If yes, please indicate how far you are willing to travel?

Are you willing to help transport a foster to another MWDR member and/or transporter?
Yes   No

If yes, please indicate how far you are willing to transport?

Are you willing to participate in local rescue events?
Yes   No

References


Name, address and phone number of landlord (if applicable)

Name, address, phone number, and fax number of veterinarian:

Name, address, email address, and phone number of
three personal references:
1.

2.

3.

If you are currently working with another MWDR Representative, please provide his/her name and e-mail address:

Name:   
E-Mail:  

By signing below, I give permission for a MidWest Dachshund Rescue, Inc., representative to contact my landlord, veterinarian and/or personal references. I acknowledge that I have completely read this foster home application, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in denial of my application.

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