Foster Application

Home Information


Who else lives at your home?

Resident 1


Resident 2


Resident 3


Resident 4





What other animals live in your home?

Pet 1


Pet 2


Pet 3



Note: We are required to contact your veterinarian for medical history to meet the standards for our certification with Assistance Dogs International (ADI).

Employment Information


School Information


Canine Information

If you have a dog, please provide Date of current vaccinations:






*An adoption candidate must be able to communicate with the dog either verbally or using a signed language.




Remember that this dog has been clicker trained and will be much more interested in what you and your family are doing and will not be necessarily be content with just “being a dog”. You may want to consider additional obedience training, agility trials, or rally class competition.

Please provide two character references from non-relatives:

Reference 1:*


Reference 2:*