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Please complete the following applications in its entirety. Once we receive and process your application, we will be in touch shortly. Thanks in advance for your interest in Fostering a dachshund!
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Full Name(*)
Please enter your full name
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Email Address(*)
Please enter a valid email address
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Street Address(*)
Please enter a valid street address
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City(*)
Please enter a valid city
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State(*)
Please enter your state
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Zip Code(*)
Please enter a valid zip code
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Home Phone(*)
Please enter a valid phone number
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Cell Phone
Please enter a valid phone number
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Household & Family Dynamics
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Type of Residence(*)
Please enter the type of residence
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Explain 'Other'
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Do you own or rent?(*)
Please enter whether you own or rent
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Explain 'Other'
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If you rent, is landlord agreeable to pets on the premises?
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Do you have a yard?(*)
Please enter whether you have a yard
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Is your yard completely fenced in?(*)
Please indicate if your yard is completely fenced in
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If no, what type of exercise program will you set for your dachshund?
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Are there stairs in your residence?(*)
Please enter if there are stairs in your residence
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Please list the names, ages and relationships of those residing with you (or "none").(*)
Please list the names, ages and relationships of those residing with you, or "none".
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Do you often have other people visiting your home?(*)
Please enter if you often have other people visiting your home
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Grandchildren?(*)
Please enter if there are grandchildren around
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Other children?(*)
Please enter if there are any other children around
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Have your children (if applicable) been exposed to dachshunds?(*)
Please enter if your children (if applicable) have ever been exposed to dachshunds
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How will you monitor young children around your foster?(*)
Please enter how will you monitor young children around your foster
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Are you aware that dachshunds are not the best choice for families with very young children?(*)
Please enter if you aware that dachshunds are not the best choice for families with very young children
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Is everyone in the residence and family agreeable to fostering a dachshund and helping with its care?(*)
Please enter if everyone in the residence and family is agreeable to fostering a dachshund and helping with its care
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Pet Experience
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Have you ever had a dog?(*)
Please enter if you have ever had a dog
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Have you ever had a dachshund?(*)
Please enter if you have ever had a dachshund
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What happened to any previous dogs no longer living with you?(*)
Please enter what happened to any previous dogs no longer living with you
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Do you currently have any pets?(*)
Please enter if you currently have any other pets
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If yes, please provide name, species, breed and age of each:
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Are all your pets spayed or neutered?(*)
Please enter if all your pets spayed or neutered
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If not spayed/neutered, please explain why.
Please enter if your dog is spayed or neutered.
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Are all your pets up to date on annual vaccinations?(*)
Please enter if all your pets up to date on annual vaccinations
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If not up to date on vaccinations, please explain why.
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How do you think your pets will act with and react to a dachshund foster?(*)
Please enter how you think your pets will act with and react to a dachshund foster
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Are you able to isolate your foster from other pets should they not get along?(*)
Please enter if you are able to isolate your foster from other pets should they not get along
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If yes, how would you plan to do so
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Are you familiar with the necessary shots (annual) as well as heartworm testing and prevention?(*)
Please enter if you are familiar with the necessary shots (annual) as well as heartworm testing and prevention
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Are you familiar with flea/tick treatment and prevention?(*)
Please enter if you are familiar with flea/tick treatment and prevention
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Are you familiar with proper dental care for dogs?(*)
Please enter if you are familiar with proper dental care for dogs
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Dachshund Breed
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Are you familiar with the unique personality of a dachshund?(*)
Please enter if you are familiar with the unique personality of a dachshund
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Are you aware that dachshunds are susceptible to weight gain and house-training problems?(*)
Please enter if you are aware that dachshunds are susceptible to weight gain and house-training problems
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Please list some characteristics that the dachshund breed exhibits.(*)
Please list some characteristics that the dachshund breed exhibits.
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Care of the Dachshund
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Why do you want to foster a rescued dachshund(*)
Please enter why you want to foster a rescued dachshund
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Have you ever fostered a dachshund or any other animals before?(*)
Please enter if you ever fostered a dachshund or any other animals before
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Who will be primarily responsible for the care of the foster?(*)
Please enter who will be primarily responsible for the care of the foster
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Sometimes rescue dachshunds have special needs and require patience and understanding. Please list some special needs that you think a foster dachshund may have(*)
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How many hours a day will the foster be left alone?(*)
Please enter how many hours a day will the foster be left alone
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If you work outside of the home, are you able to come home during a lunch hour or hire a dog walker if necessary?(*)
Please enter If you work outside of the home, are you able to come home during a lunch hour or hire a dog walker if necessary
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Where will the foster be kept during the day?(*)
Please enter where will the foster be kept during the day
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Where will the foster sleep at night?(*)
Please enter where the foster will sleep at night.
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Dachshunds can sometimes be difficult to housebreak. If needed, how will you housebreak your foster?(*)
Please enter, If needed, how will you housebreak your foster
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Are you familiar with crate training?(*)
Please enter if you are familiar with crate training
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Do you use a crate?(*)
Please enter if you use a crate
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Please describe any experiences you have had in training and/or rehabilitation work with dogs.(*)
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Would you be willing to re-train/recondition a foster following a specific behavior remediational program?(*)
Please enter if you would you be willing to re-train/recondition a foster following a specific behavior remediational program
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Would you be willing to take the foster to obedience training if needed?(*)
Please enter if you would you be willing to take the foster to obedience training if needed?
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Preferences
Are you willing to foster a dachshund that...
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Is older?(*)
Please enter if you are willing to foster a dachshund that is older
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Was abused?(*)
Please enter if you are willing to foster a dachshund that was abused
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Is not reliable with children?(*)
Please enter if you are willing to foster a dachshund that is not reliable with children
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Is physically handicapped?(*)
Please enter if you are willing to foster a dachshund that is physically handicapped
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Requires ongoing medication other than heartworm preventative?(*)
Please enter if you are willing to foster a dachshund that requires ongoing medication other than heartworm preventative
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Is recovering from medical treatment and may need foster care for up to 4 months?(*)
Please enter if you are willing to foster a dachshund that is recovering from medical treatment and may need foster care for up to 4 months
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Has previous back-related injuries?(*)
Please enter if you are willing to foster a dachshund that has previous back-related injuries
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Is pregnant and will be whelping?(*)
Please enter if you are willing to foster a dachshund that is pregnant and will be whelping
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Requires continued house training?(*)
Please enter if you are willing to foster a dachshund that requires continued house training
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A pair of dachshunds that must stay together?(*)
Please enter if you are willing to foster a pair of dachshunds that must stay together
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Are you willing to pick up a dog from a home or shelter if needed?(*)
Are you willing to pick up a dog from a home or shelter if needed
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If yes, please indicate how far you are willing to travel
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Are you willing to help transport a foster to another MWDR member and/or transporter?(*)
Please enter if you are willing to help transport a foster to another MWDR member and/or transporter
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If yes, please indicate how far you are willing to transport
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Are you willing to participate in local rescue events?(*)
Please enter if you are willing to participate in local rescue events
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References
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Name, address and phone number of landlord (if applicable).
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Name, address, phone number, and fax number of veterinarian.
Please enter the information for your veterinarian.
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Name, address, email address, and phone number of
three personal references:
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Reference 1
Please enter your first reference
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Reference 2
Please enter your second reference
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Reference 3
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If you are currently working with another MWDR Representative, please provide his/her name and e-mail address:
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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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Enter Name(*)
Please enter your name for confirmation
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