American Maltese Association Rescue

Website developed and maintained by Website to the Rescue

If you are unable to complete this online questionnaire or if you would prefer to fill out a printable questionnaire and mail it in, you can do so by clicking here.

If you are using a Mobile Device and having difficulty submitting this application, please try again from a computer.

Read our Foster Q & A Below.

Foster Care Application

PERSONAL AND HOUSEHOLD INFORMATION

First Name
Last Name
Email Address
Physical Address
City
State
Zip
Home Phone (with area code)
Cell Phone (with area code)
Personal Reference Name:
Personal Reference Phone:
Relationship to Applicant?
How long has this reference known you?
Do you own your home or do you rent?
If you rent, please provide your Landlord's name and Phone Number:	Name: Phone:
Do you have any rental or CC&R restrictions on the number of dogs allowed in your residence?
Do you have a fenced yard?
If you have a fenced yard, describe the containment system, including type, height, size, construction, etc.
If you do not have a fenced yard, describe how exercise and other outdoor time will be handled
Does your home have a swimming pool?
If Yes, it is fenced?
How many adults live in your household and what are their ages?
How many children and what are their ages?
Are there elderly or disabled persons living in your home?
Is anyone in your home allergic to dogs?
If yes, please describe how you will deal with a foster dog and the person with allergies or health issues:

PET OWNERSHIP EXPERIENCE

Where will the foster dog spend most of the day?
How many hours will the dog be alone each day?
Where will the foster dog sleep?
What experience do you have grooming a Maltese or other small dogs?
Describe your previous experience house training a small dog:
What type of dog food would you provide for a rescue Maltese? (what brand, and dry or canned)
Do you have other pets residing in your household?

If Yes, please provide the following information:

Current Pet 1:
Type (Dog, Cat, Bird, etc.):
Breed:
Gender
Spayed/Neutered
Age:
General State of Health

Current Pet 2:
Type (Dog, Cat, Bird, etc.):
Breed:
Gender
Spayed/Neutered
Age:
General State of Health

Current Pet 3:
Type (Dog, Cat, Bird, etc.):
Breed:
Gender
Spayed/Neutered
Age:
General State of Health

If you have owned other dogs in the past, please provide the following information:

Previous Dog 1:
Name
Breed:
Gender
Spayed/Neutered
Age, at last day of ownership:
What happened to this dog?

Previous Dog 2:
Name
Breed:
Gender
Spayed/Neutered
Age, at last day of ownership:
What happened to this dog?

Previous Dog 3:
Name:
Breed:
Gender
Spayed/Neutered
Age, at last day of ownership:
What happened to this dog?

What is the name of your current Veterinarian?
Vet's Address:
Vet's Phone Number (with area code)

Are you willing to foster an older dog?
Are you willing to foster a dog with special health needs?
Are you willing to foster a dog with behavior issues?
Are you willing to foster more than one dog at a time?
Are you willing to foster short-term, e.g. a few days to a few weeks?
Are you willing to foster long-term, e.g. more than one month?
Are you willing to help transport dogs from shelters, pick-up points, surrendering owners, to vet appointments or their new homes?

AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK

I Agree I Do Not Agree	I will abide by all rules, policies and guidelines set forth by the American Maltese Assoc. Rescue (AMA) Program.

I Agree I Do Not Agree	I agree that the information I have provided here is complete and correct to the best of my knowledge.

I Agree I Do Not Agree	I understand that any bodily injury or property damage caused by an AMA Rescue dog that I am fostering is my responsibility. I agree to relieve and absolve the AMA Rescue Program of any responsibility for any damages should they occur.

I Agree I Do Not Agree	I hereby agree to indemnify and hold harmless the AMA Rescue Program, its volunteers, officers, members and agents from any and all claims by any member of my family or by any other persons as a result of any action by the rescue or dogs being fostered.

I Agree I Do Not Agree	My own pet(s) are healthy and current on vaccinations, and I will assume responsibility for my own pet(s) acquiring a disease or injury while fostering a rescue Maltese.

I Agree I Do Not Agree	I agree that typing my name on this electronic application is the same as placing my legal signature on the document.

I Agree. By selecting “I agree”, typing your Name: and submitting this form I am accepting the Agreement to Hold Harmless, Waiver and Assumption of Risk.

	Date of Submission

Would you like to join our Mailing List?

Please answer this question:

What breed of dog do you see in the picture below?

Upon submission, you will be directed to print out and sign our Hold Harmless Agreement and provide the signed agreement to an AMAR volunteer.

Foster Q and A

1.Is there an Approval Process to be a Foster Home?
a.Yes. We carefully check all potential foster homes to make sure they will provide a safe, secure, and loved location for our little rescue dogs. You will be intereviewed. References are checked, this includes personal, Vet, and groomers. Plus, a home inspection is conducted to make certain it is a safe environment.

2.What does Foster Care entail?
a.Loving and caring for the dog as if it was your own. Including it in all the same family functions as your own dogs.
b.Evaluating the personality of each foster dog to determine what would be the best forever environment for it.
c.Feeding the rescue dog with the same foods you feed your own.
d.Arranging and transporting the foster dog to and from Vet Appointments, and other appointments as needed.
e.Making sure all necessary medications are administered properly, and the dog has all necessary vaccinations, plus a microchip.
f.Reviewing Adoption Applications to identify the ideal situation for each foster dog.
g.Performing Home Inspections with potential adopters.
h.Maintaining all documentation on Vet Records, microchips, Certificates of Vaccination, Spay/Neuter Certificates, and all other pertinent records for each dog.
i.Preparation of the Adoption Packet
j.Coordinating and conducting meet-and-greet meetings with potential adopters
k.Collecting Adoption Fees and mailing them to Foster Coordinators

3.Is there any support for Foster Homes?
a.Yes. Every geographic area has an Area Foster Coordinator who is our go-to person for all questions and help with coordination. In addition, we are a national organization with a National Director, who is available to assist, a Yahoo Group for updates and questions, and a huge network of loving Foster Homes who are always willing to help other Foster Homes.

4.Do any expenses come out of my pocketbook?
a.Yes. Foster Homes are responsible for food for the foster dog, and the cost of transporting dogs. Both of these expenses are usually tax-deductible, but check with your personal CPA to be certain.

5.What does AMAR pay for, for a foster dog?
a.AMAR pays for all Vet bills, vaccinations, surgeries, prescriptions, microchips, and a harness and a leash to go with the dog when they are adopted.