Personal Information

Name:    Age:

Spouse/Partner: Age:

Address:

City: State: CT ME MA NH RI VT Zip:

RRUFF places dogs in foster care in New England. If you are outside of this area, please speak with a rescue group in your area.

E-Mail Address: (example: jsmith@aol.com)
Is this a home or work email address: Home Work

Please Note: Our first form of contact is by e-mail, if you prefer to be contacted by U.S. Mail, please indicate this in the additional comment box.

Home Phone:   

Will you accept a collect call from us? Yes No

What is the best time to reach you? 

Your employer:
Phone:

Partner's employer:
Phone:

Children living in your home:
Child 1:	Female  Male	Age:
Child 2:	Female  Male	Age:
Child 3:	Female  Male	Age:
More than three children, please add info below: What breeds of dogs have the children lived with? Is everyone in your household in agreement on fostering a Rottweiler?: Yes No If no, who is not? and why?: How long have you lived at this address? Please indicate which best describes your current living situation: -- Please choose one -- House Apartment Condo Trailer Other Do you: -- Please choose one -- Rent Own Live with parents If you rent, name & phone number of Landlord (your application cannot be processed without this information): If you live in a mobile home, name & phone number of land owner What type of environment? City Suburban Country If less than two years, please list your previous address: Besides your immediate family, are there others residing in your home? Yes No Names Ages: Does your home have a yard? Yes No Is it completely fenced? Yes No Does the gate lock? Yes No   Is fence secure underground? Yes No If no fence, please indicate how you will exercise your dog (choose as many as apply): Invisible fence Cable runners Outdoor kennel Leash walk If no, where will the dog stay while you are gone? Where will your dog be kept most of the time? Inside | Outside | Basement | Other (specify) If kept outside, will you have a dog house? Foster Information Is someone home during the day? Yes No If not, where will the dog stay while you are gone? (Dogs are not to be chained or tied out and left at any time) Have you ever owned a Rottweiler? Yes No Where is that Rottweiler now? Why have you chosen the Rottweiler breed to foster? What about the Rottweiler breed makes you want to foster one? Have you fostered any animal in the past? Yes No What kind of animal? Have you fostered dogs in the past? Yes No What Breeds? Through which agency (name, phone number)? How long did you foster for them? Are you still fostering for them, if not, why? What are you willing to provide for a foster Rottweiler (food, shelter, training, activities)? Do you prefer a male or female Rottweiler? Male Female No Preference Age range? Puppy 0-5 months Teen 6mo-1yr Adult 1-5 5+ Other criteria for dog you'd be willing to foster: Are you willing to foster a dog until a permanent home can be found or other arrangements made? Yes No If no, please provide maximum time frame: Are you willing to provide transportation to and from the vet, attend local events & Rottweiler Days, etc. as needed? Yes No First Pet:    Name:  Sex:  Unknown Female Male   Age:  years months Weight:  pounds   Type:  Dog Cat Bird Rabbit Rodent Reptile Other Breed:    Vaccinations:  Unnecessary All are past due Some are current All are current Spay/Neuter:  Yes No   Date of Last Vet Visit (mm/dd/yy):    Is this animal on Heartworm Preventative?:  N/A Yes No What kind?  Second Pet:    Name:  Sex:  Unknown Female Male   Age:  years months Weight:  pounds   Type:  Dog Cat Bird Rabbit Rodent Reptile Other Breed:    Vaccinations:  Unnecessary All are past due Some are current All are current Spay/Neuter:  Yes No   Date of Last Vet Visit (mm/dd/yy):    Is this animal on Heartworm Preventative?:  N/A Yes No What kind?  Third Pet:    Name:  Sex:  Unknown Female Male   Age:  years months Weight:  pounds   Type:  Dog Cat Bird Rabbit Rodent Reptile Other Breed:    Vaccinations:  Unnecessary All are past due Some are current All are current Spay/Neuter:  Yes No   Date of Last Vet Visit (mm/dd/yy):    Is this animal on Heartworm Preventative?:  N/A Yes No What kind?  Please list other pets currently residing in your home (name, type, age): Veterinarian's Name & Phone Number: Name of owner listed at vet office if different than applicant: List other pets you have owned in the past ten years and what happened to them: How did you hear about Rescued Rottweilers United with Friends and Family, Inc.? -- Please choose one -- Internet Search Referral from Vet Friend Newspaper Previous RRUFF adopter Local shelter or Humane society Other (list below) Other: List any Humane Societies, Organizations, Breed or Training Clubs you are associated with: We will attempt to provide you with an honest evaluation of temperament on any dog we have to place. Do you realized that often times the complete history of a Rottweiler may not be known and you may encounter some behavioral problems? Yes No Are you willing to work with us on correcting these problems? Yes No Depends Please provide the following information for references: Name, Phone Number, Relationship to you, Number of years known Reference 1: Reference 2: Reference 3: Space for additional comments: Please check all boxes below.  If any of the boxes are left unchecked, your application will NOT be processed. I understand that RRUFF, Inc. will attempt to present the dog for foster having already obtained all of its vaccinations and spay/neuter. I also understand that I will be reimbursed for any pre-approved medical expenses related to this dog. I also understand that I am responsible for any food, toys, and travel associated with fostering this dog, and that I will not be reimbursed for it. (RRUFF is a non-profit organization under section 501(c)(3) - application filed, pending approval). I understand that I am a volunteer for RRUFF. I will provide my own automobile and health insurance, and hereby agree to not hold RRUFF, Inc. or any of its volunteers, associates or foster care providers liable for any physical, emotional or property damages that are a direct or indirect result of activities involved in the placement, transport, grooming, training or evaluating of Rottweilers in any way associated with RRUFF, Inc. This includes any and all activities I perform as a RRUFF, Inc. volunteer. By checking this box, I am indicating that this is a valid and legal substitution for my written signature on this legal document titled "Rescued Rottweilers United with Friends and Family, Inc. Foster Care Provider Application". I have read RRUFF's Volunteer Policies and Foster Care Provider Policies agree to act in accordance with these policies while I am representing RRUFF. I understand that I will be notified by the Volunteer or Foster Coordinator once I have been approved. Click here to click here to