Welcome to Fidelco


	Home About Us Our Beginning A Breed Within a Breed In-Community Placement The Future "Watch Me Grow" Youth Program Officers and Directors Contacts Admissions Admissions Criteria Application Process FAQs Meet Fidelco Clients Interactive Training Days(O&M Professionals Only) Foster Program FAQs Testimonials How to Help Make A Donation Workplace Giving Bequests Planned Gifts Volunteering for Fidelco The Fidelco Store FAQs What's New News Releases Events DVD Newsletters Meet Fidelco Clients Contact Us

Foster Pup Application

The Fidelco Guide Dog Foundation invites you to complete the form below as the first step towards applying to receive a foster puppy. Once received, you will be contacted by someone from Fidelco to verify your request.

* = Required fields

Personal Information

*Name:

*Address1:

Address2:

*City:

*State:

*Zip Code:

Telephone:

*Day:

Evening:

*E-mail Address:

*Best time to reach you

Please list all family members by name and age:

Please answer the following questions by checking Yes or No, or the answer that is most appropriate to your situation. You may elaborate in the Comments section below.

Is the entire family enthusiastic about the placement of the puppy in your home?	Yes No

Are you willing to absorb the cost of feeding the dog?	Yes No

Is there any member of your family allergic to dogs?	Yes No

Are you aware of and prepared for the "chewing stage", when the pup is teething (at approximately 5 months of age)?	Yes No

Are you willing to allow the dog to live in your home, as opposed to living in the yard, garage, or cellar?	Yes No

Do you own your own car or have transportation to classes?	Yes No

Are you prepared to participate in group activities or excursions involving your foster puppy?	Yes No

Have you ever raised a dog in the past?	Yes No
If yes, what breed(s)?

Have you ever trained a dog in the past?	Yes No

Are there sidewalks near your home?	Yes No

What kind of area do you live in?	Rural Residential City

Do you have a fenced yard?	Yes No

Are there children in the home?	Yes No
If yes, what age(s)?

Is someone home all day?	Yes No
If not, for how many hours a day and for how many days per week will the pup be left alone?

If the pup will be alone 8 hours or more, can you provide for a break during the day during early puphood?	Yes No

Do you have other pets?	Yes No
If yes, please describe (i.e. sex, spayed or neutered):
If you have a dog, what is the reaction to:
Strangers:
Firecrackers:
Thunder:
Other dogs:

Are you able to provide ample exercise for the dog?	Yes No

How did you hear about Fidelco?

Additional Comments:

All information received is confidential and is intended for use by the Fidelco Guide Dog Foundation. No information will be shared without written permission.