For Office Use Only: (leave blank)

* Date (##/##/##): (allowed: numbers / - )

Please tell us how you heard about our site:
Select a Value AltaVista America Online Ask Jeeves Bing Excite Google Google Group Lycos MSN Netscape Yahoo Facebook Other Social Network Forum Friend Other Website News Group Magazine/Newspaper Yahoo Group Other

May we contact you for other Rescue related matters? e.g. ID a Malinois in a shelter? transport a rescue in your area?
(Information you provide is only shared with representatives of ABMC Rescue)
Select a Value Yes No

List Name of Dog(s) you are interested in fostering and provide at least one alternate:
* Dog 1: Dog 2: Dog 3:

Select the foster coordinator in the box below. This will be the person that receives and processes your application.

* Select Recipient Foster Coordinator

* Name (+M Initial):   * Last Name:
Partner: Full Name:

* E-Mail: (allowed: text @ . )
* Confirm E-Mail:
Partner E-Mail: (allowed: text @ . )

* Add:
* City:   * St: Select a Value Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming   * Zip:
* Home Phone (###-###-####): (allowed: numbers / - )
Alternate Phone (###-###-####):

Occupation: Employer:
Partner Occupation: Partner Employer:

Number of Adults in Household: Number of Children in Household:

Please list sex and ages of children:

Explain why you think a Malinois is the best choice to be fostered by your family:

Explain what experience you have with Malinois and dogs in general.

What activities do you expect your foster Malinois to take part in with you and/or with your family?

Who will be responsible for the care and training of the foster Malinois?

Approximately how long would you expect the foster Malinois to be alone each day?

* Do you live in a:
Single Family Home No    Yes
Mobile Home No    Yes
Condominium No    Yes
Apartment No    Yes

If you rent or lease, you must have permission from your landlord. Please list Landlords information:
Name:
Add:
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Phone (###-###-####):

Malinois are social, pack animals that need to live in close companionship with their family and pack. While moderate time may be spent in an adequate outdoor kennel and dog house they cannot be kept outside exclusively and never chained. Do you agree to these conditions?
Select a Value No I do not agree Yes I do agree

Are you aware of the importance of keeping a Malinois on leash or in a fenced area?
Select a Value No I wasn't aware of the Malinois fencing need Yes I am aware of the Malinois fencing need

Please understand that answering no to the following questions will seriously limit our ability to find a foster Malinois for you. There are extremely few rescued Malinois we will foster where there is no fence.

Is your yard fenced? No     Yes

If yes, note the approximate size of the fenced area, and height and type of fencing material.

Are you willing and able to modify your daily schedule to accommodate a Malinois' needs, such as going outdoors into a fenced area or walking on a leash to perform bodily functions at least four times daily?
Select a Value No I can't/won't modify my schedule Yes I can modify my schedule

Is there a local ordinance in your area pertaining to owning/housing an animal (i.e. leash laws, required vaccinations, dog licenses, etc.)
Select a Value Yes local ordinances apply No local ordinances do not apply

Are you willing to keep a collar with a tag bearing your name, address, phone number, etc. on your Malinois at all times?
Select a Value No I will not keep a collar with tags on my Malinois at all times Yes I will keep a collar with tags on my Malinois at all times

How many dogs have you owned in the past ten years?

Please list previously owned dogs; include breed, sex, name. Include what became of each and their age at that time.

Please list currently owned pets, give breed, sex, name and age. DO NOT include dogs no longer with you. (see previous question)

Have you ever bred or raised dogs?
Select a Value Yes I have bred or raised dogs No I have not bred or raised dogs

Have you ever participated in dog shows?
Select a Value Yes I have participated in dog shows No I have not participated in dog shows

Have you ever trained a dog before?
Select a Value No I have never trained a dog before Yes I have trained a dog before

If yes, what commands were taught?

Are you familiar with crate training?
Select a Value No I am not familiar with crate training Yes I am familiar with crate training

If no, would you be willing to learn more about it and consider the use of a crate (portable cage) as a training and transitional aid?
Select a Value No I am not willing to learn about crate training Yes I am willing to learn about crate training

How would you describe your household activity level (Select Only One):
Very Quiet     Easy Going     Moderately Active     Very Active    

Estimate number of times per month that adults visit your home?

Estimate number of times per month that children visit your home?

Provide an answer for each of the 6 questions.
In addition to a regular life at home, would your Malinois:
Walk routinely with a family member? No    Yes
Attend obedience classes? No    Yes
Compete in obedience trials? No    Yes
Go to work with you? No    Yes
Travel with you? No    Yes
Be a playmate for your children or friend's/family's children or pets? No    Yes

List other participation dog sports you might be interested in.

Would you prefer a male or a female Malinois?
I have no Preference      I prefer a Female      I prefer a Male

Occasionally, a Malinois with special needs (physical restrictions or an unusual personality or preferences) is available for adoption. Would you be interested in being considered for such a "special" dog?
I might be interested      Yes, I would be interested      No I am not interested

Please add any additional information or thoughts that you feel would help us to understand you and your home as potential Malinois owners?

Do you currently have a veterinarian? Applications without a vet will not be processed. You can use the box above to explain if there are extenuating circumstances.
Select a Value No current vet Yes I have a vet

If yes, please list your veterinarian's name, address, and phone number:
Name:
Add:
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Phone (###-###-####):

Please list two personal references that you have known for more than two years that are not relatives:

Reference 1.
* Name: (allowed: text )
Add:
City:   St: Select a Value Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming    Zip:
* Phone (###-###-####): (allowed: numbers / - )

Reference 2.
* Name: (allowed: text )
Add:
City:    St: Select a Value Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming    Zip:
* Phone (###-###-####): (allowed: numbers / - )

Prior to continuing it is recommended that you take the time to read our " Policies & Procedures Manual ".

Stipulations:

When you click your responses below, you are stating your agreement and compliance to our foster process.

* I understand an ABMC designated representative must perform a homecheck before my foster application is approved.

* If your foster application is approved a rescued Malinois may not be ready to be placed with you immediately and occasionally an extended period of time may pass before a Malinois that matches your experience becomes available.

* I have read and understand the Policies & Procedures Manual.

* I understand if I am approved for fostering I will need to adhere to the "Policies & Procedures Manual" which is a separate document from this ABMC Belgian Malinois Rescue Foster Application.

* I understand that should I foster for ABMC Belgian Malinois Rescue the daily expense of caring for my foster Malinois is non-refundable.

* I understand if the information contained in this application is found to be false my application will be refused or recinded, the Malinois I am fostering will be returned to ABMC Rescue and my volunteer status with ABMC Belgian Malinois Rescue will be permanently revoked.

* By checking this box I am agreeing I am at least 18 yrs of age and this is a valid and legal substitution for my written signature on this legal document titled ABMC Belgian Malinois Rescue Foster Application.

* Date Submitted: (allowed: numbers / - )

* Applicant's Name: (allowed: text - . ) (not allowed: comma)

Co-Applicant's Name:

Before clicking Send please make sure you replied to all the questions.

Please check to see that you have provided a valid email address. You will NOT receive your copy of the application if you have failed to provide a valid email address.

Please allow 3-5 days for an acknowledgement. It's very possible you will be contacted sooner but, each person working with rescue is a volunteer and sometimes real life matters take precedence to rescue matters.

Click Submit only One time.