Name: ______________________________ 

Date of application: _________________________

Spouses Name (if single, please state so):  ___________________________________________

Address:    _____________________________

                    _____________________________

Telephone:  ________________ (home)

                     ________________ (work)

                     ________________ (cell)

E-mail:___________________

Employer: ________________________________ 

Occupation: ____________________________

Names and ages of all individuals in household:   _________________________________________

Type of Residence: _______________________________ 

Do you own or rent: ________________

If you rent can you provide proof of permission to have a foster dog:  ________________

Where will the foster dog live:  ________________________________________________________

Is your yard fenced: _____________ 

What kind of fencing: ________________________________

If no, where will the dog be exercised and allowed to eliminate:   _____________________________

What other pets do you own:    ________________________________________________________

Will your foster dog be required to interact with your current pets:   ___________________________

Have you ever used dog crates: ___________________ 

Do you own a dog crate: ______________

Why do you want to become a foster home: 

_________________________________________________________________________________

Describe any previous experience with Jindos: 

__________________________________________

Do you have any preference as to the sex of your foster dog: 

_______________________________

Please feel free to attach any additional information you would like us to have and return this form to:

Jin-Sohl Jindo Dog Rescue
P.O. Box 3174
Quartz Hill, CA 93536-3174

or email it to 

adopt@jindo-dog-rescue.org
 (preferred method)