MSIR Foster Home Monthly Status Report

Instructions:
This form is provided to inform the MSIR coordinators about your foster dog's situation and adoption status. Please use this time to let us know any concerns you may have about your foster dog or fostering in general. If you have any questions about PRHs or need help finding a match for your foster dog, we would like to help!

Required Information

Foster Dog's Name: 

Foster Dog's MSIR ID #: 

Foster Family E-mail: 

Section 1 (If you have filled out this form before, you may skip to section 2 unless information has changed)

Vital Statistics

Foster Dog Age:     Color: 

Gender:    

Foster Dog's Microchip Number: 

Have you sent your microchip info to http://shibarescue.org/microchip.html? Yes No 

Do you need more info on the microchipping process? Yes No 

How long has this dog been in your care?: 
"Advertising" Your Foster Dog:

Has your foster dog been posted on the MSIR site?: Yes No 

If your dog has not been posted,  please indicate reason, comments etc.:

Have you attended a Meet & Greet event? Yes No

If your dog hasn't attended a Meet & Greet event, why?

If you selected "other," please explain.


Foster Family Contact Information:

      Contact Name:      
                            
                    City:     State:     Zip: 
 Phone (home):     
  Phone (work):      
     Phone (cell):                               

Preferred contact method:

Foster Family Vet Contact Information:

Vet Name:      
                            
City:     State:     Zip: 

Phone:      
 

Section 2

Health:
Is the dog current on shots (rabies, DHLPP, etc)? NoYes  Yes

Has this dog been spayed or neutered? 

Has this dog been tested for heartworm? NoYes

If yes, what were the results?

Health problems/concerns: 

Will this dog have a pre-existing conditions contract? NoYes I'm not sure
Behavior:
Does the dog have behavioral issues that will make it hard to find the right home? Please describe.

Training:
1. Is the dog housetrained? 
2. Is the dog crate trained (can he/she be left alone in a crate)? 
3. Does the dog walk well on a leash? 
4. Has the dog had any obedience training? 

Details (commands known, etc.): 


Placement Info:
1. Are you willing to have the dog transported if an appropriate home can be found in another area? NoYes   

2. Does this dog need a new foster home?NoYes     If so, by what date:

3. By when does the dog need to be placed?

4. What applicants have you rejected for this dog? (email address)

5. What applicants are you considering for this dog? (email address)

6. Are you waiting on any information for a particular family (like home visit, application, etc.)? If so, please explain.

7. Are you considering adopting this dog yourself or is this dog a foster-to-adopt?


What do you need from the MSIR coordinators to help you place this dog?:


Created by: adoptions@shibarescue.org