Foster a Puppy Application – Saber Life Foundation

Please fill out all required fields (ending with *). Once submitted, the form will then be sent directly to Saber Life Foundation email for review.

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"*" indicates required fields

Step 1 of 8

By continuing, I am aware that I am applying to raise a future Saber Life Foundation Working Dog, NOT to foster or adopt from a rescue or shelter.

Name*

First Last

Are You 18 or Older?*

Yes

Date of Birth (if under 18)*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email Address*

Please provide the names and complete contact information for two references.

Name (reference #1)*

First Last

Address (reference #1)

Street Address Address Line 2 City State ZIP Code

Phone (reference #1)*

Name (reference #2)*

First Last

Address (reference #2)

Street Address Address Line 2 City State ZIP Code

Phone (reference #2)*

BACKGROUND SCREENING AUTHORIZATION

Notice, Authorization, and Release to Obtain Consumer Reports

In connection with my application for Service Dog placement, I understand that an investigative consumer report may be requested that will include information as to my character, work ethics, work performance, discipline and work experience. To obtain Consumer Reports and information concerning identity verification and criminal records, I understand that as directed by company policy and consistent with screening or consideration for Service Dog placement with Saber Life Foundation, or its related corporate entities, you may be requesting information from public and private sources about my criminal history record credit and references.
According to the Fair Credit Reporting Act, I am entitled to know if placement is denied because of information obtained by SLF from a consumer-reporting agency. If so, I will be notified and given the name and address of the agency or the source which provided the information.
I acknowledge that a telephone facsimile (FAX), electronic or photographic copy shall be valid as the original.
I authorize, without reservation, any law enforcement agency, institution, information service bureau, school, employer, reference or insurance company contacted by Saber Life Foundation or related corporate entities, or its agent, to furnish the information described in Section 1 and waive any right to notice of such disclosure of that information and release. I agree to hold harmless from liability any person or organization that provides such information, as well as Saber Life Foundation, its agents, officers, directors, employees and volunteers. The following information is required by law enforcement agencies and other entities for positive identification purposes when checking public records. It is confidential and will not be used for any other purposes.

Full Legal Name*

First Middle Last

Current Address*

Street Address Address Line 2 City State ZIP Code

Previous Address*

Street Address Address Line 2 City State ZIP Code

Social Security Number*

Enter your 9 digit Social Security Number without dashes or spaces.

Date of Birth*

Sex/Gender*

Male

Female

Current Email Address*

Enter Email Confirm Email

Phone Number*

Drivers License/ID Number*

Issuing State*

Name

This field is for validation purposes and should be left unchanged.

BACKGROUND SCREENING AUTHORIZATION

Notice, Authorization, and Release to Obtain Consumer Reports

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