| Chicago Canine Rescue Foundation |
| Dog Foster Care Application |
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| * Required field. Please fill out application entirely. If the question does not apply and it is a required field, then put "N/A". We suggest using Internet Explorer to fill out this form. Thank you! |
| Applicant/Co-Applicant Information |
| *First Name: | *Last Name: | *Date of Birth: | |||
| First Name: | Last Name: | Date of Birth: | |||
| *Street address: | |||||
| *City/*State/*Zip: | |||||
| *Main Phone #: | 2nd Phone #: | 3rd Phone #: | |||
| *E-mail: | |||||
| How long have you lived at this address? | |||||
| Do you own? | Rent? | ||||
| *Landlord's/Condo board's name/email/phone: | |||||
| How were you referred to the Chicago Canine Rescue Foundation? | |||||
| Family/Household Information |
| *Number of adults in the household: | Relationships: | ||
| Have all the adults in the household agreed to foster a dog? | YesNo | ||
| *Number of children in the household: | Ages of children: | ||
| Have the children had pets before? | YesNo | ||
| *Is anyone in the household allergic to pets? | YesNo | ||
| *Who? | |||
| *Why do you want to foster a dog at this time? | |||
| Pet Information |
| Have you had pets in the past or do you currently have pets? Please tell us about them |
| *Have you had or currently have a pet(s)? | YesNo |
| Name | Breed | Age | Gender | Altered | Where are they? |
| MF | YN | ||||
| MF | YN | ||||
| MF | YN |
| *Have you ever given an animal away or relinquished an animal to a shelter? | YesNo | ||
| *If yes, what were the circumstances? | |||
| *Do you currently have a Veterinarian? | YesNo | ||
| If yes, below is required. | |||
| Veterinarian Information |
| Veterinarian's Name: | Veterinarian's Phone: | ||
| When was your current pet's last visit to a veterinarian and why? | |||
| Foster Information |
| *Who in the household will be the primary care giver for the foster animal? | |||
| *Where will the foster animal be kept during the day? | *During the night? | ||
| *How many hours per day will the foster animal be left alone? | |||
| How do you plan to deal with house training your foster dog? | |||
| *For what length of time can you foster an animal? | |||
| *How often can you foster an animal for CCRF? | |||
| *Have you ever fostered for another animal welfare organization? | *If yes, which one? | ||
| What would you do if your foster dog develops a problem with: |
| *Digging: |
| *Barking: |
| *Chewing: |
| *Aggression: |
| Animal Care Experience |
| *Please describe any formal experience or training you have working with animals (include species): |
| *Please describe any informal experience you have had working with animals (include species): |
By hitting submit, I certify that the information I have given is true. I understand that the Chicago Canine Rescue Foundation reserves the right to deny my application for any reason. I further authorize the investigation of all statements in this application. |
| Submit |
| Thank you for your application, The Chicago Canine Rescue Foundation |