Cry For Help Rescue Program
Foster Application
______
Contact: Jean Lazzaro
630-242-1931
Please complete the questions below, sign, and return to Jean Lazzaro. Thank you for wanting to help by fostering. We cannot save these animals if we do not have fosters. Fosters are the backbone of C4HR.
Name:
Address:
(Apt. #):
City: State: Zip:
Home Phone with Area Code:
Occupation:
Work Phone with Area Code:
Mobile Phone with Area Code:
E-mail:
1. Do you live in a house? ______Apartment? ______Condo? _____
Do you rent? _____ Own? ______
If you rent, do you have the landlord's permission to keep a dog? ______
[Please attach the form to your application]
If you rent, do you understand the dog must be exercised on a leash in a safe place? ______
Do you have a yard? ______Is it fenced? ______
What type of fencing? ______chain ______wood ______other (please describe)
2. Is someone home during the day? ______Please explain:
3. What provisions will be made for your foster if nobody is home during the day?
Loose inside? ______In crate? ______(We prefer that the dog be crated, as with all new dogs, whether fosters or adopted, they need to adjust to your schedule and they also need to be in a crate for housebreaking purposes, especially puppies. They should be taken directly from the crate outdoors, this helps with any housebreaking issues. They should not be allowed to roam the home before going out side to relieve themselves.) Even a dog that is totally housebroken needs to learn your routine. Once you feel confident they understand your routine, you can use your own judgment on whether they can be left out of the crate or not.
[Our rescues must be kept indoors] THEY ARE NOT ALLOWED IN DOG PARKS OR SIMILAR TYPE AREA.
4. Where will the dog sleep? Please explain:
5. Please explain your responses below. During the last two years:
a) Have you lost a pet (not through death)? ______
b) Have you had one poisoned? ______
c) Have you had an animal killed by a vehicle? ______
d) Have you had an animal die due to disease? ______
If yes, what did the animal die of? ______
6. Do you have children at home? Yes ______No ______Number: _____ Age(s): ______
[C4HR trusts that your children are experienced with and kind to animals. Please note: Because we cannot know all the personalities and behaviors of the children, C4HR will not place our dogs in homes that have a baby sitting / day care home business.]
7. Do you have other pets at home? Yes ______No______Number: _____ Ages(s): ______
If Yes, are the pets neutered? Yes ______No _____
([Due to the many health benefits accruing from spaying and neutering, as well as to prevent accidental litters, we require that all resident pets must be neutered/spayed.)
If Yes, are the pets vaccinated and on heartworm preventative? Yes_____ No_____
If Yes, do your pets get along with other dogs? Yes _____ No ______
8. C4HR will provide all medical care through our vets. Are you prepared to assume the responsibilities of feeding, bathing, grooming, heartworm and parasite preventative, and caring for your rescue, including emotional rehabilitation for a traumatized dog?
Yes ______No ______
9. Will you follow all veterinarian instructions provided and administer all prescription medications and H/W preventative to your foster? If applicable. ______
Yes ______No ______
10. Are you prepared to keep your foster crated if going through H/W treatment? If applicable.
Yes ______No ______
11. Are you prepared to assume the responsibilities of contacting C4HR for any medical emergencies? (For example, if a dog is going through Heartworm treatment and begins throwing up and becomes listless, this may be an emergency). If applicable.
Yes ______No ______
12. Do you agree that C4HR Coordinators make all medical and adoption decisions for our program dogs?
Yes ______No ______
13. Will you let C4HR know if you are planning to take your foster out of town or state for family visits or recreation?
Yes ______No ______
14. Though C4HR does not accept vicious dogs into our program, we do not know the histories of many of our rescues. Are you prepared to contact C4HR immediately if your foster dog bites anyone or injures another pet? Yes ______No ______
15. Will you keep the dog confined in a fenced yard when let outdoors, walk/exercise the dog regularly, and allow the dog indoors?
Yes ______No ______
16. Do you understand that your foster may be a Barker? Yes ______No _____
17. Do you understand that your foster can be shy and aloof with new people?
Yes ______No: ______
18. Do you understand that only C4HR officials may place your foster in an adoptive home?
Yes ______No ______
19. Foster parents are encouraged to maintain an 'aunt' or 'uncle' relationship with the dog in their care; but it does occasionally happen that the foster parent and dog bond so completely that adoption into this home is best for the dog and family, which we would be happy to work with. If you decide to adopt your foster, you must complete the adoption papers and pay only for the cost of vetting CFHR incurred on behalf of the dog, which can range from $150 to $200. Vetting costs include spaying/neutering, vaccines, fecal test, heartworm test and microchip. Is this acceptable?
Yes ______No ______
20. Are you willing to allow C4HR to visit your home by appointment?
Yes: ______No: ______
21. Name and phone number of your Vet:
I hereby authorize the veterinarian named herein to release information about me or my pet(s) to C4HR. as necessary to evaluate this application.
22. How did you hear about the Rescue Program?
Internet Search ______
Vet, Clinic, or other Referral ______(Name: ______)
Breeder ______(Name: ______)
Dog/Obedience Club ______(Name: ______)
Another Rescue Group ______(Name: ______)
Friend/Neighbor ______
Other ______(please explain)
I am in full agreement with the Rescue Program. By signing below I am attesting to the truthfulness of my answers.
Date: ______Signature: ______
Please print, complete, and return to:
Jean Lazzarovia email
C4HR Foster ApplicationPage 1