Foster Application

Internal Notes
This app is:
Foster Application

***Please note that this application will qualify you only as a foster. Being approved to foster does not automatically mean you will be approved to adopt. If you are planning to adopt at some stage, and hope to meet your dog by fostering, please request the more detailed adoption application.*** We are delighted that you are interested in fostering for us, and are grateful for your offer of help. We view our relationship with our fosters as a partnership, and we will work with you to make it succeed.Although the rewards are huge, fostering can be challenging and hard work. Sometimes it’s heart wrenching, usually it’s messy, and it is rarely convenient. This application is intended to ensure that you know what you are letting yourself in for, and ready to make the commitment. At the same time, it will inform us about your strengths, limitations, and areas where you may need extra support. Our goal is to place dogs in foster homes where they will fit with the foster’s lifestyle, capacity and expectations.We will conduct a background check on each adult living in the home.Please answer all the questions in as much detail as possible. We will call soon to chat with you further and to set up a home visit.
Personal Information
Full Name*

First NameMiddle NameLast Name
Maiden Name (if applicable)
Date of Birth*

MonthDayYear
Age*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Please list all the other people living in your household, including children. Provide name, age, relationship with you, and contact numbers of all independent adults who share your home:

*If you have more than three please enter the information into the box below.*
Person 1
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Relationship to You
Ex: Spouse, child, roommate
Person 2
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Relationship to You
Ex: Spouse, child, roommate
Person 3
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Relationship to You
Ex: Spouse, child, roommate
Additional People
Make sure to include Name, Date of Birth, Relationship to you, and contact number (for adults) for all people that live in your household.
Is anyone in your household allergic to animals, or does anyone suffer from any chronic condition or disability that could affect their ability to live with a dog?*

YesNo
If yes, how do you plan to deal with this?
Is anyone in your household afraid of or unaccustomed to dogs?*

YesNo
If yes, how do you plan to deal with this?
Does anyone in your household smoke?*

YesNo
Who will be the primary caregiver?

Pet Ownership History

We want to ensure that a dog we place with you will be able to cohabit peacefully with other animals in your home.

Please list the pets that you currently have in your home. Please provide the pet’s name, species (dog/cat/bird/etc.), breed (if a dog), age, dominant or submissive (if a dog), sex, whether it is sterilized, and whether it is used to other dogs.
Please list all the animals you current have. Exclude fish :) Please provide Type of animal, Pet's Name, Age, Spayed/Neutered/Unaltered?*
Ex: Dog, Nora, 4, Spayed
Do you keep any large or small livestock or horses?*

YesNo
If yes, please describe.
Will your dog interact with or have access to these animals? If yes, please describe.
What do you feed your dogs? (Type and brands of regular meals, and typical treats.) Do you need Mikey’s Chance to provide food for your foster dog? (If you donate food or other supplies, that may be claimed as a tax-deductible donation.)*
Who is your current Veterinarian? How long have you been with them?*

Dog Related Knowledge

Some of the questions asked in this section may seem very obvious. They are intended firstly to help ensure that you have fully thought through the potential challenges of fostering. Not all fosters are experienced dog owners, and we are committed to providing as much support as you need.
What behavior do you expect from this dog when it first comes to live in your home?*
Are you willing to spend time training your foster dog? (Some dogs in our program are mellow and easy and just need a safe place to stay while we look for their forever home. Others are more challenging, and need help to become great pets. We would like to know how much time you have to invest in helping to make your foster dog become more adoptable.)*
What are your opinions about disciplining a dog?*
Dogs under stress (e.g., on being introduced to a new environment) may mark territory by urinating indoors. Also, some rescue dogs, especially puppies or adults that have spent a long time kenneled, may not be fully house-trained. How do you plan to deal with this?*
A rescue dog’s behavior during when it first comes to your home may be negatively affected by its past experiences. (E.g., it may be fearful, lack trust, be disobedient, growl or snap, display anxiety, be needy, afraid of being alone.) How do you plan to deal with this?*
Do you have any areas of concern not covered in this questionnaire, where you know you will need support?*

Personal References

Please provide at least three references who can tell us about how you interact with dogs. References must be adults who are not living in your household. Provide name, phone number, relationship with you.
Person 1*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to You*
Person 2*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to You*
Person 3*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship to You*
By selecting YES I am certifying that all the information in my application is true and correct to the best of my knowledge.*

YesNo
BEFORE hitting submit please read these important terms & conditions:

Mikey's Chance Canine Rescue will be represented by the abbreviation MCCR in the following.
- Your foster dog may not be house-trained and puppies can be messy. You understand he/she may have accidents in your home.
- Like many dogs, your foster may chew on furniture, clothing, or other objects. You are comfortable working with this behavior. The foster home is responsible for any damage.
- You agree to keep your foster dog on a leash, enclosed area, or inside your home at all times.
- You will NOT take your foster animal to a veterinarian or administer medications unless directed to do so by the Directors of MCCR. MCCR will not reimburse foster volunteers for any unapproved veterinary expenses.
- MCCR may need to contact or visit you to discuss the foster dog. You agree to be entirely honest and forthright in regard to your foster pet’s condition, be it positive or negative.
- There is some risk to your own animals, especially if your foster animals are not kept separate. You understand that MCCR is not responsible for your own pet’s medical treatment.
- MCCR is the legal guardian of your foster dog. You understand MCCR has the final authority in regard to the animal’s adoption, treatment or disposition.
- You will not leave your foster dog in the care of another person, including potential adopters, without approval.
By selecting READ, you confirm that you have read the terms and conditions, and that you understand them.*

Read
By selecting YES, you confirm that you agree to be bound by the terms and conditions.*

YesNo
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