Connies Open Arms Foster Application

Name of Dog/Cat/Reptile you would like to help:

Legal Name

First NameLast Name

Age

All applicants must be 18 years of age or older. Photo identification may be required.

Address

Street Address (Where pet will reside)

Mailing Address (If different than above)

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

E-mail

Phone Number - Work

Area CodePhone Number

Type of Home:

Homeowner Information:

Other

If Renting or you are not the legal homeowner; Please indicate landlord/homeowner's contact information

Please verify that pets, including the breed of interest is permitted on property. Often times, breeds such as pit bulls or rottweilers are not.

Household Setting

Describe your Home's Activity Level

Are all members of your Family agreeable to Fostering a Dog/Cat/Reptile?

Does Anyone in your Household have Allergies to Animals?

Please List all People Living in the home in which the dog/cat/reptile will be fostered (Include Name, Relationship, Gender and Age)

If you live alone, please type "self only". Children's names are not required.

Please List any Pets Living in the home in which the dog/cat/reptile will be fostered.(Please include Name, Breed, Age, Altered, Gender, UTD Vaccines and any health issues)

If none, please type "none".

Do you have a preference regarding the gender of foster pet?

Are you willing to foster a dog/cat/reptile of any age?

If not, what age would you consider?

What size dog/cat/reptile are you willing to foster? (Check all that apply)

Please describe the type of dog/cat/reptile you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic)

Are you willing to take your foster dog/cat/reptile to vet appointments at a convenient time for you?

Do you drive or have access to a vehicle to bring your foster to events and appointments

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?

We cannot guarantee a dog/cat/reptile to be housebroken, are you equipped to train with love and patience?

Have you had any experience with with an emotionally or physically neglected or abused dog/cat/reptile?

If Yes please explain

Are you willing to use a crate for a dog if recommended?

Do you have a fenced yard?

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the foster be left alone?

What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.

Veterinary Reference

VeterinarIan Name or Clinic NamePhone Number

Personal Reference #1:

Full NamePhone Number (cell phone prefered for text corresponding)

Relation to applicant(s):

Personal Reference #2:

Full NamePhone Number (cell phone prefered for text corresponding)

Relation to applicant(s):

Personal Reference #3:

Full NamePhone Number (cell phone prefered for text corresponding)

Relation to applicant(s):

Please include any additional information to be considered:

Have you ever had a outbreak of Parvo?

If yes, how long ago was the outbreak of Parvo in your home?

Have you ever had a outbreak of Distemper?

If yes, how long ago was the outbreak of Distemper in your home?

Have you ever surrendered an animal to animal control or had an animal removed from your home?

If yes, please explain (animal, surrendered or removed, when and why)

If you have multiple animals are you willing to follow C.O.A.Rs introduction procedures? (it will be explained to you in advance, as well as support offered)

In the event, the animal in your care needs to be boarded, not approved by C.O.A.R, the foster is responsible for any associated costs and not the rescue. Do you agree and understand?

Do you understand that as a foster parent that communication is key to ensure that the animal in your care can get healthy and adopted?

Do you agree that sending updated pictures and videos of the animal in your care to the rescue representatives is so important to help with posting and getting the animals adopted?

Some foster parents can become extremely attached to the animal in their care. Do you feel you are emotionally capable of releasing the animal when the time comes?

Do you agree to a homecheck?

If you do not agree to a homecheck please explain why?

Electronic Submission/Signature Acknowledgement By submitting this application electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I agree to have the owner complete reference checks and conduct a home visit inspection to be able to approve my foster application. I acknowledge that a seperate foster agreement/contract may be required which will further detail the terms of the foster agreement. (including length of stay and any special circumstances pertaining to the foster animal.)

Date

MonthDayYear

E-Signature (First and Last Legal Name)

I understand that typing my name above constitutes a legal signature.

Please include a clear picture of the front of your drivers license

Browse Files

C.O.A.R Foster Application

Applicant Information:

References:

Caregiver Acknowledgements: