Expression of Interest

Cavalier King Charles Spaniel Rescue (Qld) Inc.

Registered as a charity with the Australian Charities and Not-for-profits Commission ABN 28 709 153 342.
Expression of Interest - Foster Carers
NOTE: Foster Carers are admitted as Friends of the Association
Application type: FOSTER
Name*

First NameLast Name
Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home Phone
Mobile Phone*
ID: Please provide a copy of your Driver's Licence for identification.
Please upload a copy of your Driver's Licence *

Cancelof
Cavalier King Charles Spaniel Rescue (Qld) Inc. will only use your personal details to record, assess and manage your application. Your details will not be sold, shared with or otherwise released to any third party without your prior consent.
1. Do you currently?*

Own your homeRent your homeLive in someone else's home. eg. parent's home
If you are in your own home, we may request to see a recent Rates Notice. If you arerenting, we may request to see written consent from your landlord that you are allowedto keep pets in the property.
2. What is your current or previous experience with the Cavalier King Charles Spaniel breed (if any?)
3. What do you know about the potential health issues and grooming requirements of this breed? eg. heart problems patella problems eye health ear health maintenance of coat, etc*
4. Are you aware that as a result of a physical trait many Cavaliers snore?*

YesNo
5. Do you have any other pets that live at or visit your home?*

YesNo
Number of dogs:
Number of cats:
Number of other pets:
If yes, please provide details of type/s of pet, breeds, ages and a brief description of their temperament and behaviour.
If you have dogs and or cats please briefly outline what you normally feed them.
6. We need to consider your activity and lifestyle when trying to match a dog to your home. Please briefly detail the typical daily exercise and activity routine you would be able to provide. eg walks, swimming, play, beach, visits etc. How long each session? How many times per week? *
7. Do you have any formal dog training experience?*

YesNo
If yes please briefly describe your experience
8. Would you consider fostering a senior dog or a dog with health issues?*

YesNo
9. At your home, do you have any of the following either inside or out?*

Polished floorsFloor tilesStairs/split level
10. We require that your yard and garden is securely fenced, including swimming pool areas. Please detail what type of gates and fencing you have.*

4ft fencing6ft fencingColorbondTimberBrickWire/meshLatch gates
11. Do you live in an area which has:*

TicksCane ToadsSnakesOther wildlife
If other, please explain.
12. Where will your foster dog spend time during the day and at night?*
13. Who will be responsible for looking after your foster dog if you need to be away from home or when you go away on holidays? Will you need CKCSRQ assistance to arrange foster accommodation?*
14. Please advise of your typical work hours. Also, please advise at what times there will be a responsible person at home to look after the dog?*
15. Please outline who else lives at your address, including other adults and children.
Number of adults*
Number of children *
16. Please list the ages of any children that live at or visit your home. (eg. friends, children, grandchildren)
Expression of Interest
17. Please advise of your experience (if any) in the following occupations:
Canine First Aid
Veterinary Nurse
Nurse
Canine Nutrition
18. Please tell us what has motivated you to enquire about fostering a Cavalier?*
19. As a potential foster carer, please indicate which of the following you are able to assist with:*

Assist with transportation to collect or drop off a CavalierAttend veterinary appointmentsProvide appropriate high quality food for the dogAdminister medication such as eye drops or oral medicationProvide an approved raw diet for the dog
20. How did you find out aboutCavalier King Charles SpanielRescue (Qld) Inc.?*

FacebookWebsiteFriendPet ExpoAnother rescue/animal groupSpoke to one of your Volunteers
If you spoke to a Volunteer, please provide their name:
APPLICANT'S DECLARATION
I declare the information I have provided on this form is to the best of my knowledge true and correct. I hereby acknowledge the obligation and agree to keep matters of a confidential nature, particularly regarding personal details and the circumstances surrounding surrender and rehoming, confidential and to respect privacy as required by the Privacy Act 1988 (Cth).
Full name*
Signature*

Clear
I would like to join the email list to receive notification of upcoming events and information from time to time Yes

YesNo thank you
Dated*

MonthDayYear
Thank you for your interest in fostering or adopting a dog through Cavalier King Charles Spaniel Rescue (Qld) Inc. We genuinely appreciate you taking the time to provide US with as much information as possible.

Please note Liability Insurance of $10,000,000 is current and provided by Berkley Insurance Australia.
Should be Empty:

Expression of Interest - Foster Carers

Application type: FOSTER

APPLICANT'S DECLARATION