CRGI Foster Home Application

Collie Rescue of Greater Illinois

Foster Application Form
Please direct any questions to foster@collierescue.org
Full Name*

First NameLast Name
Age
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number - Home

Area CodePhone Number
Phone Number - Mobile

Area CodePhone Number
Phone Number - Work

Area CodePhone Number
What is the best way to reach you?

HomeWorkCellEmailTextFacebook
Do you use Facebook Messenger?

YesNo
Do you live in a:
Do you:

OwnRentLive with ParentsOther
Please indicate landlord contact information
Household Setting

RuralSuburbanUrban
Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests
Select the types of flooring in your home

CarpetWoodTikeConcreteVinylOther
Will the collie need to use stairs in your home?

YesNo
Describe the stairs the collie will need to use
Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*
Does Anyone in your Household have Allergies to Animals?

YesNo
Are all members of your Family agreeable to Fostering a Dog?

YesNo
Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm, Living/Deceased)*
Do you have a preference in sex of foster?

MaleFemaleNo Preference
Please describe the type of dog you are willing to foster (Please include coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes.
Are you willing to foster a Collie mixed breed?

YesNo
Are you willing to foster a puppy (under 1 year)?

YesNo
Are you willing to foster a senior (over 7 years)?

YesNo
Are you willing to take your foster dog to vet appointments?

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

YesNo
Please give details on your transportation method
Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?

YesNo
We do not always know what circumstances your foster dog came from. They may have accidents in the home or chew household items. Are you willing to help your foster learn good house manners with love and patience while in your home?

YesNo
ALL animals need some time to adjust to their new surrounding; especially when other animals are involved. Are you prepared to devote extra time and/or training in the beginning?

YesNo
Have you had any experience with with an emotionally or physically neglected or abused dog?

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

YesNo
Do you have experience with crate training?

YesNo
Describe your crate training experience
Do you have a fenced yard?

YesNoPartial
Do you agree to keep your foster dog leashed at all times when not in a fenced in area?

YesNo
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 and approximate length.
Please list your most recent Veterinarian and 3 personal references with names, addresses, phone numbers and how related. We prefer it not to be all relatives. Are you ok with this?

YesNoOther
Vet Reference: Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vet Phone Number

Area CodePhone Number
Reference #1: Full Name*

First NameLast Name
Relation to applicant(s):
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Reference #2: Full Name*

First NameLast Name
Relation to applicant(s):
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Reference #3: Full Name

First NameLast Name
Relation to applicant(s):
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Do you have anything else to share?
By sending this 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 Collie Rescue of Greater Illinois (CRGI) 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 CRGI complete reference call checks and conduct a home visit inspection to be able to approve my foster application.
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Collie Rescue of Greater Illinois