Chicago Canine Rescue Foundation
Dog Foster Care Application
*Pet Name: Applicant's Last Name:
* Required field.
Please fill out application entirely. If the question does not apply and it is a required field, then put "N/A". We suggest using Internet Explorer to fill out this form. Thank you!
Applicant/Co-Applicant Information
*First Name: *Last Name: *Date of Birth:
First Name: Last Name: Date of Birth:
*Street address:
*City/*State/*Zip:
*Main Phone #: 2nd Phone #: 3rd Phone #:
*E-mail:
How long have you lived at this address?
Do you own? Rent?
*Landlord's/Condo board's name/email/phone:
How were you referred to the Chicago Canine Rescue Foundation?
Family/Household Information
*Number of adults in the household: Relationships:
Have all the adults in the household agreed to foster a dog? YesNo
*Number of children in the household: Ages of children:
Have the children had pets before? YesNo
*Is anyone in the household allergic to pets? YesNo
*Who?
*Why do you want to foster a dog at this time?
Pet Information
Have you had pets in the past or do you currently have pets? Please tell us about them
*Have you had or currently have a pet(s)? YesNo
Name Breed Age Gender Altered Where are they?
MF YN
MF YN
MF YN
*Have you ever given an animal away or relinquished an animal to a shelter? YesNo
*If yes, what were the circumstances?
*Do you currently have a Veterinarian? YesNo
If yes, below is required.
Veterinarian Information
Veterinarian's Name: Veterinarian's Phone:
When was your current pet's last visit to a veterinarian and why?
Foster Information
*Who in the household will be the primary care giver for the foster animal?
*Where will the foster animal be kept during the day? *During the night?
*How many hours per day will the foster animal be left alone?
How do you plan to deal with house training your foster dog?
*For what length of time can you foster an animal?
*How often can you foster an animal for CCRF?
*Have you ever fostered for another animal welfare organization? *If yes, which one?
What would you do if your foster dog develops a problem with:
*Digging:
*Barking:
*Chewing:
*Aggression:
Animal Care Experience
*Please describe any formal experience or training you have working with animals (include species):
*Please describe any informal experience you have had working with animals (include species):

By hitting submit, I certify that the information I have given is true. I understand that the Chicago Canine Rescue Foundation reserves the right to deny my application for any reason. I further authorize the investigation of all statements in this application.

Submit
Thank you for your application,
The Chicago Canine Rescue Foundation