Foster Home Application

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Foster Home Application

Yankee Chihuahua Rescue and Adoption, Inc (YCRAA)

This form is the Foster Parent Application. Please complete all required entries marked with a red asterisk *.
This form will not be able to submit without all the required questions answered. Please be as detailed as possible.

If you're interested in Volunteering and do not want to Foster, then please complete the shorter Volunteer Application form.

If you can not complete this or any other application or if you have questions, then please email us

* First and Last Name

* Your Age:

You must be 25 years or older to foster an animal. A valid ID is required.

* Home Street Address City/Town Zip Code

* State: ME / NH / VT / MA / CT / RI We can not foster dogs outside of these areas.
Contact Chihuahua Rescue and Transport (CRT) for info about fostering in your area.

Mailing Address (if different)

* Home Phone:		Best time to call:
Cell Phone:
Work Phone:

* Email Address (preferred contact method):
* Occupation:
* Number of hours worked outside of home per week:

What other types of work might you be interested in performing for YCR?
      Adoption interviews and home checks
      Contact person and dissemination of adoption procedures to adoption applicants
      Contact person and dissemination of volunteer procedures to volunteering applicants
      Database maintenance
      Emergency, short term foster
      Fostering
      Fund-raising
      Manning YCR booths at fairs and shows
      Resource contact for shelters and other rescue organizations
      Transportation of YCR dogs
      Website support

* Are you now, or have you previously volunteered with a rescue group? No Yes	If yes, please provide organization’s name and contact information
	* Have you fostered previously? No Yes

* Why do you want to foster a Chihuahua?

* Does everyone in your household know that you are applying to foster a Chihuahua? No Yes

* Does every member of your household want to foster a dog? No Yes

* Describe any/all pets that are currently living with you (type/breed, age, sex, altered status, etc.)

* Please describe those pets that are no longer with you and why

* Does anyone in the household have allergies? E.G. Animal dander, ... List all.

* List all adults in household, including yourself, their ages and relationship to applicant.
(Please include all residents and housemates whether related or unrelated)

* List all Children in household and their ages; if none please state "none".

* How much adult supervision will the dog and child be provided?

* Do you have neighborhood children? How old are the neighbor's children?

* Will the dog have interaction with neighborhood children?

* How much interaction will the dog have with visitors?

* What is the level of activity in your household? (laid back, on the go, athletic)

Please note: If you live in an apartment, a condo, assisted care facility, senior housing, or any other type of rental/leased home that you do not own, then you must provide a letter (on letterhead paper) from management stating they approve that you may adopt a dog from us.

If you rent/lease, then you must bring your rental/lease agreement which states the type of pet you are interested in is approved or permitted in the home. You must also provide the landlord's name and telephone for verification.
Be sure to inquire with the landlord about size, gender or other restrictions before submitting an application.

* What type of home do you live in? Single Family / Multi-Family / Condo / Apartment
Other , please specify:

* Do you own or rent your residence?
Own Rent

If you rent, then enter the name, address and phone number of your landlord.

* Is there is any aspect of your home that a foster could affect? Are there any safety hazards? Please detail.

* Is there a fenced yard? If so what type fencing and what size is it? What sort of an outdoor area is there?

* Where will the dog sleep when you retire for the day?

* How much time will the dog get to spend outside?

* How many hours a day will the dog be left unattended? Where will they stay?

* How frequently will you be gone away from home on business, vacation, or trips?

* When you are away where will the dog be kept?

* Are there currently any long range plans that will change your living situation within the next year?

* What do you intend to feed the dog?

* How will you house train the dog? Enter as much detail as possible.

We crate train. It helps the dog adapt more quickly and with less stress when they find their forever homes.
* Are you familiar with crate training?

* How will you ensure the safety of your Foster dog?

* Are you willing to groom the animal and trim nails? Yes No
* Are you willing to work with a foster on obedience training or provide behavior modification?

* Will you provide leashed walks? Yes No Please explain if no:
* How would you encourage or reinforce the foster dog's appropriate ('good') behavior?

* How would you prevent, modify or manage the foster dog's inappropriate (* not so good* ) ill-timed behavior?

* Are you willing to travel to pick up a dog? How far are you willing to travel to pick up a dog?

* Are you prepared to possibly keep the foster dog indefinitely - until the dog can be placed at an approved home?

List any preference you have in adopting a dog using the checkboxes below:
Note: If no selections are made then "No Preference" will be assumed.

Age
Up to 6 years
6 years or older

Sex
(Neutered) Male
(Spayed) Female

Size
Up to 6 lbs
6 to 10 lbs
Over 10 lbs

Please consider me for fostering a Special Needs Dog    Yes No
Please consider me for fostering a Senior Dog                Yes No

Are you willing to foster an animal that has health problems? Yes No
If yes, then is there any specific health problem(s) that will not be accepted?

* Will you allow a representative of YCR visit your home?     Yes     No

* Do you understand your application must be approved and a home check must be completed before you are enlisted as an YCR volunteer for fostering or any other suvh dog-related activity involving your home?
Yes, I understand I must be approved first and I will permit the required home check

* Do you understand that foster homes cannot adopt their first Chihuahua foster?
Yes, I understand I cannot adopt my first Chihuahua foster.

* Please provide the name & address of the veterinarian you'll use for this dog.

* Veterinarian Phone Number

Personal Reference: If you have a dog that attends Doggie Day Care or a Dog Walker please provide their information. (Not required, but recommended.)

Reference / Business Name

Street Address, City/Town, State, Zip

Reference phone number

A signed Code of Ethics form must be on file with YCR before we can enlist your help as a volunteer.

Upon submission of this form, a YCR volunteer will reach out to you to provide an update on the status of your application. If your application is approved, you will receive a copy of the YCR Code of Ethics and Fostering Agreement forms for your formal signature. Please note that a signed Code of Ethics form must be on file with YCR before we can officially engage your services as a volunteer.

IMPORTANT: By typing your full name in the signature field below, you acknowledge that your typed name holds the same legal standing as your handwritten signature. By e-signing this form, you confirm that the information provided is accurate to the best of your knowledge and belief. Furthermore, your e-signature authorizes us to verify this information, including contacting your references and veterinarian. You also consent to your veterinarian sharing information about the health records of your current or past pets with our organization.

* Signature:

Where did you hear about us? Comments?

Incomplete applications will not be considered. Please provide much detail for consideration.

Incomplete applications require time to follow up and all requested information is important.
When you have answered all the required questions:

Submit Application: Reset form: CAUTION This will clear the entire form.