Foster Application
Name
First Name
Last Name
Home Phone Number
-
Area Code
Phone Number
Work Phone Number
-
Area Code
Phone Number
Email
example@example.com
Name of Employer
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you lived at this address?
Do you live in a
House
Condo/Townhome
Apartment
Mobile Home
Do you
Rent/Lease
Own
Name of complex or association if renting/leasing
Name and phone # of landlord or owner
Do you have a fenced yard?
Yes
No
What is the pet policy of where you live?
How many adults reside at this address?
Are there children in your home? If yes, how old are they?
How many hours would there be someone at home during the day?
Do you have any dogs and/or cats at home now?
Yes
No
What are the age/breed/sex of the animals you have at home? Are they spayed/neutered?
Please put information of each pet on a separate line
Approximate date and reason of last vet visit.
Are all pets up to date on vaccines?
Yes
No
Are all pets on heartworm and flea/tick preventatives?
Yes
No
Other
Have you had other pets in the past 5 years?
Yes
No
What are the age/name/breed of the animals you have owned previously? Why are they no longer with you?
Please list each on a separate line
What Veterinary hospital/clinic do you (or did you) use?
Do you own a crate the foster dog can use?
Yes
No
Are you willing to purchase food for your foster dog?
Yes
No
Where will the foster animal(s) be when no one is home?
Indoors
Outdoors
Other
Where will the foster animal(s) sleep?
Indoors
Outdoors
Other
Why would you like to foster with CCR?
Have you fostered before? With what rescue group?
Federal and State Laws require rescue organizations perform periodic home checks (every 6 months) of all foster homes. Are you willing to allow Canine Caravan Rescue to perform a home check at a mutually agreed to time?
Yes
No
Please sign below if you agree that all of the information that you have given above is correct as written and to show that you authorize Canine Caravan Rescue to verify any information if needed.
Submit
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