| Where did you hear about us? |
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.If you are
applying to
foster a Katrina Dog,
.please indicate by placing a check mark here:
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Yes, I'm applying to
foster a Katrina Dog |
| Your Full Name (first and last): |
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Your Spouse's/Partner's Full Name (first and last): |
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Street Address:
NO PO Boxes Please! |
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City:
State: |
Zip Code:
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| How many years have you lived at the above address? |
Years
Months
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| I live in a: |
House
Apartment
Mobile Home
With Parents |
| Do you own or rent? |
Own
Rent |
If you rent, what is the name and phone of your
landlord?
We will require your landlord's consent. |
Name
Phone Number |
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Your Home Telephone Number: |
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| Your Alternate Telephone Number: |
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YOUR e-Mail address: |
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Secondary e-Mail address: |
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| Are you 21 years of age or older? |
Yes
No |
| Place of Employment: |
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| Work Telephone Number: |
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| How many adults and/or live in your household? |
Adults
Children
Children's Ages |
Which members of your household
will be responsible
for the care and training of the dog? |
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| Please tell us why you are interested in fostering
for CDR. |
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| Have you
YOURSELF owned and been the person responsible for the care
and vet bills of: |
Dog
Cat
Puppy |
| Have you adopted from a shelter or rescue group
before? |
Yes
No |
| Name of Shelter/Rescue Group: |
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| Location of Shelter/Rescue Group: |
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| Have you fostered for a shelter or rescue group
before? |
Yes
No |
| Name of Shelter/Rescue Group: |
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| Location of Shelter/Rescue Group: |
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| Is someone home during the day? |
Yes
No |
| If Yes, please give details: |
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If not, for how many hours will the dog be alone
including commute time? |
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Describe where the dog will be when you
ARE home-which room(s), yard, dog house, garage, basement etc.
PLEASE BE SPECIFIC. |
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Describe where the dog will be when no one is home--
(rooms, yard, dog house, garage, basement,
doggie daycare, take to work etc.)
PLEASE BE SPECIFIC. |
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| Where exactly will the dog sleep
at night? |
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| Are you willing to provide basic training? |
Yes
No |
| Are you willing to provide housebreaking training? |
Yes
No |
| If willing to provide
housebreaking training, who will do the housebreaking and
how will this be accomplished? |
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| How will you confine the dog when it is outdoors? |
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| Please tell us about all the
people the fostered dog would usually come in
contact with (baby sitter, extended family, children, visitors, roommates
etc.) |
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| I plan to let the dog get exercise in: |
In my own yard that is presently fenced
On a cable run
On a chain or
tie out |
| I will provide the dog with: |
a
short walk per day
a long walk per day
two walks per day
run or jog per day
unable to
provide daily walks |
Your Current Pets:
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| Are all of your animals current with their vaccines? |
Yes
No |
| Your Current Veterinarian |
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| Current Vet's Telephone Number |
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YOUR AVAILABILITY
The following questions will help us determine:
1. if we can reach you every day as we screen
applicants for your foster dog;
2. if you have the ability to take pictures
of your foster dog and send them to us for our website. |
| Are you available by email on a daily basis? |
Yes
No |
| Do you have an answering machine that you check
EVERY day? |
AT HOME
Yes
No ~~~ AT WORK
Yes
No |
| Do you own a working digital camera? |
Yes
No |
| Do you own a working scanner? |
Yes
No |
| Can you open and print Microsoft Word documents? |
Yes
No |
By submitting the
Foster Application,
I am certifying that:
◊ I am at least 21 years of age.
◊
I have never mistreated
an animal.
◊
I understand that the
foster dog assigned to me remains the property of Cayuga Dog Rescue.
◊
The dog will remain in
my care temporarily until a permanent adoptive home is found by CDR.
The above application MUST be fully completed
to be accepted.
IF you DO NOT receive a response
within FIVE days, please contact us again!
PLEASE NOTE: When you
submit this application, you will immediately receive a confirmation.
If you do not receive confirmation, please resubmit your application. |
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