Foster Home Application

Thank you for your interest in becoming a foster for JCCARE. Please note this form is for Fosters only, if you are interested in volunteering in another capacity, please close out of this form and fill out the “Volunteer Application” instead. Foster homes are needed to give each rescued Japanese Chin an opportunity for a better life. You provide the love and a temporary home while they are waiting for their forever home. Thank you for your interest in becoming a JCCARE foster home. Once we receive your completed application one of our representatives will be in touch with you.

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Contact Info

First Name *

Last Name *

Home Phone *

Cell Phone

Work Phone

Primary Email Address *

Secondary Email Address

Street Address *

City *

State *

Zip *

How long have you lived at your current address?

Do you own or rent? *

Rent

Own

When are you available to start fostering? *

Renters: provide your landlord’s contact information

Landlord’s Name

Landlord's Address

Landlord’s City

Landlord’s State

Landlord's Zip

Landlord’s Phone

Do you have your landlord’s permission to have a dog?

Yes

Veterinarian Information

Name *

Address *

City

State *

Zip *

Phone *Please call your Vet(s) and give consent to release medical information posted in your file. *

Family and Residence Information

Ages of Adults who live in your house *

Ages of Children who live in your house

Are your children afraid of dogs?

Yes

Do you have other children who visit you?

Yes

If children visit, how often do they come and visit?

Is your yard fenced?

Yes

If so, please describe the type of fence, its height and the dimensions of the fenced area. *

Do all members of your household want a foster dog? *

Yes

If No, who is not in favor and why?

Foster Information

Why are you interested in fostering a dog? *

Do you have any special criteria for a foster dog that would live at your residence? (e.g.) Sex, age, activity level, etc.) *

Do you currently have any other animals living with you? *

Yes

If yes, please tell us about your pets to best match our foster Chin to your family: Name, breed, age, gender, and personality around other dogs.

Are your current pets spayed/neutered? *

Yes

Will the dog be allowed in the house? *

Yes

How long, each day, will the dog be left alone without humans? *

Where will the dog stay when you’re away from the house? *

Where will the dog stay at night? *

Tell us your dog experience, both growing up and during the recent years.

Please describe your experience with.

House training *

Obedience training *

Socialization training *

Dog/dog introductions *

Cat/dog introductions *

Anything else that might help in determining a match for you

How do you plan to exercise your foster dog and how often? *

If your other animals do not get along with your foster dog, do you have a way to separate them when you are not at home? *

Yes

Have you already had a JCCARE home visit? *

Yes

If not, when can we schedule your home visit prior to fostering a dog?

Would you be willing to foster a heartworm positive dog? *

Yes

Please tell us how you became aware of JCCARE and its foster program *

Is there anything else you would like us to know about your application?

I attest that the information provided on this application is true and accurate to the best of my knowledge. I understand that completion and submission of this application does not guarantee that I will foster a dog from JCCARE. I hereby permit JCCARE to contact my veterinarian(s) and Landlord if applicable. I understand that there is always an adjustment period for any dog coming into my home and I am willing to work to make this foster dog a member of my family during his/her stay. I understand that many of these dogs have survived tremendous odds and need lots of TLC. I understand that JCCARE cannot be held responsible for the actions, behaviors and/or medical condition of all the dogs in its rescue. I agree to assume the risks implicit in working with dogs who may have been abandoned, beaten or otherwise mistreated and abused, or who may suffer from an illness, condition or disease. Although JCCARE evaluates dogs prior to accepting them into its rescue, they cannot guarantee the temperament of any of the dogs, since most of their histories is unknown. I understand that my foster must be kept on a leash AT ALL TIMES when in an unfenced or unenclosed area – even when hiking or just walking from my house to the car. All rescues are prone to being escape artists, especially in a new environment or when left alone. They may bolt out an open front door. I will be aware and be careful. I understand that JCCARE reserves the right to check on the welfare of the dog on my premises and to reclaim both possession and ownership without payment of any kind. In the event that I do not comply with the foster guidelines and JCCARE reclaims any foster dog from me, I waive claim to trespasser. I understand that JCCARE must approve all adoptions, so I will not promise anyone they can adopt my foster. If you are considering adopting your foster yourself, JCCARE will be happy to discuss any serious applications with you before placing the dog in another home. I also agree that if in the future, I cannot continue in the foster program for ANY reason, I will not give away, sell or euthanize the dog. I will contact JCCARE for arrangements to be made to move the dog(s) into other foster homes with JCCARE. I understand that JCCARE will be responsible for any medical expenses that may occur while the dog is in my foster care. If a veterinary visit is necessary, please use the Vet visit request form and be sure to notify your regional representative before the visit in order to have these visits paid for. I have read the application and program description in its entirety and understand the risks in working with these dogs. I also agree that if the information given on this application is not accurate to the best of my knowledge, I forfeit all rights to any and all foster dogs residing in my care.

Type your full name This is your virtual signature on this application *

Date *

References

Personal Reference 1 - Name *

Personal Reference 1 - Email or Phone: *

Personal Reference 2 - Name *

Personal Reference 2 - Email or Phone *