Fostering Application Step 1 of 10 10% Thank you for your interest in fostering a dog rescued by A New Chance Animal Rescue. We want to make sure that every dog that we place in foster care goes to a loving and appropriate home where they will be well cared for. Because of this, we require all applicants to complete a number of detailed questions necessary for our screening process.This application must be completed in full in order to be processed. Please allow at least 30 minutes to ensure that it is complete. All information will be kept confidential. AcknowledgementBefore filling out your foster application, you must acknowledge each of the following:* I understand that this is an application to participate in ANCAR’s foster program and is not an adoption application. (Note: In order to apply to Foster-To-Adopt, please complete an adoption application.) * I verify that everyone living in my home is in agreement to foster a dog at this time. * I am 21 years of age or older. * I understand that the information in my application to A New Chance Animal Rescue is confidential. * I understand that A New Chance Animal Rescue has the right to decline my application. Applicant Contact InformationName:* First Last Address:* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email:* Home phone (include area code):Cell phone (include cell phone):* Your HouseholdHow many adults live in your household?*1234Adult 1Name* Age*Are you employed?*Please select oneYesNoRetiredStudentOccupation*Employer*Employer address: Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Work phone (include are code):*Work hours:*Time you leave:*Time you return:*I attend:* Full-time Part-time In what state do you attend school?*When do you graduate?*How many hours a week do you devote to school (include class time, studying, commute, school activities)?*Adult 2Adult 2 name:* Adult 2 age:*Adult 2 relationship to applicant:*Please select oneSpouse/PartnerChildParentRoommateOtherIs Adult 2 employed?*Please select oneYesNoRetiredStudentAdult 2 occupation:*Adult 2 employer:Adult 2 employer address: Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Adult 2 work phone (include area code):*Adult 2 work hours:*Time adult 2 leaves for work:*Time adult 2 returns from work:*Adult 2 attends:* Full-time Part-time In what state does adult 2 attends school?*When does adult 2 graduate?*How many hours a week does adult 2 devote to school (include class time, studying, commute, school activities)?*Adult 3Adult 3 name:* Adult 3 age:*Adult 3 relationship to applicant:*Please select oneSpouse/PartnerChildParentRoommateOtherIs Adult 3 employed?*Please select oneYesNoRetiredStudentAdult 3 occupation:*Adult 3 employer:*Adult 3 employer address:* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Adult 3 work hours:*Adult 3 work phone (include area code):*Time adult 3 leaves for work:*Time adult 3 returns from work:*Adult 3 attends:* Full-time Part-time In what state does adult 3 attend school?*When does adult 3 graduate?*How many hours per week does adult 3 devote to school (include class time, studying, commute, school activities)?*Adult 4Adult 4 name:* Adult 4 age:*Adult 4 relationship to applicant:*Please select oneSpouse/PartnerChildParentRoommateOtherIs Adult 4 Employed?*Please select oneYesNoRetiredStudentOccupation of Adult 4:*Employer of Adult 4:*Employer of Adult 4* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Adult 4 work phone (include area code):*Adult 4 work hours:*Time adult 4 leaves for work:*Time adult 4 returns from work:*Adult 4 attends school:* Full-time Part-time In what state does adult 4 attend school?*When does adult 4 graduate?*How many hours a week does adult 4 devote to school (include class time, studying, commute, school activities)?*How many children live in your household?*Please select one0123456Age of first child:*Gender of first child:*Please select oneFemaleMaleAge of second child:*Gender of second child:*Please select oneFemaleMaleAge of third child:*Gender of third child:*Please select oneFemaleMaleAge of fourth child:*Gender of fourth child:*Please select oneFemaleMaleAge of fifth child:*Gender of fifth child:*Please select oneFemaleMaleAge of sixth child:*Gender of sixth child:*Please select oneFemaleMaleDo any children regularly visit your household?*Please select oneYesNoIf yes, please describe the ages of children and how often they visit:*Do you regularly take care of any dogs that you do not own?Please select oneYesNoIf yes, please explain frequency of care and include dog type, age, gender, personality and size of each dog you regularly care for:*Are all members of your household in agreement about fostering a dog?*Please select oneYesNoNot sureI want it to be a surpriseIs anyone in your household nervous or unsure around dogs?*Please select oneYes, very fearfulYes, moderately fearfulYes, a tad fearfulNoIf yes, please explain below:*How many hours would your dog be alone during the day? (Please consider the time you leave for work, what time you return home, errands, after-school activities, etc.)*Who will be the primary caregiver for this dog?*Do any members of your household have asthma or are allergic to dogs?*Please choose oneYesNoNot sureIf yes, who?*Are they taking medications for their allergy?*If yes, please describe the severity of their allergy;*Please describe your household activity/noise level:*Please select oneHigh - A lot of noise and activityMedium - Moderate amount of noise and activityLow - Quiet and calm Your ResidencePlease describe your type of residence:*HouseCondoApartmentMobile HomeDormitoryOtherDo you own or rent?*OwnRentLive at homeLive with relativesLandlord's name:*Landlord's phone (include area code):*Landlord's email: Does your landlord or condo association allow dogs?*Please choose oneYesYes, with restrictionsNot sureNoPlease explain any pet restrictions:*How long have you lived at this address?*Please describe your home's setting:*CityTownSuburbanSuburban/RuralRuralDo you live on a busy road?*Please select oneYesNoDo you have a fenced-in yard?*Please select oneYesNoIs it fully enclosed?*Please select oneYesNoPlease describe your fence type:* Chainlink Wooden Metal Invisible Other Please describe your fence type:*How high is your fence?*Is your fence the same height all around?*Please select oneYesNoNot sureIf no, please describe your fence configuration:*Do you have a runner or chain for a dog that you plan to use?*Please select oneYesNoIf yes, please explain:* Your Current PetsDo you currently own any other animals (excluding fish)?*Please select oneYesNoPlease indicate the type of animal you have:* Dog Cat Bird Small mammal Reptile/amphibian Chicken Sheep Horse Other Currently owning one or more dogsHow many dogs do you currently own?*Please select one123First DogName of dog one:*Breed of dog one:*Size of dog one (lbs.):*Age of dog one:*Gender of dog one:*Please select oneMaleFemaleIs dog one spayed or neutered?*Please select oneYesNoHow long have you owned dog one?*Please describe the personality of dog one:*Does dog one get along with other dogs?*Please select oneYesNoNot sureIf no or not sure, please explain:*Are you experiencing any difficulties with dog one in terms of health or behavior?*Please select oneYesNoIf yes, please explain:*Second DogName of dog two:Breed of dog two:*Size of dog two (lbs.):*Age of dog two:*Gender of dog two:*Please select oneMaleFemaleIs dog two spayed or neutered?*Please select oneYesNoHow long have you owned dog 2?*Please describe the personality of dog two:*Does dog two get along with other dogs?*Please select oneYesNoNot sureIf no or not sure, please explain:*Are you experiencing any difficulties with dog two in terms of health or behavior?*Please select oneYesNoIf yes, please explain:*Third DogName of dog three:*Breed of dog three:*Size of dog three (lbs.):*Age of dog three:*Gender of dog three:*Please select oneMaleFemaleIs dog three spayed or neutered?Please select oneYesNoHow long have you owned dog three?*Please describe the personality of dog three:*Does dog three get along with other dogs?*Please select oneYesNoNot sureIf no or not sure, please explain:*Are you experiencing any difficulties with dog three in terms of health or behavior?*Please select oneYesNoIf yes, please explain:*Do you own more than 3 dogs?*Please select oneYesNoIf yes, name and describe each of your additional dogs:*Currently owning one or more catsHow many cats do you own?*Please select one123More than 3First CatName of cat one:*Age of cat one:*Gender of cat one:*Please select oneMaleFemalePlease description cat one's personality:*Does cat one get along with dogs?Please select oneYesNoNot sureIf no or not sure, please explain (cat one):*Second CatName of cat two:*Age of cat two:*Gender of cat two:*Please select oneMaleFemalePlease describe cat two's personality:*Does cat two get along with dogs?*Please select oneYesNoNot sureIf no or not sure, please explain:*Third CatName of cat three:*Age of cat three:*Gender of cat three:*Please select oneMaleFemalePlease describe the personality of cat three:*Does cat three get along with dogs?*Please select oneYesNoNot sureIf no or not sure, please explain:*More than three catsPlease describe the additional cats you own in the space provided:Currently owning one or more birdsHow many birds do you own?*What type of bird(s) do you own?*What are the living arrangements for your bird(s)?*Currently owning reptile(s)/amphibian(s)How many reptiles or amphibians do you own?*What type of reptile(s) or amphibian(s) do you own?*What are the living arrangements of reptile(s) or amphibian(s)?Currenly owning small mammal(s)How many small mammals (guinea pigs, mice, ferrets, etc) do you own?*What type of small mammal(s) do you own?*Please describe the living arrangements of your small mammals*Currently owning horses, sheep and/or chickensHow many horses, sheep or chicken do you own?*Please describe their living arrangements:*Currently owning other types of animalsPlease describe the other types of pets that you own and their living arrangements:* Previous Dog Ownership and ExperienceHas every member of your household been around dogs at some point in their life?*Please select oneYesNoNot sureIf no or not sure, please explain:*Have you had the experience of being a primary caregiver to a dog?*Please select oneYes, I have been the primary caregivier and owner of one or more dogs previouslyYes, I have experienced being the primary caregiver, but I did not own the dogNoPlease describe the care and the length of care the you provided:*Please describe your previous dog ownership experience (e.g. number of dogs, breeds of dogs, length of ownership, etc.)*Have you ever taken a dog to a shelter or rescue group?*Please select oneYesNoIf yes, please explain:*Have you ever had to retrieve your dog from a pound, shelter or animal control facility?*Please select oneYesNoIf yes, please explain:* Care for Your Foster DogWhere will your foster dog live?*Indoors mostly/outdoors for exercise and eliminationOutdoors mostly/indoors on occasionOutdoors onlyNot sureWhere will the foster dog be allowed to be indoors?* Confined to a specific room or rooms Free roam inside In a crate In which rooms will the dog be allowed?*Where will the dog live outside?*Please select oneFenced-in yardFree roam outdoorsFenced-in area (not yard)Please explain:*Is there shelter outside for your foster dog?*Please select oneYesNoPlease explain the shelter type:*Where will your foster dog be kept when you are out (check all that apply)?* Confined to specific room or rooms In crate Free roam inside Free roam outside Fenced-in yard or area Dog house/shelter outside Garage Basement Where will your foster dog be kept at night (check all that apply)?* Confined to a specific room or rooms In crate Free roam inside Fenced-in yard or area Free roam outside In a dog house/shelter outside Are you willing to housebreak your foster dog?*Please select oneYesNoNot sureAre you willing to train your foster dog?*Please select oneYesNoNot sureDoes anyone in your household have experience training dogs?*Please select oneYesNoIf yes, please explain:*Are you willing to have a trainer provided by A New Chance come to your home to work with your foster dog, if needed?*Please select oneYesNoNot sure My Foster Dog Wish ListI prefer to foster a dog that is:* Extra-small (under 10 lbs.) Small (11 to 25 lbs.) Medium (26 to 45 lbs.) Medium-large (46 to 70 lbs.) Large (71 to 95 lbs.) Extra-large (over 96 lbs.) Any size Dog energy level I prefer:* High Medium Low I prefer a dog who is (check all that apply):* Male Female Puppy (up to 6 months) Young adult ( 6 to 12 months) Adult (1+ years old) Senior (7+ years old) Indoor only Indoor/outdoor Mainly an outdoor dog Mellow/quiet Very active/energetic Hypoallergenic Lap dog Likely to be housebroken Spayed/Neutered Protective Friendly Breeds or mixes of dogs that I prefer:*When it comes to relating to dogs, I consider myself:*Please select oneStrict, demanding and a strong leaderLenient, a little wishy washy and easily coerced by a dogSomewhere in betweenBad dog habits I cannot tolerate:*Why do you want to foster a dog?Would you be willing to foster a special needs dog?*Please select oneYesNoNot sureAre you able to attend adoption events with your foster dog, usually held on Saturdays or Sundays between 11 am and 2 pm? If not, please explain.*Foster dogs take varying amounts of time to be adopted. How long are you prepared to foster a dog for?*How do you anticipate that family members will handle the process of giving the dog to someone for adoption?* My ReferencesPlease provide three personal references who are not related to you.Reference OneName:* Relationship to applicant:*Home phone (include area code):Cell phone (include area code):*Reference TwoName:* Relationship to applicant:*Home phone (include area code):Cell phone (include area code):*Reference ThreeName:* Relationship to applicant:*Home phone (include area code):Cell phone (include area code):*Please provide a veterinarian reference if you own or have previously owned dogs. Veterinarian name:* Veterinary practice and location:*Veterinary office phone (include area code):*Additional information you would like us to know:UntitledFirst ChoiceSecond ChoiceThird ChoiceUntitled First Choice Second Choice Third Choice