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Fostering Application

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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.

Acknowledgement
Before filling out your foster application, you must acknowledge each of the following:
*
- 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 Information
Name:*
First Last
Address:*
Street Address City State ZIP Code
Email:*
Home phone (include area code):
Cell phone (include cell phone):*

Your Household
How many adults live in your household?*
Adult 1
Name*
Age*
Are you employed?*
Occupation*
Employer*
Employer address:
Street Address City 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 2
Adult 2 name:*
Adult 2 age:*
Adult 2 relationship to applicant:*
Is Adult 2 employed?*
Adult 2 occupation:*
Adult 2 employer:
Adult 2 employer address:
Street Address City 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 3
Adult 3 name:*
Adult 3 age:*
Adult 3 relationship to applicant:*
Is Adult 3 employed?*
Adult 3 occupation:*
Adult 3 employer:*
Adult 3 employer address:*
Street Address City 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 4
Adult 4 name:*
Adult 4 age:*
Adult 4 relationship to applicant:*
Is Adult 4 Employed?*
Occupation of Adult 4:*
Employer of Adult 4:*
Employer of Adult 4*
Street Address City 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?*
Age of first child:*
Gender of first child:*
Age of second child:*
Gender of second child:*
Age of third child:*
Gender of third child:*
Age of fourth child:*
Gender of fourth child:*
Age of fifth child:*
Gender of fifth child:*
Age of sixth child:*
Gender of sixth child:*
Do any children regularly visit your household?*
If 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?
If 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?*
Is anyone in your household nervous or unsure around dogs?*
If yes, please explain below:*
Who will be the primary caregiver for this dog?*
Do any members of your household have asthma or are allergic to dogs?*
If 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:*

Your Residence
Please describe your type of residence:*
- House
- Condo
- Apartment
- Mobile Home
- Dormitory
- Other
Do you own or rent?*
- Own
- Rent
- Live at home
- Live with relatives
Landlord's name:*
Landlord's phone (include area code):*
Landlord's email:
Does your landlord or condo association allow dogs?*
Please explain any pet restrictions:*
How long have you lived at this address?*
Please describe your home's setting:*
- City
- Town
- Suburban
- Suburban/Rural
- Rural
Do you live on a busy road?*
Do you have a fenced-in yard?*
Is it fully enclosed?*
Please 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?*
If no, please describe your fence configuration:*
Do you have a runner or chain for a dog that you plan to use?*
If yes, please explain:*

Your Current Pets
Do you currently own any other animals (excluding fish)?*
Please indicate the type of animal you have:*
- Dog
- Cat
- Bird
- Small mammal
- Reptile/amphibian
- Chicken
- Sheep
- Horse
- Other
Currently owning one or more dogs
How many dogs do you currently own?*
First Dog
Name of dog one:*
Breed of dog one:*
Size of dog one (lbs.):*
Age of dog one:*
Gender of dog one:*
Is dog one spayed or neutered?*
How long have you owned dog one?*
Please describe the personality of dog one:*
Does dog one get along with other dogs?*
If no or not sure, please explain:*
Are you experiencing any difficulties with dog one in terms of health or behavior?*
If yes, please explain:*
Second Dog
Name of dog two:
Breed of dog two:*
Size of dog two (lbs.):*
Age of dog two:*
Gender of dog two:*
Is dog two spayed or neutered?*
How long have you owned dog 2?*
Please describe the personality of dog two:*
Does dog two get along with other dogs?*
If no or not sure, please explain:*
Are you experiencing any difficulties with dog two in terms of health or behavior?*
If yes, please explain:*
Third Dog
Name of dog three:*
Breed of dog three:*
Size of dog three (lbs.):*
Age of dog three:*
Gender of dog three:*
Is dog three spayed or neutered?
How long have you owned dog three?*
Please describe the personality of dog three:*
Does dog three get along with other dogs?*
If no or not sure, please explain:*
Are you experiencing any difficulties with dog three in terms of health or behavior?*
If yes, please explain:*
Do you own more than 3 dogs?*
If yes, name and describe each of your additional dogs:*
Currently owning one or more cats
How many cats do you own?*
First Cat
Name of cat one:*
Age of cat one:*
Gender of cat one:*
Please description cat one's personality:*
Does cat one get along with dogs?
If no or not sure, please explain (cat one):*
Second Cat
Name of cat two:*
Age of cat two:*
Gender of cat two:*
Please describe cat two's personality:*
Does cat two get along with dogs?*
If no or not sure, please explain:*
Third Cat
Name of cat three:*
Age of cat three:*
Gender of cat three:*
Please describe the personality of cat three:*
Does cat three get along with dogs?*
If no or not sure, please explain:*
More than three cats
Please describe the additional cats you own in the space provided:
Currently owning one or more birds
How 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 chickens
How many horses, sheep or chicken do you own?*
Please describe their living arrangements:*
Currently owning other types of animals
Please describe the other types of pets that you own and their living arrangements:*

Previous Dog Ownership and Experience
Has every member of your household been around dogs at some point in their life?*
If no or not sure, please explain:*
Have you had the experience of being a primary caregiver to a dog?*
Please 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?*
If yes, please explain:*
Have you ever had to retrieve your dog from a pound, shelter or animal control facility?*
If yes, please explain:*

Care for Your Foster Dog
Where will your foster dog live?*
- Indoors mostly/outdoors for exercise and elimination
- Outdoors mostly/indoors on occasion
- Outdoors only
- Not sure
Where 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 explain:*
Is there shelter outside for your foster dog?*
Please 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?*
Are you willing to train your foster dog?*
Does anyone in your household have experience training dogs?*
If 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?*

My Foster Dog Wish List
I 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:*
Bad dog habits I cannot tolerate:*
Why do you want to foster a dog?
Would you be willing to foster a special needs dog?*
Are 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 References
Please provide three personal references who are not related to you.
Reference One
Name:*
Relationship to applicant:*
Home phone (include area code):
Cell phone (include area code):*
Reference Two
Name:*
Relationship to applicant:*
Home phone (include area code):
Cell phone (include area code):*
Reference Three
Name:*
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:
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- First Choice
- Second Choice
- Third Choice

For more fostering information:

fostering@anewchancear.org

A New Chance Animal Rescue, Inc. P.O. Box 215 Bedford Hills, NY 10507 (914) 205-7066 info@anewchancear.org
Copyright © 2018 Site by Graphics For Good

A New Chance Animal Rescue, Inc. P.O. Box 215 Bedford Hills, NY 10507
(914) 205-7066 info@anewchancear.org
Copyright © 2018 Site by Graphics For Good