CVCR Foster Application

This application is for those wishing to take dogs into their homes temporarily while their forever homes are found.
If you are interested in adopting a dog, please use the adoption application instead.

You must be at least 18 years of age to complete this application.

Contact Information

Full Name(s):

Street Address:

City:

State:

Zip Code:

E-mail Address:

Primary Phone Number:

Secondary Phone Number:

(optional)

Preferred Time for a Telephone Interview:

Residence and Environment Information

How many adults reside in the home?

Is an adult home during the day?

Yes No

How many children reside in the home?

What are their ages?

How many pets reside in the home?

What are their breeds, ages and genders?

Do your pets have current pet licenses?

Yes No

Do you now have, or have ever had a dog?

Yes No

What is the maximum number of pets permitted by your township or landlord?

What type of residence do you reside in?

Home and property sizes:

Do you rent, or own your home?

Own Rent

Do you have a fully fenced yard?

Yes No

Do you have a swimming pool?

Yes No

What are the dynamics of the home?
(work schedule; how long would the foster dog be left alone)

Where will the foster dog be when it is home alone?

Describe how active your family is on a daily basis and how the canine would be incorporated into it:

Does anyone in the home smoke?

Yes No

Applicant Information

Why do you want to become a foster parent for CVCR?

Are you able to foster a dog with behavioral issues?

Yes No

What method will you use to housebreak a foster dog? This is important for us to know, as every dog we save has spent their life in a wire cage, and is not housebroken.

Where would the animal stay when you are away?

Dogs can sometimes stay in foster care for many months. Will you be able to hand a dog over to its forever family when the time comes to let it go?

Yes No

Have you considered the affect fostering a dog many have on you, your family, and your other pets?

Yes No

Is everyone in the household in agreement about fostering a rescued dog?

Yes No

I agree to allow a representative from CVCR to perform a home inspection and conduct an interview with me and my family members. I understand that Champlain Valley Canine Rescue will contact my veterinarian, my references, and if applicable, my landlord. My application will be approved or denied based upon the home visit report, the information provided by my references, my veterinarian, my landlord, and my suitability, in CVCR’s opinion, as a potential foster family. I will be informed by the adoption coordinator as to whether or not my application has been approved or denied. I am of legal age, and have the income and ability to take care of a foster dog. All statements I have made in this application are true and I understand that this application may be denied if any of the information supplied above is found to be false.

I further understand that my being a foster parent puts me in the position to have first option to adopt the dog I am fostering. A CVCR staff member will notify me when the dog I am fostering has been approved for adoption, and from that time, I will have 48 hours to make a decision as to whether or my I will adopt the dog I am fostering.

Signature:

Date:

Signature:

Date:

References

Employer:

Veterinary Reference

Vet Name:

Vet Phone:

Clinic Name:

Pet name your account is listed under:

How far are you willing to travel to a CVCR approved vet?

1st Personal Reference

Reference Name:

City:

State:

Phone Number:

2nd Personal Reference

Reference Name:

City:

State:

Phone Number:

3rd Personal Reference

Reference Name:

City:

State:

Phone Number:

Additional Information

Please provide any additional information:

(optional)

How did you hear about us?

(optional)

Type the letters and numbers you see into the box below: