Response-O-Matic Form
Chicagoland German Shepherd Rescue
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Chicagoland Shepherd Rescue Foster Application - Online
*note: Please fill in all fields. Where more than option is given, please check all that apply.
Thank you for expressing interest in being a foster home for one of our wonderful rescued german shepherds! the purpose of this application is to determine the appropriateness of your circumstances for being a foster home and to assist us in finding the most appropriate german shepherd for you to foster.
Date:
Personal Information:
Name:
Home Phone:
Address:
Work Phone:
City, State, Zip:
E-mail address:
Are you 18 years or older?:
yes
no
Residence you live in?
House
Apartment
Condo
Mobile Home
Other (please explain) :
Type of area you live in?
Rural/Country
Suburban
Urban/City
Do you:
own
rent
Name and phone # of landlord if you rent:
Does your lease have restrictions regarding animals?
yes
no
Does your lease require a deposit for having animals?
yes
no
Drivers License Number :
Employer:
Work Phone:
Occupation:
Typical Hours Worked: What time to what time?
Please list 3 references - 1 Business and 2 Personal references (none of which can be related to you or employed by you). Please contact your references and tell them to be expecting our e-mail reference request or telephone reference request. This section is mandatory. If you do not fill it out you will not be eligible to adopt from us.
Business Reference:
Name:
Work Phone :
HomePhone:
Email Address:
Personal Reference:
Name
Work Phone:
HomePhone:
E-mail Address:
Personal Reference:
Name:
Work Phone:
HomePhone:
E-mail Address:
When is a good time to call?:
General Information:
Why are you interested in becoming a foster home for a german shepherd dog?
How did you hear about Chicagoland Shepherd Rescue?
Have you previously been a foster home for any other oganizations?
if yes, which ones:
Please discuss any previous experience with dogs:
Please provide the following information about the people currently living in your household:
Number of adults:
Number of Children:
Ages of Children:
Who will have primary responsibility for the care of the dog?
How many hours per day will the dog be left alone?
Where will the dog be kept during the following times?
day:
night:
when you are not home:
What animals have you owned in the past 5 years?
Pet's Name:
Type/Breed:
Kept Where?:
Age:
Neutered/Spayed:
Male/Female:
Still Own?
Pet's Name:
Type/Breed:
Kept Where?:
Age:
Neutered/Spayed:
Male/Female:
Still Own?
Pet's Name:
Type/Breed:
Kept Where?:
Age:
Neutered/Spayed:
Male/Female:
Still Own?
Pet's Name:
Type/Breed:
Kept Where?:
Age:
Neutered/Spayed:
Male/Female:
Still Own?
Pet's Name:
Type/Breed:
Kept Where?:
Age:
Neutered/Spayed:
Male/Female:
Still Own?
Have all your dogs been housetrained?: yes
no
If no, please explain:
What (if any), behavior problems do you have with your dogs:
Have you dogs ever bitten anyone? yes
no
If yes, please describe:
What brand of food do you feed your dogs?
How often do you feed your dog(s)?
Do you have a veterinarian?
Yes
No
If Yes, please list the name of the clinic, the vet’s name and telephone # :
If No, would you accept our reccomendation?Yes
No
When were your dogs last tested for heartworm? (month/year)
Are your dogs current on heartworm preventitive medicine? daily
monthly
no
When were your dogs last vaccinated for:
Distemper/Parvo: date -
Rabies: date -
Bordatella: date -
Do any of your pets have any serious/ chronic health conditions?: yes
no
if yes, please explain:
May we contact you to verify this information?: yes
no
About the Dog:
What is it about the german shepherd breed that interests you?:
Please check the 3 most important characteristics you enjoy(ed) in the dogs that are (have been) in your life:
Active
Playful
Independent
Protective
Dominant
Intelligent
Loving
Calm
Aggressive
Submissive
Good with Kids
Good with Dogs
Good with Cats
Outgoing/ Friendly
Are there any characteristics that you are unwilling to work with?
Have you ever moved and not taken your pets with you?
no
yes
if yes, please explain:
How do you discipline your dogs?
Have your dogs graduated from an obedience class? yes
no
If Yes, please provide name and phone number of your trainer:
If No, why not?
What types of shepherds are you willing to foster? (check all that apply)
Females
Males
Adults
Puppies
Injured/ Sick Shepherds
Abused/ Neglected Shepherds
Do you have a completely fenced in yard? yes
no
If no, how do you plan on exercising your shepherd?
Describe the fence:
Height:
Type of fencing:
Number of gates:
Can people or children easily open the gates?
yes
no
Do people or children have access to your yard when you are not home?
yes
no
Where will your foster shepherd be kept when you are not home?:
Loose in the House
Crated in the House
Tied Outside
in the Dog Run
in the Garage
Other
If chose Other, please specify:
Check how long the dog will be alone when you are not home:
Less than 3 hours
3 - 6 hours
6 - 9 hours
9 - 12 hours
More than 12 hours
If the dog will be alone 6 or more hours per day, what arrangements will you make to allow the dog to relieve themselves?
Are you comfortable with:
Bathing dogs
Grooming
House Training
Shy Dogs
Stand Off-ish Dogs
Active Dogs
Clipping dogs nails
Giving dog medications
Please check all that you own:
Dog Crate(s)
if so, what type? Plastic
Wire
Size
Nail Clippers
Leash
Collar
How many daily walks would you be able to provide for the shepherd? and the duration of the walk?
Are you able to drive distances to assist in picking up dogs?
Yes
No
Have you ever been party to a civil suit? Yes
No
If Yes, please describe:
Do you have any health problems which might affect your fostering ability? (e.g. cannot lift dog over 50lbs due to back problem)?
Any additional information or comments you would like to share with us?
Thank you so much for your interest in becoming a foster home for one of our beautiful rescued shepherds. We will review your application (including references) and follow up within two weeks of its reciept.
When the application is complete, please hit the Submit button only
ONCE
. If you need to start over, hit Reset.
Response-O-Matic Form
Chicagoland German Shepherd Rescue Foster Application