Foster Home Application

 Please fill out the form below as completely as possible.
 It will be emailed to the Foster Home Coordinator, who will
 then get back to you regarding the status of your application.

Foster Home Application

Name:

Last: First: Initial:

Street Address:

City: , State: Zip:

Phone:

Home: Cell:
Work: Fax:

E-Mail Address:

How long have you lived at your current address?

How many children live with you full-time? part-time?

Please list the ages of the children living with you full-time:


Do you presently own an ACD? If so, do you have more than one?

Are your dogs spayed or neutered?

Do you have other pets in your home?

Please list breeds, ages, and sex of other animals and if they are spayed/neutered:


Do you have a yard? If yes, is the yard fenced?
If yes, does a house door open into the fenced area?
Fencing material used: If other, please specify:
Specify height of fence and linear dimensions:
How many gates? Height of Gates:
Are the gates kept locked?

What type of outside shelter do you provide for your dogs?
If other, please specify:

How many hours a day will the animal be left unattended?

Does anyone in the family have allergies to animals?

Who is your regular veterinarian?
Name: Phone:
Address:

Please describe the temperments of your dogs. You may find that your dogs fit into one or more of these categories depending upon the situation the dog finds himself in. In that case, choose the category that would best describe your dogs most of the time. How many of your dogs are:

Submissive and quiet — Never pushy or bossy. Likes to rest and sleep or be by your feet while you work or type on the computer. Submissively urinates when spoken to harshly. Whines and rolls over easily. Gives up to other dogs out of fear or what appears to be shyness.

Typical — Somewhat bossy and pushy. Not afraid of another dog, but will not attack one either. Likes to play. Does not share toys readily, but MIGHT give it up to another dog. Easily lets you take things from their mouths without any hesitation. Feels confident and is not afraid to explore the world around him. Has no aggression issues toward people of any kind.

Dominant — VERY pushy and bossy especially with other dogs. The possibility of a fight is always there, and if a dog does ont back down when challenged, your dog will defend itself by fighting. Has, on more than one occasion shown aggression toward people they do not know when NOT on their own “turf”. Does not respond well to cats and small dogs. Has issues with resource guarding. Will not break eye contact and needs a heavier training than most to keep them busy and in line.

An immediate health check is required for all foster dogs. This must be done within the first five days of having your foster come to your home. The only exception to the rule is if the dog has been totally evaluated, altered and heartworm tested while in the shelter. Even then, a fecal exam should be performed as well as putting the dog on a flea preventative. Considering the high cost of veterinary care, are you willing and able to afford the necessary medical care and further vaccinations if necessary until reimbursement can be made to you?

Fostering rescue dogs is a serious responsibility. There are some risks involved as well. Our policy is to be sure that each person willing to foster a dog not only be aware of the responsibility, but also be willing to accept this responsibility physically and financially. Are you able to accept this responsibility at this time?

This application was designed to aid both you and us in determining if you are adequately prepared to assume fostering activities. A mentorship program will be put in place, and you will have to comply with this program for a minimum of six months. As you become comfortable with ACDRA policies and procedures you will be given more freedom in fostering, decision-making and very soon you will become a free foster home ready to help mentor others!!

We want you to understand that the risks involved in bringing dogs into your stable home from shelter situations is not easy. Often the household is disrupted when a new dog arrives. Especially if you are new to fostering, you may find that your first foster dog will present a challenge.

Foster dogs must ALWAYS be confined when out of doors. They must NEVER be allowed to roam loose, unattended for any reason. Foster dogs should be crated when left unattended inside...this is for their safety and your sanity. You should crate at night and when you leave the house to make sure your foster dog is not damaging the home and is okay (i.e., not chewing electrical wiring, etc.). Your foster dog should not live in his crate!! Crating is only for short term control and as a training tool. Your dog should never see the crate as a jail cell.

When you accept responsibility for a foster dog he or she should be treated in the same way as the other dogs in the family. It should be included in as many family activities as possible in order for you to get to know them, their good points and their not-so-good points. The adoptive family must know as much about them as possible. Our foster homes work hard to socialize rescue dogs. The more training the easier the placement. It is up to us to make rescue dogs into good citizens and family members.

Please read the following carefully before clicking “Yes” below:

I understand that there is always an adjustment period for any foster dog coming into my home. The average time a dog spends in a foster home is three (3) weeks to three (3) months 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 the ACDRA reserves the right to check on the welfare of this 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 the ACDRA reclaims any foster dog from me, I waive claim to trespasser.

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.

I also agree that if, at any time in the future, I cannot continue on in the foster program for ANY reason, I will not give away, sell or euthanize the dog. I will contact the Foster Home Coordinator for arrangements to be made to move the dog(s) into other foster homes with the ACDRA group.

I have read and comply with the above application and terms and understand them fully:

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