Chicago Pet Rescue - Foster Care Application

Please fill in the form below, and click "submit." If you would prefer to download and print an application, click here. (Note: The application will open as a Microsoft Word doc.) Downloaded applications can be emailed to foster@chicagopetrescue.org or printed and brought to one of our adoption events.

[Do NOT submit via smart phone, only via computer]

Applicant's Name: *

First

Last

Applicant's Date of Birth: MM/DD/YY *

Co-Applicant's Name: *

First

Last

Co-Applicant's Date of Birth: MM/DD/YY: *

Primary Phone Number: *

Second Phone Nummber: *

Third Phone Number *

Primary Number is: *

Home Mobile Work

Applicant's Email Address: *

How were you referred to Chicago Pet Rescue? *

Applicant's Address *

Line 1

Line 2

City

State

Zip Code

Country

How long have you lived at this address? *

Do you rent or own? *

Rent Own

Landlord or Condo Board Contact: *

First

Last

Contact Email Address: *

Contact Phone Number *

Do you have a car and are willing to drive foster to vet/adoption events? *

Yes No Willing to rent car as needed.

Family / Household Information:

How many adults are in the household? *

What are their relationships? *

How many children live in the household? *

What are the children's ages? *

Have the children had pets before? *

Have all of the adults in the household agreed to foster an animal? *

Yes No

Is anyone in the household allergic to animals? *

Yes No

If "yes", who is allergic? *

Pet Information:

Have you had pets in the past or do you currently have pets? *

Yes No

Please tell us about your current and former pets:

Do you have additional pets to list? (Our adoption counselor will ask you for details.) *

Yes No

Have you ever given an animal away or relinquished an animal to a shelter? *

Yes No

If "yes" what were the circumstances? *

Do you currently have a veterinarian? (If "yes" contact info is required.) *

Yes No

Veterinarian Information:

Veterinarian's Name: *

Veterinarian's Phone: *

When was your current pet's last visit to a veterinarian and why? *

Fostering Information:

What type of animal(s) are you interested in fostering? (Please include age, size or breed restrictions) *

Who in the household will be the primary care giver for the foster animal? *

Where will the foster animal be kept during the day? *

During the night? *

How many hours per day will the foster animal be left alone? *

For what length of time can you foster an animal? *

How often can you foster an animal for us? *

How do you plan to house train your foster animal? *

Have you ever fostered for another animal welfare organization? *

Yes No

If so, which organization? *

What will you do if your foster animal develops a problem with any of the following behaviors?

Digging: *

Barking: *

Chewing: *

Aggression: *

Marking: *

Why do you want to foster an animal at this time? *

Animal Care Experience

Please describe any experience or training you have working with animals (include species): *

Electronic Signature:

Typing your name and the date below will serve as your electronic signature.

Name *

First

Last

Date: (MM/DD/YY) *

Please note te that we request each foster home to donate the annual State of Illinois foster license fee of $25 and you must agree to the following he following statement: *

I certify that the information I have given is true. I understand that Chicago Pet Rescue reserves the right to deny my application for any reason. I further authorize the investigation of all statements in this application. Please notat the information I have given is true. I understand that Chicago Pet Rescue reserves the right to deny my application for any reason. I further authorize the investigation of all statements in this application.

For Staff Use Only: (Skip this section and click the "submit" button below)

Reference - Housing: *

Reference - Veterinarian: *

Application Approved? *

Application Denied? *

Staff Signature: *

Date: *

Submit your foster care application to Chicago Pet Rescue