Foster Home Application

For the ACD Rescue Association

Please fill out and return via regular mail to:

Denise Burnett

ACDRA Foster Home Coordinator

e-mail: RedCowDawg@yahoo.com for address.

Name____________________________________

Address _______________________________________________

City/State/Zip ___________________________________________

Social Security Number (for insurance purposes) ____________________________

Home Phone: _______________________ Work Phone: ____________________

Fax: ________________________   Cell: ________________________

E-mail: ___________________________________________________

How long have you resided at your current address? __________________________

Do you have children living in your household full time? ________ Part-time? _______

How many? _____________________________

Ages of children and list anyone else living with you full-time: ____________________

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Do you currently have a cattle dog in your home? ____________________________

If yes, more than one? ___________ Ages of dogs: __________________________

Are they spayed/neutered: ________________

Do you have other pets in your home? _________________

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

__________________________________________________________________

__________________________________________________________________

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Is your yard fenced? _________ By what method? __________________________

How high is your fence? _______________ Are the gates locked? ______________

Do you have a door from your home opening to the fenced area? ________________

Do you have shelter outdoors for your dog? __________________________

If so, what means? ______________________________________________

How many hours a day will your foster dog be left unattended? _______________

Does anyone in your family have allergies to animals? _________________________

Who is your regular veterinarian?  (name, address, phone)

__________________________________________________________________

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Tell us about 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.  However, for the most part your dog will normally fall into one of these categories.  Are they (if you have more than one dog, place the number of dogs you have that  fit into each category):

_____ 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.  Submissive 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.  Is 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 needs to be done within the first five days of having your foster come to your home.  The exception to the rule is if the dog has been totally evaluated, altered and HW tested while in the shelter.  And even then, a fecal should be done 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? (initial) __________

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 that they be willing to accept this responsibility morally, physically and financially. Are you able to accept this responsibility at this time? (initial) ___________

This application was designed to aid both you and us in determining if you are adequately prepared to assume fostering activities.  A mentorship program is in place, and you are 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 take a foster dog it should be treated as if you have just gotten another dog.  It should be included in as much family activity as possible to allow you to get to know them, their good points and their not so good points, too.  Honesty is VERY important in placing our foster dogs.  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 carefully and sign 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 needs 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 rescue 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 (Please sign, print and date this form).

Signature - ______________________________________________________

Please Print - ____________________________________________________

Date - _________________________

------------------Office Use Only ----------------------------------------------------

Reviewed by: _____________________________________________________________

Date: ___________________________________________________________________

Assigned Mentor: _________________________________________________________

Dues Paid and Current: ______________________________________________________

Important Notes to be Considered: _____________________________________________

________________________________________________________________________

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July 15, 2007

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