Foster Application

(you must be at least 21 years of age to fill out an application)
First Name *

Last Name *

Email *

Re-enter Email *

Address: *

City *

State *

Zip *

Home Phone *

Cell Phone

Work Phone

People residing in your household and age of each? Please list *

Please choose one *

Home Owner

Rental House

Apartment

Other Other

If you are renting your house or apartment, do they allow dogs?

Yes

No

N/A

We prefer a securely fenced yard for our pets. Is your yard or a portion of your yard securely fenced? *

Yes

No

If you answered "no", please explain.

Please choose fence type

Chain Link

Wood

Vinyl

Invisible Fence (underground)

Wrought Iron

Other Other

Please choose fence height

Are all pets living in your home current on vaccinations? *

Yes

No

No pets are currently living in my home

If you answered "no", please give details as to why pets are not current on vaccinations.

Are all pets living in your home spayed or neutered? *

Yes

No

No pets are currently living in my home

If you answered "no", please give details as to why pets are not fixed.

Do you give your dogs heart worm preventative every month? *

Yes

No

No dogs are currently living in my home

If you answered "no", please give details as to why dogs are not on heart worm preventative.

Are you familiar with puppy mills and the possible behavioral or health issues associated with a puppy mill environment? *

Yes

No

Puppy mill rescues need extra help and training on learning how to live in a home environment. Are you willing to accept a dog who is not potty trained? (Please note that changing environments may cause any dog/cat to need some time getting adjusted to new potty areas and routines) *

Yes

No

Would you consider an animal with special medical needs? (for example, a dog that requires daily medication for a treatable condition) *

Yes

No

Have you ever provided foster care for an animal before? *

Yes

No

If you answered "yes", what organization did you work with?

References

Please provide three names as references; your first MUST BE your veterinarian.
You must include your landlord (if you rent your home or apartment) as a 3rd reference.

Your references will be checked! Your application will be considered incomplete if references & contact information are not included

Reference #1 -
Must Be Your Veterinarian -

Name / Phone Number *

Reference #2 -
Must Be someone who does not live with you
Name / Relationship / Phone Number *

Reference #3 -
Must Be Your Landlord if You Are a Renter
Name / Phone Number

How did you hear about Big Red Rescue of the Heartland?

Fostering is usually a short term commitment, most of our active foster families are willing to foster any recently acquired animal that needs placement in a home. We do understand that some families may have circumstances that may prevent them from taking a dog that might have certain medical needs or behavioral issues. If you have a strong preference for a particular coat type, color, size or gender, we will do our best to accommodate your request, but we do hope that you will consider any new intakes that are in need of a loving, temporary home!

All of the information I have provided is true and complete, to the best of my knowledge. Should an animal be placed with me, it will reside in my home as a pet. I agree to provide the pet with adequate food, water, shelter, affection, and medical care.

All medical care is paid for by Big Red Rescue of the Heartland while the animal is in foster care.

Please Sign *

Comments or Questions for Big Red Rescue of the Heartland?