FOSTER APPLICATION

Contact Information

First Name

Last Name

Co-Applicant's Full Name

Phone

Birthday

Month

Day

Year

Address

Address - Line 2

City

State

Zip

Applicant Details

Do you rent or own?

Rent

Own

What type of home do you live in?

Do you have a fenced yard?

Yes

If you do not have a fenced yard, how do you plan to exercise your pet?

Please list all children in the household (including names and ages) who are under the age of 18.

Have you ever fostered/provided hospice care before?

Yes

If yes, please briefly describe your experience and what organization you worked with.

Would you consider a dog with special needs?

Please list names, breeds, age, and sex of all animals in your home.

How many dogs are currently in your home?

How many dogs are you allowed to have in your home?

How many dogs are you able to foster/provide hospice care for at one time?

How long are your pets left alone each day?

If you currently have dogs/cats, are they spayed/neutered?

Where will your dog stay when you're not at home? (Please note: all foster/hospice homes are required to leave foster dogs in the care of CJCR while on vacation.)

CJCR's vet is located in Lakewood, CO. Are you able to travel to this location to take your foster/hospice dog for scheduled vet appointments?

Yes

Briefly describe why you think you would be a good foster/hospice home. Make sure to include specific experience you may have with this breed.

Is there anything else you'd like to share with us?

References

Please list three references including their names and phone numbers. No family members, please.

Reference #1

Reference #2

Reference #3

Please list your vet's name and phone number.