RAIN of Central Illinois, Inc. Foster Application

Applicant's name *

Your age *

Street address *

City, State, Zip *

Phone number *

Email address *

Employer *

Please tell us who referred you.

Please tell us which dog you are applying to foster.

What size dog are you willing to foster? *

Small (0-25 lbs)

Medium (25-50 lbs)

Large (50-100 lbs)

X-large (100+ lbs)

What age dog do you prefer? *

Do you prefer males or females? *

Male

Female

No preference

Are you able to foster pregnant dogs? *

Yes

No

Do you have experience bottle feeding puppies? *

Yes

No

Are you open to fostering all breeds? *

Yes

No

Do you have experience with pit bulls? *

Yes

No

How many hours a day will this dog be alone? *

Do you own or rent your place of residence? *

Own

Rent (If you rent, please provide your landlord's name and phone number) Rent (If you rent, please provide your landlord's name and phone number)

Do you have children living in your home? *

No

Yes, please provide ages of children Yes, please provide ages of children

Who will be responsible for this dog? *

Why are you considering fostering? *

Do you currently have animals living at your place of residence? *

No

Yes (please provide breed and age) Yes (please provide breed and age)

Vet's name and phone number *

Are your pets current on vaccinations, including Bordatella? *

Yes

No

N/A

Are your pets spayed/neutered? *

Yes

No

How did you hear about RAIN? *

Please provide three personal references (name, number, relationship) *

Are you willing to housetrain dog? If so, please explain on how you plan to do so. *

Where will you keep your foster dog? *

* Have you ever been convicted of any crimes involving or against animals? *

*Do you also give us permission to contact the proper officials to verify this? *

Do you have a fenced in yard? *

No

Yes (provide kind of fence) Yes (provide kind of fence)

Do you have previous experience in animal ownership? Please explain. *

How do you plan to exercise your foster dog? *

Would you consent to a home check? *

Yes

No

What would make you want to return a foster dog to us? *

What types of activities will you do with your foster dog? *

Please tell us about yourself and why you think fostering is right for you. *

What do you plan to do if you have issues with this animal? Housetraining, aggression, leg lifting, chewing, etc? *

Do you agree that all the information you provided us, to your knowledge is truthful and accurate? *

Yes

No

Do you give us permission to contact everyone listed on this application? *

Yes

No

Signature and Date *