Foster Application - NYC Shiba Rescue

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Shiba Inu Rescue, Fostering, and Adoption in and around New York City

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Foster Application

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You can also download the FOSTER APPLICATION and mail (USPS) it to:
P O Box 20271
Greeley Square Station
New York, NY 10001
This application was designed to help us get to know you and to determine which dogs will be good fosters for you. If some of the questions seem personal, that's because they are. The well being of our foster dogs is very important to us and we need to get to know you before entrusting one to your care. Please answer all questions as thoroughly as possible and feel free to ask us questions as well.
Contact Information
First Applicant*
First Last
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
Second Applicant
First Last
Email
Phone
Date of Birth
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State/Province Zip/Postal Code Country
References
Please list two personal references. If possible, please list individuals who are active in the dog community and are knowledgeable about your care of dogs, such as a trainer, breeder, active rescue volunteer, etc. DO NOT LIST FAMILY MEMBERS. DO NOT LIST VETERINARIANS.
Reference 1
Name*
First Last
Credentials*
Email
Phone*
Reference 2
Name*
First Last
Credentials*
Email
Phone*

Professional Information
What is your occupation?*
How far from home do you work?*
How many hours/week do you work?*
Other adult in household's occupation?
How far from home do they work?
How many hours/week do they work?
About Your Home
How long have you lived in your current home?*
The neighborhood is:*
Do you:*
- Own
- Rent
Does your landlord allow dogs?*
- Own
- Rent
Can you get it in writing upon request?*
- Own
- Rent
Do you have plans to move?*
- Yes
- Now
When and Where?
Do you have a fenced yard?*
- Yes
- No
Fence Material and height
Are you planning to install a fence?
- Yes
- No
- N/A
Will you allow a home visit by rescue personnel upon request?*
- Yes
- No
Other People In The Home
Do you have other adults living in the home with you?*
- Yes
- No
Please list their ages and relationships
Who will be the primary Caretaker of the dogs?*
Do you have other children living in the home with you?*
- Yes
- No
Please list their ages and relationships
Are the children experienced around dogs?
- Yes
- No
Is anyone in the home allergic to dogs?
- Yes
- No
Is anyone in the home afraid of dogs?
- Yes
- No
Who?
Does everyone in your family want a dog?
- Yes
- No
Please explain

About Your Animal Experience
Have you ever owned dogs before?*
- Yes
- No
How many?
What were their breeds?
What happened to them?
(if you no longer have them)
If they passed away, please explain how
Please list any other experience with animals*
Please list any special dog-related skills*
Have you ever had a formal complaint filed against you about your pets?*
- Yes
- No
(to 911, 311, animal control, landlord, etc)
Tell us about it
Veterinary
Clinic/Vet Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Current Pets
Do you currently have any other pets?*
- Yes
- No
What kind(s)?
Please list bread, sex, age, and describe temperament of each
Are current pets up to date on all vaccinations and preventative care?
- Yes
- No
Why not?
Are they spayed/neutered?
- Yes
- No
Why not?
Are all of these pets able to have a seperate, safe haven away from a new dog?
- Yes
- No
Do you anticipate any potential problems with your current pets and new dog?
- Yes
- No
How do you plan to overcome the problems?

Your Fostering Experience
Have you fostered dogs for another rescue group?*
- Yes
- No
Which Rescue?
Please include contact information and dates you volunteered
How would you describe your overall experience with them?
Are you currently fostering an animal with this or any other organization?
Your Foster Dog's Environment
Do you have a separate area to isolate the foster dog for health reasons if necessary?*
- Yes
- No
Please describe
How many hours per day will the foster dog be unattended?*
How will the foster dog be housed?*
Indoors loose, created, with or separate from other dogs, outside?)
Do you have a crate?*
- Yes
- No
Are you willing to crate train if needed?*
- Yes
- No
Your Requirements For Fostering
Do you have a preference for:*
- Male
- Female
- No Preference
Length of time willing to foster*
Are you willing to foster the following:
A dog with kennel cough?*
- Yes
- No
A dog that is injured?*
- Yes
- No
A dog with a litter of puppies?*
- Yes
- No
Puppies being bottlefed?*
- Yes
- No
A dog with behavior problems?*
- Yes
- No
A dog that is aggressive?*
- Yes
- No
A dog that is not house broken?*
- Yes
- No
Any other restrictions?*
Please describe
Extra Information*
Please feel free to add any other information that you think would be useful for us to know or make any comments that you think could help us place a foster dog with your family

Terms of the Foster Volunteer Agreement
I,*
First Last
Hereby acknoledge the following policies and agree to apide by them during the entire time I am fostering dogs for NYC Shiba Rescue, Inc. (NYCSR)
*
- I understand that my role is solely as a temporary home, and that although my opinion regarding the match between the foster dog and potential adopters is very important, the ultimate placement of any dogs I foster will be conducted by NYCSR. It is NYCSR's responsibility to review and interview potential adopters.
*
- I will remember in all my dealings with the public as a foster volunteer that I represent NYCSR, and that the public will consider my words and actions to be representative of the attitudes and positions of NYCSR as an organization. I understand that as an individual, I am not authorized to speak for NYCSR, nor can I enter into any agreements for NYCSR; any such activity will be referred to the Board of Directors.
*
- I have read, understand and support the mission of NYCSR.
*
- I understand that I am personally responsible for any and all financial expenses that I incur in my efforts to foster dogs for NYCSR. Although NYCSR may reimburse my expenses, I agree that each expense must be supported by receipts, must be pre-approved by the Foster Program Director, and that any expense over $200 for a single dog must also be preapproved by the Board of Directors. I accept full responsibility for any expenses incurred by me that fall outside of approved expenditures. I will always remember that I represent a nonprofit organization and in no way can profit from any activity related to the organization.
*
- I agree to not leave an NYCSR foster dog in anyone else’s care unless that person is approved to Foster by the Foster Program Director or other NYCSR Board member
*
- I agree to not take any other dogs into my care or home – short or long term – during the time I am actively fostering for NYCSR without written approval from NYCSR.
*
- I understand that NYCSR cannot guarantee or be held responsible for the temperament, behavior, or health of foster dogs that I may handle. I am aware that foster dogs may cause damage to my personal property, other pets, and humans. I will keep dogs securely contained at all times while in my care.
*
- I understand that it is my decision to foster dogs for NYCSR. I will not hold NYCSR liable for any damage, injury or harm caused directly or indirectly through my fostering activities with NYCSR. I carry insurance coverage in the event of personal or liability damages resulting from fostering dogs for NYCSR.
*
- I understand that my foster volunteer position will be terminated if my conduct is deemed in opposition of the mission of NYCSR, or detrimental to the best interests of the dog(s) in my care or of NYCSR.
*
- I understand and agree to all of the above, and support the mission of NYCSR. I understand that this form must be received and approved by NYCSR before I may volunteer for the organization, and that NYCSR reserves the right to refuse my application.
Signature*
Name
Date*
MM slash DD slash YYYY

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