FOSTER APPLICATION

 
In order to become a NLOL Chicago foster parent, you must be 21 years of age or older, live in Chicago or an adjoining suburb, complete our Foster Application and screening process, and agree to a home visit. It is very helpful if you have a car or regular access to one, but not required. We also require that your foster dog come to at least one adoption event a month, for which NLOL can provide transportation if needed.

Please provide the following contact information:

Dog's Name
* Name
* Street address
Address (cont.)
* City
* State (Chicago area residents only)
* Zip/Postal code
* Home Phone
Work Phone
Cell or Pager
* E-mail
Age: Under 21
21-24
25-29
30-39
40-49
50-59
60+
Your occupation:
Work hours:
What time is best to call?
Number of persons in household:         
Number of children:
Ages of children:
Name of Spouse, Partner or roommate:
Occupation of Spouse, Partner or Roommate:
How long at present address? (specify years or months)
Do you rent or own?
Landlord or Condo Board Contact Name:
Landlord's Phone No.
Type of residence:
Type of fence:
Height of fence:
Type of gate:
Number of gates:
Height of gate:
Type of lock:
Who, other than members of your household, has access to your yard when you are not home?
Do you have a swimming pool? Yes
No
If yes, do you know how to introduce your dog to it?
Is swimming pool surrounded by a fence?
Yes
No
N/A
When would the dog be inside?
If other, please specify:
When would the dog be outside?
If other, please specify:
In which areas would the dog be allowed?
What rooms would be off limits to the dog?
What outside areas would be available to the dog?
Fenced Yard
Balcony
Kennel/Run
Covered Patio
Other
How many hours of the day would the dog be alone?
Do you have a pet door? Yes
No
Where would the dog sleep at night?
If other, please specify:
Who will be responsible for the care of the dog?
Is anyone in your household allergic to dogs?
Yes
No
What is your preferred level of exercise with the dog? (choose all that apply)
Couch Potato
Yard Exercise
Short Walks
Vigorous Walks
Hiking/Jogging
Dog Parks
Do you have any experience with dog training?
Yes
No
If yes, please describe.
How will you discipline the dog when he/she misbehaves?
Are you willing to foster an animal that be destructive at times?
Yes
No
How would you rate your dog experience?
1st Time Guardian
Beginner
Intermediate
Advanced
Other:
How would you walk your foster dog?
On Leash
Off Leash
Which of the following reasons might prompt you to give up fostering?
Excessive Barking
Digging
Moving
Destructive Chewing
Allergies
Growling at Guests
Aggressive with other Dogs
New Spouse/Partner doesn't like dog
None of the above

Other: 		Biting
Jumping on People
Divorce
Shedding
Financial Problems
Accidents Indoors
Excessive Vet Bills
Aggressive with Cats
Dog's Health Problems (hip dysplasia, overactive thyroid, heart murmur, etc.)
Existing and Previous Pet Ownership Information:
Please indicate all dogs and cats you have owned, and all pets you currently have.  Under the column "What Happened" explain if the pet was lost, given away, stolen, sold, taken to an animal shelter, or died (in which case state cause of death).
Type of Pet:

Sex:

 Female   Male
How & Why Obtained: 
How Long Owned: (specify years or months)
What Happened? 
Type of Pet

Sex:

 Female   Male
How & Why Obtained: 
How Long Owned: (specify years or months)
What Happened?
Type of Pet 

Sex:

 Female   Male
How & Why Obtained: 
How Long Owned: (specify years or months)
What Happened?
Have you ever bred a dog? Yes
No
If yes, why?
If you presently own a dog or cat, is it spayed or neutered?
Yes
No
If not, please explain why:
If you have cats, are they indoor or outdoor?
Indoor only
Outdoor only
Indoor/Outdoor
Do you have a veterinarian? Yes
No
Name and City of Vet/Clinic:
Phone number of Clinic:
Would you agree to an inspection of your premises by New Leash On Life?
Yes
No
What are your primary reasons for wanting to foster a dog?
Have you fostered for any other organizations in the past/present?
Yes
No
If yes, which one(s) and for how long?
What kind of fostering are you interested in?
Is there any other pertinent information you would like us to know?
How did you hear about NLOL? (Please select all that apply.)
Friend/family member
Adoption Event
Pet supply store
Veterinarian
Petfinder.org
1-800-Save-A-Pet.com
Internet Search Engine
Print publication (Chicago Reader, TimeOut Chicago, Chicago Free Press, etc.)
 Other:

* Please note that a home visit is required prior to final foster placement.
A home visit does not guarantee foster placement.

© 2007 New Leash On Life