Foster Application

Street Address

City, State, Zip

Phone Number

Your Custom Text Here

Thank you for your interest in fostering for Coco's Heart Dog Rescue! Coco’s Heart Dog Rescue could not help animals without the support of fosters. Fostering can be a very rewarding experience! It is not always the easiest, but Coco's Heart has a great network of mentors and fellow fosters to help. If you’re interested in helping us fulfill our mission, please fill out this application. Please check your junk/spam folder if you do not see a response from us.

Full Name *

Please use FULL legal name. Middle name is required for background check.

Birthdate *

month/day/year. Please provide full name and birthdate of every person over the age of 18 years old in the household.

Email Address *

Confirm Email Address *

Full Address (Include city, state, zip) *

Phone Number *

Type of home you live in. *

Apartment/condo

Townhome

House

Do you have a fenced yard (not required)? *

Yes

Do you rent or own your home? *

Rent

Own

If you rent or are a roommate or child of the home owner, please provide the landlord or owner’s name and phone number. *

We also need to know if there are any restrictions, such as size or breed of dog, etc.

Personal References *

Please provide name, number, email for two personal references (someone that knows you and provide insight on your character, how you treat your own pets, etc.) These references CANNOT live in your home with you.

Veterinary Reference (Please call your vet and give permission for Coco's Heart to access your records) *

Please provide the clinic name and phone number of the clinic(s) of any pets you have owned in the past 10 years. Also provide the name the records are under:

Please list the ages of the people in the home. *

Please provide the birthdates for all members of the household for anyone over the age of 18 years old.

Is anyone living in the home allergic to dogs? *

If yes, please explain how you will handle this.

Are all people in the home in favor of fostering a dog? *

Yes

Do you currently foster for another rescue organization and/or have you fostered for another rescue organization in the past? *

If yes, please list the name and state of the rescue.

Why do you want to be a foster for CHDR? *

Do you have any preferences such as size or breed of dog that you would like to foster? *

Do you have pets living in your home now? *

Yes

Do all of your pets live inside your home? *

If no, please explain.

Are you pets up to date with Annual exams and vaccinated for Rabies, Distemper and Parvo? *

If no, please explain. Bordetella is not required, but is strongly recommended.

Are all your pets spayed or neutered? *

If no, please explain.

List the pets currently in your home. *

Please include: name, species/breed, age, sex, spay/neuter status, and how long you have had them.

How do your pets react to other dogs? *

Have you ever given away, sold or surrendered your dog? *

If yes, please explain.

Has a pet ever disappeared, been killed or injured, or mistreated while in your care? *

If yes, please explain.

Explain where the foster dog will be kept while you are away from the house or on a trip. *

How long will the foster dog be left home alone during the day? *

How will your foster dog be exercised and how often? *

Are you willing to work with your foster dog on any medical or behavioral issues it may have? *

Yes

Do you acknowledge there can be disagreements and will you strive to ease the transition and provide care and guidance as needed? *

There can be fear and anxiety during the transition time (which can be anywhere from days, to weeks, to months) until the dog is comfortable in your home.

Yes

Are you willing to crate/kennel train? *

Training can be provided.

Yes

How long will you be able to provide a foster home for a dog?

Dogs can find their new homes in as little as a week to several months or more. We also need Temp Fosters which involves two days up to two weeks.

How did you hear about CHDR? *

Are you currently or have you ever been a foster/adopter/volunteer for Coco's Heart?:

Yes

Are you able to commit to utilizing our approved veterinary clinics located in either New Richmond WI, Hudson WI, Chetek WI, Rice Lake WI IGH MN, or Maple Grove MN? *

We strive in our relationship with our high quality veterinary clinics and require all foster dogs to be seen at one of these locations for all veterinary care. Emergency visits by exception from director of rescue.

Yes