Name of Applicant Applying
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Please provide middle name. Required for background check.
First Name
Last Name
Birthdate of Applicant Applying
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Must be 18+ years old. We will not respond to applications for anyone under 18 years old.
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DD
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Name of Co Applicant
If Applicable
First Name
Last Name
Birthdate of Co-Applicant
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DD
YYYY
Full Address of Applicant
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
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Have you applied or been approved through CHDR to adopt within the last 60 days?
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Type of home you live in.
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Are you willing to use a leash if your foster dog is not secured in a fence, when enjoying the great outdoors?
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Do you rent or own your home?
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If you rent or are a roommate or child of the home owner, please provide the landlord or owner’s name and e-mail address.
Please list the ages of the people in the home.
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Please provide full names and dates of birth for anyone in the home over 18+ years. Required for background check.
Are you able to commit to utilizing our Coco's Heart Veterinary Clinic located in Somerset, WI?
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We strive in our relationship with our high quality veterinary clinic and require all foster dogs to be seen here for all veterinary care. Emergency visits by exception from director of rescue.
Veterinary Reference (Please call your vet and give permission for Coco's Heart to access your records)
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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:
List the pets currently in your home.
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Please include: name, species/breed, age, sex, spay/neuter status, and how long you have had them.
Do all of your pets live inside your home?
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If no, please explain.
Are you pets up to date with Annual exams and vaccinated for Rabies, Distemper and Parvo?
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We do require proof of vaccines/alter status- please be prepared to provide. If no, please explain. Bordetella is not required, but is strongly recommended.
Are all your pets spayed or neutered?
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If no, please explain.
Is anyone living in the home allergic to dogs, cats, or other small animals?
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If yes, please explain how you will handle this.
Are all people in the home in favor of fostering?
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When would you be available to welcome your first foster animal?
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How long will you be able to provide a foster home?
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We recognize and appreciate families who work out of the home with full-time careers. Animals 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.
What type of animal are you looking to foster?
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Do you have any preferences such as size or breed that you would like to foster?
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Explain where the foster animal will be kept while you are not home?
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How long will the foster animal be left home alone during the day?
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Are you willing to use one of our approved temp fosters while you are away or on a trip?
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How will your foster animal be exercised and how often?
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Are you willing to crate/kennel train?
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Resources can be provided.
Are you willing to work with your foster animal on any medical or behavioral challenges/areas of improvement they may have?
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If no, please provide more information
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Do you acknowledge that every animal welcomed to rescue may go through a transition or adjustment period and are you willing to work with your foster animal as they settle into your home?
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Do you acknowledge that your foster animal may have quirks that need to be worked through and are you willing to work with your foster animal through these quirks with help and resources?
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Have you ever given away, sold or surrendered an animal?
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If yes, please explain.
Has a pet ever disappeared, been killed or injured, or mistreated while in your care?
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If yes, please explain.
Do you currently foster for another rescue organization and/or have you fostered for another rescue organization in the past?
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If yes, please list the name and state of the rescue.
How did you hear about CHDR?
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Are you currently or have you ever been a foster/adopter/volunteer for Coco's Heart?:
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Thank you for your interest in becoming a foster family with Coco's Heart Dog Rescue!
**Please note, the process will take longer if your application is not fully completed.
Please email foster.processing@cocosheartdogrescue.org if you do not hear from someone within 1 week of submitting a foster application.
Thank you for your interest in helping a deserving dog!
