Carolina Big Hearts Big Barks Rescue

CAROLINA BIG HEARTS BIG BARKS RESCUE

Foster and/or Volunteer Application

Name:______

Address:______City State Zip______

Home Phone:______Cell Phone:______

E-mail:______

Why would you like to be a foster and/or volunteer for CBHBB?

______

______

Type of dogs you are willing and able to foster:

______

Please list the current animals in your household:

Pet's Name Species M/F Spayed/Neutered? Age

______

______

______

______

Are your pets good with other animals? ______

If you have cats, do you keep them indoors or do you let them outside?

If you have dogs, do you keep them primarily indoors or outside?

Do you have a fenced yard? Yes No

Are all parties living in the home in agreement to foster this dog?

Please indicate your housing status:

__ Rent an apartment

__ Rent a house

__ Own a house or condo

__ Live with parents

If you are renting, please provide your landlord's name and phone number:

Do you work outside of the home? □Yes □No

How many hours a day are your pets home alone? ______

Where are they kept when you are away from home? ______

Do you have other adults/children in your household? □Yes □No

If yes, how many? ______

Please list their ages if children: ______

Will you need CBHBB to provide:

___Food __ _Crate ___Harness ___Leash ___Collar

Do you foster for any other rescue group/shelter? □Yes □No

If yes, which rescue group?

Have you fostered in the past? □Yes □No

If yes, which group/shelter, reason for not continuing, and contact person:

Your veterinarian's name: ______

Telephone number: ______

Please list two personal references whom we may contact:

Personal reference #1: ______

Phone number: ______

Your relationship: ______

Personal reference #2: ______

Phone number: ______

Your relationship: ______

***Are you familiar with the Mandatory Two Week Shut Down and SlowIntroduction Process when bringing a new dog in to your home? □Yes □No

Which of the following training or behavior issues have you had experience with or would be willing to work with in a dog? (please specify which)

□ Dog aggression □ Cat aggression □ Separation anxiety

□ Housetraining□Excessive Chewing□ Pulling on leash

□ Escaping from fenced area□ Resource guarding □ Inappropriate jumping

□ Hyperactivity□ Excessive barking □ Crate training

□ Other, please indicate:

**Which of these behaviors are you not willing to work with in your home?

***Would you continue to foster the dog with the aforementioned behavior problems until another suitable foster home can be found? □ Yes □ No

Explain if needed:

I certify that my answers are true and complete to the best of my knowledge and I have read, understand, and acknowledge, Carolina Big Hearts Big Barks Foster Contract.

I have also read, understand, and acknowledge the policies set forth by Carolina Big Hearts Big Barks Rescue.

______

Signature of applicant Date

______

Signature of spouse/partner/roommate (if joint app) Date

______

Signature of Authorized CBHBB Member Date