Foster Parent Application - Chihuahua & Small Dog Rescue

Your Name

Your Email

Street

City

State

Zip

NOTE: WE ARE LOCATED AND DO BUSINESS IN COLORADO.

Which county do you live in?

Home Phone

Cell Phone

Work Phone

How long at your current address?

Is your residence a/an:

Do you (check one)

Own

Rent

If rent, please provide landlord's name/phone number:

How many adults in your household?

How many children in your household?

What are the ages of your children?

How many dogs in your household?

How many cats in your household?

How many other types of pets in your household? What are they?

Are they all spayed/neutered?

Yes No

Are they all current on their vaccinations, including bordetella for dogs?

Yes No

Are you currently employed?

Yes No

Employer's Name

Does your employer have a Matching Gift Program?

Yes No

Have you ever been convicted of a crime, including misdemeanors and felonies?

Yes No

If yes, give details including dates, charges, and disposition. Convictions are not necessarily a rejection to volunteering. Consideration is given to the offense and its relationship to the position for which you are applying.

Are you willing to do the required online training?

Yes No

Reasons for you wanting to become a foster parent with CSDR.

Have you fostered pets previously?

Yes No

Are you willing to permit a home visit?

Yes No

Does anyone in your household have allergies to hair or dust?

Yes No

Do you have any long-range plans that would keep you from fostering?

Yes No

Do you have a valid driver's license and insurance?

Yes No

Do you want to foster just to adopt a furry friend and then once you adopt you will no longer foster?

Yes No

Are there any aspects of your home that a dog can affect (white carpet, antiques, etc.)

Yes No

What is the name and location of your veterinarian?

Please list two people you know well who can attest to your character, skills, and dependability (name, relationship to you, phone, & length of relationship).

THINGS TO CONSIDER:

• Dogs may come to you with kennel cough. You are required to have your personal dogs vaccinated for kennel cough.
• You must attend Meet & Greets twice a month. Of course, you can attend more often.
• Dogs are probably not housebroken when they come to you.
• You must take your foster dog(s) to vet appointments. All vet bills are paid by CSDR, not by you.
• You may have to administer medication(s).
• Foster dogs that are un-altered and not current on vaccinations cannot attend Meet & Greets.

VOLUNTEER AGREEMENT

By signing below, I hereby accept a position as a Volunteer for Chihuahua & Small Dog Rescue, Inc., once I am approved and have attend orientation and training as a poster parent and on the following understandings:
1. My services to CSDR are provided strictly in a voluntary capacity as a Volunteer, without any express or implied promise of salary, compensation, or other payment of any kind whatsoever.
2. My services are provided without any employment-type benefits, including employment insurance programs, worker's compensation, or any accrual of vacation of sick time.
3. I will familiarize myself and comply with CSDR's policies and procedures applicable to Volunteers. In particular, I fully understand that CSDR expects high standards of moral and ethical treatment of animals. I will strictly adhere to these standards.
4. I understand that CSDR, without notice or hearing, may terminate my services as a Volunteer at any time, with or without reason.
5. Method of dress - appropriate clothing (no short-shorts, low cut blouses or tops and no holes in clothes) when representing CSDR.

RELEASE

1. I understand that the handling of animals and other Volunteer activities on behalf of CSDR may place me in a hazardous situation & could result in injury to me or my personal property. On behalf of myself, my heirs, personal representatives & assigns:
I hereby release, discharge, indemnify and hold harmless CSDR and its directors, officers and agents from any and all claims, causes of action and demands of any nature, whether known or unknown, arising out of or in connection with my Volunteer actives.
2. I understand that CSDR is not responsible in the unlikely event of any personal pets becoming ill while I am volunteering with CSDR. Preventive measures will be discussed in detail throughout training and it is my responsibility to perform these measures responsibly. I understand that it is important that all of my personal pets are current on all of their shots including Bordetella (Kennel Cough) vaccine. Also, I know that it is necessary that I wash my hands thoroughly before leaving a CSDR event, take my shoes off before I enter my house, and change my clothes before I socialize with my personal pets. If I perform all of these measures, it is highly unlikely that my personal pets should become ill. However, if they do become ill, I hereby release, discharge, indemnify and hold harmless CSDR and its directors, officers and agents from any and all claims.
3. I understand that public relations is an important part of a Volunteer's activities on behalf of CSDR. I hereby authorize CSDR to use any photographs of me in its possession for public relation purposes.
I ask that CSDR use reasonable efforts to give me advance notice of any such use, but such notification is not a condition to release photographs for public relation purposes.

COMMITMENT

I understand that by becoming a volunteer, I am joining a team of volunteers that are committed to saving lives. I understand that CSDR is a 100% volunteer organization and everyone depends on each other.

If I fail to do what I promise to do then another volunteer will have to cover for me and that could mean someone has to take unpaid time off from work.

I give CSDR permission to verify any information given in this application.

Signature (by typing your name, you are signing this application)

Date

Verification

Please enter any two digits

Please click the submit button only one time. When you see the thank you message, your form was submitted.