Canine Castaways

Volunteer and Foster Parent Application

Name:
Street Address:
City, State, Zip Code:
Home Phone Number:
Work Phone Number:
E-Mail Address:
Alternate E-Mail Address:
Do you currently have pets? If YES, please list all pets living in the household. Include name, breed, age, sex and spay/neuter status. Yes No
Have you owned pets in the past? If YES, what kind and what happened to them? Yes No
Have you ever owned a rescue pet? Yes No
Please provide us with a veterinary reference. (including phone number) (Please indicate "None" if you have never owned a pet.)
Please provide us with a personal reference, not related to you. (including phone number)
What type of volunteer work are you interested in? Computer Home Inspections Transports Foster Home Other
Please list any Rescue / Shelter experience you have, including type of work performed, name, address, phone number and email address of facility, name of supervisor.
If you have no Rescue / Shelter experience, why do you feel compelled to do this type of volunteer work?
IF INTERESTED IN FOSTER CARE, PLEASE ANSWER THE QUESTIONS BELOW. OTHERWISE YOU MAY SUBMIT YOUR APPLICATION AT THIS TIME.
Dog or Breed you are interested in?
Please tell us about the home you live in. Own Rent
If you RENT, do you have your landlord's permission to foster a dog? Yes No
If you RENT, please provide your landlord's name:
Landlord's Phone Number:
Type of Fence: Height:
If NO FENCE, how will the dog get exercise and relieve itself?
How do your pets react to other animals? Friendly Aggressive Submissive Nervous Don't know
How many hours will the dog be alone during the day?
Where will you keep the dog while you are at work or out on errands?
Will the dog be left alone at night? Yes No
Where will you keep the dog while you are on vacation?
Do you have a crate to keep the dog in? Yes No
How many adults presently in the house? Women? Men?
Please list ANY children and their ages who either live in the home or visit on a regular basis.
How would you handle behavior problems with your foster dog? Please be aware that your foster dog could display undesirable behaviors while in your care.
What would you do if your foster dog started a fight with or bit your dog?
What would you do if your foster dog bit you or a member of your family?
Would you be willing to foster dogs with special needs such as senior dogs, puppies, disabled dogs, behavior problems, dogs on medication, etc. Yes No
Are you willing to work with your foster dog on housebreaking, leash training and basic training commands? Yes No
How many dogs would you be able to foster at one time?
How far would you be willing to drive to get your foster dog to it's new home? unable to transport up to 75 miles up to 150 miles
Do you agree to return your foster dog to Canine Castaways, Inc. if you are requested to do so and understand that all placements MUST be done through Canine Castaways, Inc.? Yes No
Do you agree to a Canine Castaways, Inc. representative visiting your home? Yes No
Do you agree to sign a foster contract, and to abide by all conditions outlined within the contract? Yes No
Your additional comments:

ALL APPLICANTS ARE SUBJECT TO A HOME VISIT. WE RESERVE THE RIGHT TO REFUSE OR REJECT ANY APPLICATION. IT MAY TAKE SEVERAL DAYS FOR YOUR APPLICATION TO BE REVIEWED, DEPENDING ON THE VOLUME OF APPLICATIONS RECEIVED. PLEASE BE PATIENT. YOU WILL BE CONTACTED AS SOON AS POSSIBLE. "A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE (1-800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE." SOLICITATION REGISTRATION NUMBER CH16703

Canine Castaways - Post Office Box 3295 - Arcadia, FL 34265 Email: CanineCastaways@hotmail.com