Foster Application

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Section 1. Applicant Information (Main person responsible for foster dog)

Employer Information

Days Of Week

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Spouse/Partner Information

Other Residents in Your Home Information

Resident 1

Add another resident

How long have you lived at this residence?

Do you own or rent your home?

Homeowner's/Renter's Insurance Provider:

Does your lease/association allow pets?

Landlord:

Do you plan on moving or have the above information change within the next 12 months?

Have you ever fostered or do you current foster a dog?

Organization 1

Organization 2

Organization 3

Add another organization

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Section 2. Preference for a dog

If there is a particular dog you are interested in, please indicate its name:

What type of dog are you interested in fostering? (Select all that apply)

Male Female Bonded Pair

Age:

Puppy Young Adult Middle Adult Senior

What is your timeframe for fostering?

As soon as possible Within a few weeks Within a few months

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Section 3. Current Pets

Current Pet 1

Current Pet 2

Current Pet 3

Current Pet 4

Current Pet 5

Add another current pet

Do you have a current veterinarian?

If yes, may we contact him/her?

Are you current pets up to date on vaccinations and heartwworm and flea/tick preventatives?

Have any of your current pets displayed aggression toward/bitten a person or animal?

If yes, please explain:

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Section 4. At Home with Your Foster Dog

Where would the dog primarily live?

Inside Outside Half & Half

Where would you keep the dog during the day?

At night?

How many hours a day would the dog be alone in your home?

Where will it be kept while you are away?

Do you have a complete and secured fenced yard?

If yes, type (i.e invisible, chain link, wood panel, mesh, picket, vinyl) and height:

Is there a pool/pond on the property?

Have any of your pets ever escaped from your yard or home?

If yes, please explain how you retrieved your pet and how you prevented him/her from escaping again:

Are you willing and able to transport a foster dog to veterinarian appointments and to prospective adoptive homes for pre-adoptive meetings?

Are you willing to administer medication to a dog?

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Section 5. How You Will Train Your Foster Dog

Are you aware that fostering a canine hero can take 30 days or more to adjust to a new environment? This period will require additional vigilance on your part, an the dog may seem unenthusiastic for play or other activities.

Do you have experience training dogs?

Will you agree to crate train the dog?

How will you exercise and socialize your dog, and how often?

How would you handle issues like excessive barking, marking, separation anxiety, destructiveness, etc.?

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Section 6. About Homes For Animal Heroes

Check the box to indicate that you read and understand the mission of HAH?

The mission of Homes for Animal Heroes is to (1) provide permanent, loving homes to retired research animals through a nationwide rehoming network, (2) educate the public about the benefits of biomedical research relating to human and animal health and well-being, (3) present an accurate representation of the care and consideration research professionals provide for the animals they work with each day, and (4) work collaboratively with the research community to promote awareness and develop a cohesive rehoming network.

I have read and understood the mission of HAH

How did you hear about Homes For Animal Heroes?

Why do you want to foster a dog from Homes For Animal Heroes?

Provide the name and contact information of two references. (Do not list family members or roommates.)

Reference 1

Reference 2

Have you or anyone living with you ever pled no contest or been convicted of a crime involving animals?

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Section 7. Confidentiality Agreement

Volunteer does hereby understand and accept the importance of maintaining positive relationships with our supporters, collaborators and partners, and agrees to enter into a confidentiality agreement with Homes for Animal Heroes should confidential information ever be disclosed, given, or discovered by Volunteer, whether as part of Volunteer Activities and involvement, or through any and all other means. Confidential information includes, but is not limited to: name and contact information of Volunteers, Adopters, Donors, and Supporters, amount of donations, internal correspondence about Volunteer Activities, and all information relating to the source, origin, and releasing location of dogs transferred to Homes for Animal Heroes. Volunteer confirms to hold the information at all times in strict confidence. Volunteer shall not disclose the information to any third party, nor use information for the benefit of any third party. Volunteer shall not keep any documentation in his/her possession that may reveal the identity of the releasing facility, its employees, location, or information about their work. Volunteer shall immediately surrender any and all documentation related to a specific research animal that may reveal the identity of the releasing facility, its employees, location, or research, to the Homes for Animal Heroes Coordinator, and confirm in writing that all copies have been surrendered. Volunteer’s obligation within this Confidentiality Agreement will continue past the cessation volunteer's role and responsibilities. I agree to abide by the terms of this Confidentiality Agreement.

Applicant Signature

Date

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Section 8. Consent

I give my consent for Homes for Animal Heroes to verify any of the above information and contact the references listed. I understand and agree to all of the following statements:

I understand that an interview with a Homes for Animal Heroes representative and in-home visit are required prior to acceptance as a foster for Homes for Animal Heroes.
I understand that if approved, my information could be on file with my state's Department of Agriculture as a foster home for Homes for Animal Heroes
I understand that there is a possibility of health or injury risk to humans and personal pets when caring for Homes for Animal Heroes foster animals. I will not hold Homes for Animal Heroes liable for any injury or illness that may result from my foster activities.
I understand that Homes for Animal Heroes is not responsible for any property or personal damage by Homes for Animal Heroes foster dogs.
I understand that completion of this application does not necessarily guarantee acceptance into the program.