Animal Foster Application Our Process Thank you for applying for adoption at Chicago Canine Rescue! We are committed to making matches between our adopters and our dogs that willl last a lifetime! Please take a few minutes to answer the following questions as honestly and completely as you can. The more information we have, the better match we can make! After you submit your application, a representative from CCR will contact you via email to discuss scheduling a meet with the your family and the dog(s) you are interested in. We attempt to respond to all new applications within 48 hours of receipt. Note that we do reserve the right to perform a home visit prior to adoption at the discretion of Chicago Canine Rescue. PLEASE READ THE FOLLOWING VERY CAREFULLY!* Are you 21 years old or older? Do you have the approval of your entire household and landlord? If you have a pet at home already, are you certain that they are up to date on all required vaccinations? If you feel that you can do all of the above, click on the button below to start the application process.* I am ready to foster I am NOT ready to foster Applicant's Name* First Last Are you at least 21 years old?* Yes No Date of Birth* MM slash DD slash YYYY Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Enter Email Confirm Email Primary Phone #*Alternate Phone #Tell us about your home* I/We own a single family home I/We own a condo or townhome I/We rent our home Landlord's Name* First Last Landlord's Email Landlord's Phone*Contact Person's Name for Condo or Townhome Association* First Last Association Email Contact Phone*How many adults in your household?*Just type in a numberHave all the adults in the household agreed to this foster?* Yes No Number of children in the household?*Please enter a number from 0 to 30.Ages of children*Have the children had pets before?* Yes No Is anyone in the home allergic to pets?* Yes No If yes, please explain the allergies.* Why would you like to foster an animal from us?*Do you currently have any pets in the home?* Yes No If yes, please list the name, species/breed, and age of each pet.*Are you pets spayed or neutered?* Yes No If not spayed/neutered, please explain:* Have you owned pets in the past?* Yes No If yes, please list the name, species/breed, and age at passing of the last four pets you have owned.Have you ever given an animal away or relinquished an animal to a shelter?* Yes No If yes, what were the circumstances?*Do you have a fenced in yard?* Yes No How many hours a day will your pet be left alone?*Please enter a number from 0 to 24.How will you deal with possible digging?* How will you deal with possible barking?* How will you deal with possible chewing?* How will you deal with possible aggression?* Please provide any experience you have with pets, information you believe we should know, or any additional information you may have:Name of Applicant:* First Last NameThis field is for validation purposes and should be left unchanged.
