Foster Home Application

Please take a few moments to review our Foster Home Agreement before filling out application.

Foster Home Application

Thank you for your willingness to become a foster home and help save a Cairn’s life! The information you provide in this application will greatly aid us in determining what your experience and limitations are, how much guidance we should provide you, and what kind of rescue Cairn you can handle comfortably.

"*" indicates required fields

A. Personal Information

Name:*

First Last

Address:*

Street Address City State ZIP Code

Email:*

Home Phone:

Work Phone:

Best hours to call:

Fax:

B. Household Information

Applicant Age

Applicant's Occupation

Number of adults in the household:

Men:

Women:

Number of children under 18 years of age in the household:

Age of child #1:

Age of child #2:

Age of child #3:

Age of child #4:

If there are no children in the household, how often will the dog come in contact with children?

Are there children under 18 years of age who frequently visit the household?

(i.e, grandchildren, stepchildren, frequent houseguests, neighbors, babysitters)

Yes

If yes, please list by name, age, relationship, and frequency of visitation:

Please list your current pets by name, breed/type/species, age, gender, spay/neuter condition, and current health:

If you currently have more than one dog, please describe how they get along:

When alone where are your pets kept?

If other, please specify:

Where do your pets stay at night?

Are all members of your household aware that you will be fostering?

Yes

Do they support your desire to aid Cairn rescue and foster a rescue dog?

Yes

C. Foster Home Facilities

In what type of home do you live?

Single family

Townhome

Condominium

Apartment

Mobile home

Other:

If other, please specify:

Do you own or rent your home?

Own

Rent

If you rent, does your landlord allow pets?

Yes

Not applicable

Do you have a yard or patio?

Yes

If yes, is it fenced?

Yes

Not applicable

If fenced, of what material is the fence made?

Not applicable

Wood

Chain Link

Other:

If other, please specify:

Height of fence in feet:

Have you inspected the fence for holes that a Cairn could crawl or dig through?

Yes

When your dogs are outside (check all that apply):

My dogs are kept in a fully fenced yard

My dogs are kept on a leash if there is no fence

I teach my dogs to heel and stay with me off-leash in unfenced areas and plan to do the same with my foster dogs

I use an electronic fence

I let my dog run loose in unfenced areas; I know they will come when called

I do not have a fence and use a tie up and leave the dog alone to do its business

I do not have a fence and use a tie up, but I stay outside supervising the dog

I take my dog to the local dog park

Are you able to provide leashed walks?

Yes

If needed, how would you isolate a rescue? (i.e. do you have babygates? crate?Other?

Do you have a crate of suitable size for a Cairn (i.e Varikennel 200 or similar size)

Yes

D. Caring For Your Foster

Where do you plan to keep your foster when it first arrives?

Where will you keep your foster once it has settled in?

Will anyone be home during the day?

Yes

If so, who will be home and what will their responsibilities be?

If you have child(ren) in the household, how much responsibility will your child(ren) have in the care of the foster?

If you have child(ren) in the household, how much supervision will the foster and child(ren) have?

Have you owned a Cairn before?

Yes

How would you encourage or reinforce the foster Cairn's appropriate ("good") behavior?

How would you deal with behavior problems in a rescue? (i.e. aggression, urination)?

Please describe your experiences with obedience classes:

If needed, would you be willing to take a rescue dog to obedience training (at CRUSA's cost) or provide behavior modification?

Yes

Please check all that apply, if any:

I have adopted a rescue dog before

I have fostered a rescue dog before

I have worked/volunteered with my local animal shelter

I have volunteered with a dog rescue group before

I have taken a dog I owned to obedience classes before

I show dogs in conformation/performance events

This is my first time doing dog rescue

I belong to an online Cairn terrier/terrier list

None of the above

If you checked any of the above, please specify:

E. Foster Preferences

How long can you foster?

What gender Cairn can you foster?

Males only

Females only

Either gender

What age are you willing to foster?

check all that apply

Puppy (under 6 mths)

Puppy (6-12 mths)

Young Adult (1-6 yrs)

Mature Adult (7-10 yrs)

Senior (11+ yrs)

Are you willing to foster a dog that is not housebroken yet?

Yes

In an emergency, would you be willing to take a dog that does not fit these criteria?

Yes

How many dogs are you willing to foster at once?

If other, please specify:

Would you be willing to foster any of the following special needs dogs?

check any that apply

Senior dog

Diabetic dog (insulin controlled)

Sight-impaired/blind dog

Hearing-impaired/deaf dog

Dog requiring special vet diet

Dog with allergies

Dog being treated for heartworm

Would you be willing to travel to pick up a rescue dog?

Yes

If yes, how many miles one way?

F. References

Because we will be entrusting you with our rescue dogs, we require a minimum of two references in addition to your veterinarian. Only one of these references should be a family member. All addresses and phone numbers must be complete in order for us to verify your references. PLEASE alert your references that one of our volunteers will be contacting them soon.

Please provide the information for the vet you will be using when you foster a Cairn:

Name of Practice:

Doctor's Name:*

First Last

Address:*

Street Address City State ZIP Code

Phone Number:*

Email:

Does this vet offer rescue discounts?

Yes

Don't know

If so, please provide details:

Have you fostered a Cairn for a rescue organization before?

Yes

If yes, how many Cairns have you fostered and for which organization?

Personal Reference #1:*

First Last

Address:*

Street Address City State ZIP Code

Home Phone Number:*

Work Phone Number (with permission):

Email:

Relationship:*

Best time(s) to call:*

Personal Reference #2:*

First Last

Address:*

Street Address City State ZIP Code

Home Phone Number:*

Work Phone Number (with permission):

Email:

Relationship:*

Best time(s) to call:*

Personal Reference #3:

First Last

Address:

Street Address City State ZIP Code

Home Phone:

Work Phone (with permission):

Email:

Relationship:

Best time(s) to call:

Would you be willing to have your home visited by a CRUSA representative?

Yes

Phone

This field is for validation purposes and should be left unchanged.