Foster Application We Want Your Help, Tell Us More About YouFoster Application Fill out this form to let us know you are ready to help out a great cause by fostering Chicagoland Dog Rescue dogs. We look forward to hearing from you.1Basic Information2Home Information3ConsentName* First Last Date of Birth* MM slash DD slash YYYY (Applicants must be 18 years of age or older to foster with Chicagoland Dog Rescue)Email Secondary Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Main Phone*Alternate PhoneCurrent Employment* Full Time Part Time Retired Unemployed Student OtherWhy you want to foster a dog?*Please list your experience with dogs.*How did you hear about Chicagoland Dog Rescue?Do you rent or own your home?* Own RentPlease describe height and weight restrictions for the unit/home you are renting.*Landlord Name* First Last Landlord Phone*Are there children living with you?* Yes NoHow old are the children?*Do you have other dogs in your home?* Yes NoAre your dogs spayed/neutered?* Yes No I don't knowDo you have any other animals in your home?* Yes NoWhat are the other animals in your home?*Do you have a fenced yard?* Yes NoNo fence? How will you confine the dog outside?*Please describe your fence. (Type and height)*Hours per day dog will be alone.* Less than 2 2 - 5 5 - 8 8 -10 10 -12 More than 12Where will the dog be kept when it is alone?*Size of dog you are willing to foster:* Small Medium Large Extra LargeDo you want a male or female dog?* Male Female Either / No preferenceEmergency Contact*RelationshipEmergency Contact Phone*Today's Date* MM slash DD slash YYYY Legal Name / Signature*By filling out my full legal name below it represents my signature and recognition of the possible risk in working with animals and that it can lead to injury. I understand and assume responsibility of any and all liability and risk in volunteering with CDR. I waive and release CDR and its agents and representatives from any and all claims which may accrue to me arising out of or in connection with being a volunteer. Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix CommentsThis field is for validation purposes and should be left unchanged.
