| Last Name:: |
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| First Name:: |
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| Home Phone:: |
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| Cell Phone:: |
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| *Email address:: |
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| Home address:: |
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| Do you rent or own? |
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| Type of residence: |
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| What is your city ordinace on the maximum amount of animals you are allowed to have? |
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| Employer: |
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| Employer address and phone: |
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| What means of containment in your yard do you have for your pets or foster animals? |
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| Work schedule (what is the max amount of time the foster animal will be without human companionship and where will the animal be housed when alone): |
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| Have you fostered for another animal organization? |
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| If yes, which organization? |
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| Number of adults in the household |
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| Number of children in the household and ages |
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| Who will be the general care giver of the fostered animals? |
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| Do you have any pets? |
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| If yes, how many, what types, ages and sex? |
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| If you have cats, are they allowed oudoors? |
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| How long are your pets or will the foster pets be kept outdoors unattended? |
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| Are your pets altered? |
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| Are your pets current on their vaccinations? |
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| What vaccines are your pets currently receiving?: |
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| Veterinarian's name, address and phone: |
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| What types of animal(s) are you available to foster? (example: dogs, cats, kittens puppies, pregnant dogs or cats, bottle fed puppies or kittens, animal recovering from surgeries/illnesses, senior animals, animals reequiring socialization, etc.): |
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| Briefly describe any relevant experience you have had caring for the types of animals your are interested in fostering: |
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| If you are interested in fostering dogs, briefly desribe where/how will the animal receive exercise?: |
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| Briefly describe area(s) in your residence where you expect to house foster animals: |
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| Most times foster animals will need to be isolated from other pets. Briefly explain how you plan to meet this requirement: |
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As most animals rescue through IAR are urgent and sentenced to be euthanized, are you willing to foster the animal until adoption?
IAR has limited foster home space available, will you be able to make your own arrangements for the foster animal if you have a planned vacation? Please Explain: |
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| Under what circumstances would cause you to return a foster animal prior to the end of the fostering period? |
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| Why are you and/or your family interested in fostering? |
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| Are you willing and have the ability to travel to veterinarians or to an IAR representative, who work with IAR, should your foster(s) need medical care? |
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| Are you willing and able to bring the foster animal(s) to adoption events for showing? |
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| Are you willing and able to give standard prescribed medical treatments, vaccinations or care to the foster animal(s) in your home? Please explain any limitations |
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| Are you willing to speak with potential adopters by phone in regards to the personality, etc of the foster aniaml(s)? |
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| Are you willing to show the animal for adoption in your home? |
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| Are you willing to follow through with adoption if approved by an IAR representative? |
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| Please list three personal references with address and phone:: |
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| Comments:: |
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Liability Waiver for Volunteer/Participant as a volunteer of Illinois Animal Rescue, Inc., I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages or loss which I may sustain as a result of volunteering in any and all activities connected with or associated with Illinois Animal Rescue, Inc.I do hereby fully release and discharge Illinois Animal Rescue, Inc, their officers, agents, servants, and employees from any and all claims from injuries, including death, damages or loss which may accrue to me on account of my volunteering with Illinois Animal Rescue, Inc.I further indemnify and hold harmless and defend Illinois Animal Rescue, Inc, their officers, agents, servants, and employees from any and all claims resulting from injuries , including death, damages or loss sustained by me and arising out of, connected with, or in any way associates with my volunteering with Illinois Animal Rescue, Inc.
By submitting the foster application the applicant agrees to waiver any and all liability claims against IAR; the foster home will have space to seperate/confine foster animals from any resident pets; foster home will contact IAR prior to taking a foster animal to a veterinarian; foster home will incur no cost to IAR on behalf of the foster animal without first obtaining written approval by IAR designated representative; foster homes will keep detailed records of any medical treatments and care given to the foster animal; Foster home will abide by all IAR's medical procedures, ensure all medical schedules are followed and keep proper documentation; Foster homes must have their pets current on IAR and vet recommended vaccinations and spayed or neutered; If the foster animal becomes lost or runs away, the foster home must immediatly contact IAR the local police and animal control; foster homed animals must have proper identification on at all times; Foster home shall agree to give the animals in their care, sufficient quantity of good quality qholesome food and fresh water, adequate shelter and protection from the wather or injury, veterinary care when needed and the appropriate socialization needed, as set forth by the Illinois Humane Care for Animals Act and IAR; IAR has the right to inspect the foster home at any time or to request the return of and foster animal at any time which will be released to IAR within a 24 hour period; The foster home is responsible for the annual $25 Foster Home licensing fee, as set forth by the IL Department of Agriculture; Foster animals will be assigned to foster homes at the disrection of IAR; Only a designated representative has the authority to accept animals into the organizaion or its foster homes; this application and all paperwork regarding fostering IAR's animals as well as the animals themselves are the sole property of Illinois Animal Rescue, Inc. |
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| I authorize IAR to check my vet and personal references, so that they may ensure the best possible treatment and care of the rescued animals.: |
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| Name: |
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| Date: |
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