Become a Foster Foster Application This form is for anyone interested in being a foster home for Carolina Hearts. It must be completed in full before you will be considered as a foster home for our organization. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone Number*Describe Yourself - your energy level, your interests, your job, your favorite activities.*Have you, or anyone in your extended family or friends, owned (or fostered) an or Australian Shepherd or other herding breed? If so, please list the breed and time owned/fostered.*Please list the names and ages of anyone in your family and extended family or friends with whom a fostered dog will frequently come in contact. Include name, relationship, age, gender, and frequency of contact.*Please identify any of these people who might be fearful of the dog or have difficulty accepting behavioral problems.*Do you currently own another pet or pets? If so, list type of animals, breed, names, ages and sex (neutered or not?) and a brief description of their personality.*Do you train regularly?* Yes No Do you train using Positive Reinforcement?* Yes No Do you train using a Clicker?* Yes No If you answered “No” to any question, please explain your training methods.*Is your dog crate trained?* Yes No Have you ever house trained a puppy or dog?* Yes No Are you the one who house trained, crate trained, and taught your dog basic commands?* Yes No Would you be willing to house train / crate train a foster dog in your care?* Yes No Have you ever fostered an animal for another rescue organization? If so, list organization, how many animals you fostered and the dates you participated.*Please give us the name of an individual who is active in the dog community who is also familiar with you and your dog experience. This could be a trainer, a breeder, a shelter manager, etc. Please ask permission of this individual and let them know that we will be calling. Include a phone number to contact this reference.*Please give us the name, address, and telephone number of your current veterinarian.*Your home is a* House with a yard Condo with a yard Apartment Other Describe the neighborhood – are you on a busy street or in a rural setting?*Do you own or rent your home?* Own Rent If you rent, you must provide written consent from your landlord to bring animals onto the property. Please provide your landlord's name, address, and phone number below, and email a letter of consent to volunteer.char@gmail.com.If you own, do you have any neighborhood restrictions which might preclude your ability to foster a dog in your home? Yes No Do you have a fenced yard or fenced in area for the dog to use?* Yes No If yes, what type of fencing?Is it attached to your house and accessible from a door? Yes No What is the approximate size of your fenced area?Describe the type of dog you would feel comfortable fostering. Describe energy level, medical issues, age, understanding of basic commands – all the things that you believe you could handle.*Would you consider fostering a deaf or blind dog (this is most common in merle breeds, however some elderly dogs may have hearing or vision loss)?*What can you not accept in a foster dog?*Where will your foster dog sleep at night?*Where will your foster dog spend the day if you are at home?*Where will your foster dog spend the day if you are away?*Have you ever experienced a dog fight, and if so, what did you do?*How familiar are you with canine body language?* Very Somewhat Not at all How do you discipline a dog for breaking a rule?*Are you comfortable taking a foster dog to the vet?* Yes No Are you comfortable fostering a dog straight from a shelter?* Yes No Do you have any friends or acquaintances who currently foster for CHAR?* Yes No If yes, please give their name(s).Sometimes CHAR rescue dogs must be euthanized due to termperament issues, such as aggression, or serious medical issues. Do you understand that a dog you foster may have to be euthanized?* Yes No Do you have any additional comments or information that you would like to share with us?*By signing this document (or entering my name electronically), I authorize Carolina Hearts Aussie Rescue to contact my listed references and discuss my pet owning and keeping abilities, and to share that information with other humane groups. By signing, I state that I am over 18 years of age, have never been convicted of animal abuse, animal collecting, nor have I ever been convicted of a felony. In volunteering to work with Carolina Hearts Animal Rescue (CHAR) I consent to abide by all terms of the CHAR Bylaws, the CHAR Handbook, and all other policies approved and implemented by CHAR. I fully understand and agree to assume all risks involved in any and all duties that I perform for CHAR in my volunteer capacity and I agree to hold CHAR harmless for any injury(s) that I might sustain during the course of my volunteer duties. This waiver does include myself, all of my family members, heirs, and descendants forever from seeking any legal action whatsoever against CHAR or its representatives.*Check Yes here to indicate your agreement to the above statement.* Yes Captcha