Foster Application Form

All items with an asterisk (*) are mandatory

** For proper form submission please open in a web browser, not an App **

We ask that you consider and answer each question carefully as the information you provide assists us in assessing your suitability as a foster and the type of dog we can place in your home.

Contact Information:
Why do you want to become involved in the ACDR?
Please explain your history, involvement, and experience with Dachshunds.
Have you had pets in the past?  If so, please describe.
Please list pets you currently have.  Include the following information in your list: type/breed, sex, age, owned since, comments on personality of each animal.
Are your current pets spayed/neutered?  If no, please explain.
What are your personal beliefs on spaying and neutering?
Are your pets up-to-date on vaccinations and heart worm tests/preventative?
What is your opinion regarding euthanasia?
Do you breed or have you ever bred dogs or any other companion animals?  Why or why noy
Have you ever been convicted of a felony or misdemeanour involving mistreatment of animals?  Provide details.
Have you ever been denied privileges by the CKC, AKC, any Dachshund Club or other rescue organization?  If yes, please provide details.
Do you belong to any other rescue organizations currently?  In the past?  Please provide details.
If you have been doing rescue independently, how long have you been doing so?  What was your fee structure?  Did you use an application format?  How many dogs did you place?
Are you willing to transport a dog?  If so, what mile/kilometre radius from your home?
References:
Please provide us with at least two references in addition to your vet.  We are looking for individuals who can provide us with information about your suitability as a volunteer for ACDR.
Reference #1 Please provide the name, location, and telephone number of your veterinarian (required for all applicants who own or have owned a companion animal).  How long have you been associated with this vet and/or clinic?
Reference #2 Please provide the name, location, and telephone number of someone who knows you well and is not a personal friend - e.g. employer, clergy, associate in an organization, etc.
Reference #3 Please provide an additional reference as in #2.
Would your currents pets accept a new dog?
Where are your pets during the day when no one is at home?
Where do your pets eat?
Where do your pets sleep?
Where are your pets when you are at home?
If you travel, what arrangements do you make for the care of your pets?

HOUSING INFORMATION:

Do you own or rent your home?
Housing type:
If you rent, is your landlord agreeable to your having a dog?
If renting, please provide landlord's name, address, and telephone number.  We require written consent stating that you are permitted to have a foster dog on the premises.  Please include this consent with your completed application.
ACDR has a total restraint policy.  Do you have a securely fenced yard?
What type of fencing? (please describe in terms of material and height)
If you don't have a fence, are you willing to fence, install an exercise run or leash walk at all times?  Please indicate which of the above would apply to you.
YOUR FAMILY:
How many adults are in your home?
Children?
Please list the name, age, and relationship of all the people living with you.
Is everyone living in the home agreeable to having a foster dog?
Do other children visit your home?
How would you describe the activity level of your household? i.e. quiet, structured, busy, hectic etc...
What are the working hours of the adults in the household?
Who would care for the foster dog when the adult(s) are not home?
If the child is under 12 years of age, would you provide constant supervision of the child/dog and never leave them unattended together?
Does anyone in your home have allergies?  Please describe.
THE FOSTER DOG
Dachshunds vary greatly in temperament, personality and activity level.  Please keep this in mind as you fill out this section and provide us with as much information as possible and carefully consider your answers.
Have you ever owned/lived with a Dachshund?
What characteristics would you use to describe a Dachshund?
What characteristics would you find desirable in a foster Dachshund?
What characteristics would you find undesirable in a foster Dachshund?
Would you accept a Dachshund that:

Is older?

Has been abused?

Not reliable with children?

Has a  behavioural issue?

Partly or not housetrained?

Has physical disabilities/handicaps?

Has separation anxiety?

Exhibits fear aggression?

Is pregnant or whelping?

Has a dominance issue?

Has a strong prey drive?

Is recovering from a medical condition?

How long would you expect your fostering term for any one dog to last?
Would you be willing to foster the dog until a permanent home is found?
Many rescue Dachshunds have problems with fearfulness, fear aggression, separation anxiety, and house training to name a few.  Would you be willing to help retrain a dog following a specific behavioural remediation program that included support from a trained professional.  Elaborate if necessary.
If necessary, would you be willing to take a foster dog to obedience training?
Have you ever housebroken a puppy or dog?
How would you approach housebreaking a dog?  Please explain in detail.
What forms of discipline do you feel are appropriate for training or modifying behaviour in a dog?
Would you be willing to transport a foster dog to veterinarian appointments?
Comments and/or questions?  Please feel free to include any information that you feel we should know about you, your family, and your experience with pets.  Also include any concerns or questions you may have regarding fostering or our organization.

The following statements must be read very carefully and agreed to; they are non-negotiable. By placing my initials after certain statements and my name and date at the bottom of the form:

 

I give permission for a ACDR representative to call my listed references and do a home visit. It is understood that any information received will be held confidential.

 

I understand that the Atlantic Canadian Dachshund Rescue will be responsible for any medical, training or other approved expenses associated with the foster dog in my care. Note: If injuries or medical treatment is required as a result of negligence on the part of the foster home; the foster home will be held responsible for covering the costs of treatment.

I also understand that by signing this form I agree to release and covenant to hold harmless ACDR and its members from any claims, damages, costs, or actions incurred as a result of the foster care or actions of the foster dog.

 

I will notify ACDR immediately should the foster dog become lost, stolen, ill or die.

 

I agree to contact my ACDR Representative at least once per week to update her/him on the condition and well-being of the foster dog.

 

ACDR strongly discourages training or behaviour modification through physical violence of any sort. We will not condone nor tolerate hitting, ‘spanking’ or any other form of physical punishment.

 

All foster dogs must wear an I.D. collar with the foster’s home telephone number and the telephone number of your ACDR Representative at all times. This ID tag must be on the dog at all times and if the foster home does not have one, the foster must contact the ACDR to request one.

 

The foster home agrees to provide high quality food for the foster dog at their own expense. Treats, toys, beds etc. are also the responsibility of the foster home. The Rescue will try to help with these incidentals wherever possible.

 

ACDR reserves the right to perform unscheduled visits to the foster home at any time.

ACDR reserves the right to take the dog off the premises at any time. Note: If ACDR judges the foster dog to be in danger, this signed document releases ACDR to remove the dog from said premises without warning

The Foster/Representative understands that if accepting a dog into rescue as an agent of ACDR, that dog becomes the legal property of ACDR regardless. Any pulling, approved vetting fees, or adoption fees paid for out of pocket have been done so as an agent of ACDR and does not entitle the Foster/Representative to ownership of said animal. These expenses will be reimbursed by ACDR upon receipt of said dog.

The Foster/Representative understands that if they wish to adopt any ACDR dog, proper adoption procedure must be followed and if there is a waiting list for said dog, they will be put on the waiting list like all applicants. Special circumstances will be considered by the ACDR Board of Directors.


The foster home understands that ACDR cannot predict the behaviour of any dog in any situation. ACDR will provide any relevant information on the dog’s history and temperament that is known. This information may or may not be a reliable indicator of how the dog will behave in a new environment, including your home.


By typing my initials and my name as signature, I certify that I am at least 21 years of age and that I will be solely responsible for the care and well-being of any dog that I foster for ACDR. Any misrepresentation of the true facts in this application will invalidate the foster home agreement and will give ACDR the right to immediately reclaim the foster dog.

Signature:

Date:

© 2019 by Atlantic Canadian Dachshund Rescue 

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