Payday Loans
Home
Thank You
About JCCARE
What is JCCARE?
Board Members
Rescue Representatives
Old Friends Program
JCCARE By-Laws
Membership
Our Chin
Available for Adoption
Our Adoptable Old Friends
Sanctuary
Adoptions
Success Stories
2013
2012
2011
2010
2009
How to Help
Donations
Foster a Chin
Shop Here
Forms
Adoption Application
Surrender Request Form
Application to Foster
Links
Facebook
Username
Password
JCCARE Application to Foster/Volunteer
Thank you for your interest in becoming a volunteer for JCCARE. We are always looking for people to foster our dogs until we can find them a forever home. We also need volunteers for transporting, fund raising and many other things to help JCCARE run smoothly. Please use the form below to apply to be a volunteer. Your answers to these questions will help us match your interests with the with the needs of our program. Thank you for your interest in our organization.
Contact Info
First Name
Last Name
Home Phone
Cell Phone
Work Phone
Primary E-Mail Address
Secondary E-Mail Address
*Important note – please check that the email addresses you have entered are correct. JCCARE does not confirm the validity of email addresses.
Street Address
City
State
===Select===
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
How long have you lived at your current address?
Do you own or rent?
Own
Rent
When are you available to start fostering?
Renters: provide your landlord’s contact information
Landlord’s Name
Landlord's Address
Landlord’s City
Landlord’s State
===Select===
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Landlord's Zip
Landlord’s Phone
Do you have your landlord’s permission to have a dog?
Yes
No
Veterinarian Information
Name
Address
City
State
===Select===
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Phone
*Please call your Vet(s) and give consent to release medical information posted in your file.
Family and Residence Information
Ages of Adults who live in your house
Ages of Children who live in your house
Are your children afraid of dogs?
Yes
No
Do you have other children who visit you?
Yes
No
If children visit, how often do they come and visit?
Is your yard fenced?
Yes
No
If so, please describe the type of fence, its height and the dimensions of the fenced area.
Do all members of your household want a foster dog?
Yes
No
If No, who is not in favor and why?
Foster Information
Why are you interested in fostering a dog?
Do you have any special criteria for a foster dog that would live at your residence? (e.g.) Sex, age, activity level, etc.)
Do you currently have any other animals living with you?
Yes
No
If yes, please tell us about your pets to best match our foster Chin to your family:
Breed, age, gender, personality around other dogs.
Are your current pets spayed/neutered?
Yes
No
Will the dog be allowed in the house?
Yes
No
How long, each day, will the dog be left alone without humans?
Where will the dog stay when you’re away from the house?
Where will the dog stay at night?
Tell us your dog experience, both growing up and during the recent years.
Please describe your experience with:
House training
Crate training
Obedience training
Socialization training
Dog/dog introductions
Cat/dog introductions
Anything else that might help in determining a match for you
How do you plan to exercise your foster dog and how often?
If your other animals do not get along with your foster dog, do you have a way to separate them when you are not at home?
Yes
No
Have you already had a JCCARE home visit?
Yes
No
If not, when can we schedule your home visit prior to fostering a dog?
Would you be willing to foster a heartworm positive dog?
Yes
No
Please tell us how you became aware of JCCARE and its foster program
Is there anything else you would like us to know about your application?
I attest that the information provided on this application is true and accurate to the best of my knowledge. I understand that completion and submission of this application does not guarantee that I will foster a dog from JCCARE. I hereby permit JCCARE to contact my veterinarian(s) and Landlord if applicable.
I understand that there is always an adjustment period for any dog coming into my home and I am willing to work to make this foster dog a member of my family during his/her stay. I understand that many of these dogs have survived tremendous odds and need lots of TLC. I understand that JCCARE cannot be held responsible for the actions, behaviors and/or medical condition of all the dogs in its rescue. I agree to assume the risks implicit in working with dogs who may have been abandoned, beaten or otherwise mistreated and abused, or who may suffer from an illness, condition or disease. Although JCCARE evaluates dogs prior to accepting them into its rescue, they cannot guarantee the temperament of any of the dogs, since most of their histories is unknown.
I understand that my foster must be kept on a leash AT ALL TIMES when in an unfenced or unenclosed area – even when hiking or just walking from my house to the car. All rescues are prone to being escape artists, especially in a new environment or when left alone. They may bolt out an open front door. I will be aware and be careful.
I understand that JCCARE reserves the right to check on the welfare of the dog on my premises and to reclaim both possession and ownership without payment of any kind. In the event that I do not comply with the foster guidelines and JCCARE reclaims any foster dog from me, I waive claim to trespasser.
I understand that JCCARE must approve all adoptions, so I will not promise anyone they can adopt my foster. If you are considering adopting your foster yourself, JCCARE will be happy to discuss any serious applications with you before placing the dog in another home.
I also agree that if in the future, I cannot continue in the foster program for ANY reason, I will not give away, sell or euthanize the dog. I will contact JCCARE for arrangements to be made to move the dog(s) into other foster homes with JCCARE. I understand that JCCARE will be responsible for any medical expenses that may occur while the dog is in my foster care. If a veterinary visit is necessary, please use the Vet visit request form and be sure to notify your regional representative before the visit in order to have these visits paid for.
I have read the application and program description in its entirety and understand the risks in working with these dogs. I also agree that if the information given on this application is not accurate to the best of my knowledge, I forfeit all rights to any and all foster dogs residing in my care.
Type your full name
This is your virtual signature on this application
Date
...
References:
Personal Reference 1 - Name:
Personal Reference 1 - Email or Phone:
Personal Reference 2 - Name:
Personal Reference 2 - Email or Phone:
Submit Form
Preview
or
Reset