DuPage County Animal Control Foster Program Thank you for your interest in this program. In addition to being a fun and rewarding experience, fostering can be time consuming, physically and emotionally demanding. You will also be required to attend special training. Please complete this questionnaire to insure that you will be a good candidate for this program. All fosters must be at least 18 years old and must be able to transport the animal for medical care at the shelter and occasionally to adoption events. Name: Address: City, Zip: Home #: Cell #: Email: Are you on Facebook? Yes No Employer: Work #: Can you be contacted at work? Yes No Do you own your home or rent? Own Rent If you rent, please provide Landlord’s name and number: What type of residence? House Townhouse Condo Apartment Please describe the area where you plan to house the foster animal (extra bedroom, bathroom, main living area, etc): Do you have a way to separate the foster animal from your pets if needed? Yes No DCACC recommends that foster animal be kept separate from your pets.
If yes, please explain: Please list all animals you currently have: Name Species/Breed Sex M
F M
F M
F M
F M
F M
F Age Spay/ Neutered Yes No Yes No Yes No Yes No Yes No Yes No Page 1 of 4 Current on Vaccines Yes No Yes No Yes No Yes No Yes No Yes No Vet Hospital Are any of your pets undergoing treatment for a medical condition, and/or do any of your pets have a chronic medical condition? Yes No If yes, please explain: What is your work schedule? Are you prepared to have the animal(s) in your house until adopted (days to weeks)? Yes No Excluding yourself, please list all household members (family, roommate, etc) and their ages: Name: Age: Name: Do any members of the household have allergies to animals or hay? Yes Age: No Who will be primarily responsible for the care of the animal? Have you ever volunteered at DCACC before? Yes No If yes, please list dates: DCACC will provide you with after‐hours numbers to call in case of an emergency. However, in the case of a serious after‐hours medical emergency, will you be willing to take the foster to a designated emergency care facility? Yes No Please indicate which type of animal you are interested in fostering: Check all that apply and answer the questions under that section. Adult Cat(s) Are you able to foster cats that are extremely timid and scared? This type of socializing can take from 3 weeks to 3 months or more. Yes No Yes
Are you willing to keep the cat(s) indoor at all times?
Are you willing to keep the cat(s) if they get sick?
Yes
No No Will you be available to bring your foster cat(s) to off‐site adoption events on the weekends/evenings?
Yes
No Do you have any special preference on the type of cat you foster (e.g., gender, energy level, fur length)? Kittens Bottle babies (kittens under 4 weeks old without their mother) Pregnant Cat Mother‐Cat with kittens Kittens over 4 weeks old Kittens needing socialization Page 2 of 4 Have you previously fostered kittens or had a cat that had a litter of kittens? Yes No Are you willing to take in orphaned newborn kittens, which will require feeding every 2 to 6 hours, stimulation to excrete waste, etc? Yes No Are you willing to bring the kittens to the shelter for their vaccinations at the designated time? Are you willing to keep the kittens for up to 10 weeks? Yes Yes No No Do you have a room available for the kittens to stay in and separate from your pets? Yes No Yes No Dog(s) Adult Dog (the majority of dogs needing foster care are adult dogs) Puppy (up to 1 year old) Are you willing to house‐train your foster dog/puppy? Are you willing to crate train your foster dog/puppy? Yes Yes No No Are you willing to train the dog/puppy in basic obedience commands and manners? Are you willing to foster the dog/puppy until it is successfully adopted (limited to 6 mo.)? Are you willing to keep fostering the dog/puppy if it becomes ill? Yes Yes No If the dog needs special care such as getting medicine or baths, are you willing to provide it? Do you have a fenced‐in yard (not required)? Yes No Yes No No If yes, what type of fence is it? Are you able to walk the dog in the morning and in the early evening? Yes No If no, please explain how you will provide for the dog’s bathroom needs: Will you be available to bring your foster dog(s) to off‐site adoption events on the weekends/evenings? Yes No Do you have experience working with behavior problems such as housetraining issues, barking, chewing, aggression? Yes No Please describe how you would address a behavior problem: Do you have any special preference on the type of dog you foster (e.g., gender, energy level, hair length? Small Animal(s) Rabbit Guinea Pig Rat/Mouse Page 3 of 4 Hamster/Gerbil Bird Reptile Do you have a cage or enclosure for this type of animal, including appropriate food/water bowls and toys? Yes No Are you able to keep this animal until it gets adopted? Yes Are you willing to transport the animal to off‐site adoption events? No Yes No I certify that all the above information is accurate. I understand that misrepresentation will result in refusal of my application. To the best of my ability, I will try to attend the adoption events and work with DuPage County Animal Care & Control to find my foster animal their forever home. Name Date Once complete, either save and email to [email protected], Rescue, Volunteer & Foster Coordinator or Click Here to submit. Page 4 of 4