Foster Care Application Form

ATTENTION POTENTIAL FOSTER FAMILIES

AT THIS TIME, ANGELS ON WHEELS IS NOT TAKING ON ANY NEW FOSTERS.

Date*

Foster Applicants Name*

First Last

Date of Birth*

You must be at least 23 to foster.

Co-Foster Applicants Name

First Last

Date of Birth

You must be at least 23 to foster.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What County do you live in?

Home Phone*

Cell Phone Applicant*

Email*

Are you on Facebook and do you access FB messaging daily? We do a lot of correspondence through facebook messaging since it's live, the app can be down loaded and it's fast and easy. It's very important that your able to access FB messaging daily. I'm sorry we do not like texting.*

Yes
No

We do most of our correspondence through facebook messaging since it's live, fast and easy. It's very important when you begin fostering that you are able to check your Facebook messages daily. We also have a group foster forum where it's easier for us to get messages to all of our fosters at the same time.

Do you have a camera? You will need to provide us with 3 to 4 good pictured of your foster baby so that we can put them up for adoption. Photos are really important as that is the first thing potential adoptive parents see prior to completing an adoption application*

Yes
No

Are you willing to have someone from Angels on Wheels visit your home for a home visit? A home visit is required.*

Yes
No

What kind of experience have you had (i.e. dog owner, cat owner, dog training, vet tech, groomer, agility, happy pet owner, etc.)?*

You must have dog/cat care experience if wanting to foster. We will help and guide you to becoming a great foster, but it's very difficult for us if you don't have basic pet care knowledge from being a pet owner.

Have you ever fostered an animal before?*

Yes
No

It's not required to be an experienced foster, we will guide you through it

If you have fostered before, please list the name and phone number of the groups you were with. Why did you leave them?

Please list the names, ages and relation of all adults and children in the household and the relationship to you (please include the applicant and co-applicant).*

Does anyone in the household have allergies to animals, if so please explain?*

Are there children not living with you but are in your regularly like daycare children or step children? If so please list the ages and length of time they are in your care...i.e. which days and how many hours.*

What type of Feline Fostering are you interested in?

Adult
Injured Cats
Bottle Fed Kittens
Pregnant Cat or Nursing mom with babies
Senior Cats

What type of Canine Fostering are you interested in?

Dogs
Puppies
Bottle Fed Puppies
Mother Dog with puppies
Injured Dog
Hospice Home
Senior Dog

Do you any specific criteria that need to be met before bringing a foster animal into your home, for example, size and weight limitations..i.e. size and activity level is best for your home and family?*

Are you willing to provide a foster home for your foster animal until your foster finds a forever home? Animals must be 8 weeks old and through a 2 week quarantine for pups, and 2 weeks for adults to get them altered prior to the animals being made available for adoption. Some of our animals get adopted quickly others can take longer up to a few months.*

Yes
No

We understand that everyone goes on vacation. We will find a temporary foster for you should you go on vacation until you return.

Are there any canine or feline behaviors you are not willing to tolerate?*

Yes
No

Please explain what behaviors you can't work with.

Is your interest in fostering stem from wanting to adopt?*

Yes
No

If you foster an adult dog, and he/she test positive for heart-worm, are you able to keep him/her through treatment? Treatment can be 45-60 days then there is time need for finding her a home.*

Yes
No

What type of housing do you live in? (Apt, Townhouse, Single Family Home, Duplex). If you live in a condo, apartment or townhouse, please check to see if there is a weight limit or beed restriction. Many Home Owners associates have weight and breed restrictions.*

Do you own or rent?*

Own
Rent

Name of Landlord (if you rent)

First Last

Phone of Landlord (if you rent)

We can't process your application without this information if you rent.

Do you have a fenced yard and if so what kind (4, 5, 6 foot and chain, wood or metal)?*

Yes
No

If your yard is fenced, what kind? (wood, chainlink, 3ft, 4ft, 6ft.)

A fence is not required for fostering most dogs.

If you don't have a fenced in yard, how will you keep your foster on the property? Are you able to handle a strong adult dog on a leash who may not be leash trained?*

Will your foster dog have access to a doggy door?*

Yes
No

Please provide us with information on the animals you currently have in your household. Please provide if dog or cat, name breed, gender, weight, age, and current age you got them.*

Please provide us with information on dogs and/or cats you have had in your home in the past 10 years who are no longer with you. Please include: What year they passed away (very important), breed guess, weight guess, how old was the pet when you got him/her, and why they are no longer with you.

Are your current pets Spayed and/or Neutered? Please note that all dogs and cats in the home must be altered prior to fostering with us.

Yes
No

Are the animals in your home current on vaccinations, heartworm preventative? We recommend yo speak with your vet prior to fostering to be are your animals are up to date with vaccinations and preventatives.

Yes
No

We recommend you speak with your vet prior to fostering to be sure your animals are up to date with the necessary vaccinations and preventatives.

Name and phone number of your vet (s)? Please provide the information even if the dog or cat is no longer with you or the vet is in another state.*

Your Pet's Temperament*

Please describe your dog and/or cat's personality. Are they good with other cat's/dogs. Is there any relevant information that we should know about them?

Please type Yes, No or N/A: Do we have your permission to contact the vet (s) you have put on this application and/or in an email to verify the vetting? Even though you have given us permission on this application to talk with them, some vets want you to call them anyway to verbally release the information. Please call them in advance at that will save time and your application will be processed more quickly.

Have you ever given up an animal to a family member, friend, rescue animal control or shelter. If yes please explain the circumstances to led that to happen.*

Are you currently a student?*

Yes
No

Is the applicant currently employed? What is your occupation and what are your work hours daily i.e. 8-5?*

This is very important as it will help us determine who would be a good match for you based on the number of hours you are gone.

How long does it take the applicant to drive to work?*

Is the co-applicant currently employed? What is the occupation and working hours?

How long does it take you and co-applicant to drive to work?*

How many hours a day will the foster animal be left alone? If different from your work and travel time together, please go into detail.

Where will the foster be during the day when you are home? i.e. bedroom family room etc.*

How do you plan on confining the foster while you are gone? i.e. gating in the kitchen/family room, crating*

If you are gone for more then 6 hours a day, fostering puppies isn't an option as it's too long to leave puppies alone. If you are gone all day and are interested in fostering an adult. Do you have someone that can let the dog out mid day? If so please provide the name and phone number.*

If needed do you have a way to keep your fosters separated? It's important with adult dogs to allow them time to decompress from all they have been through away from your resident dogs. They are scared and confused and just need some time to adjust. Pregnant and nursing canines will also need a place away from the other dogs to keep them safe. How will you do this?*

Foster kittens will need to have a separate bedroom or bathroom to keep them in. Where will you keep foster kittens, or a pregnant or nursing feline mom?*

If you live in a condo or apartment, and your foster barks when your away, will this be a problem?*

Any other relevant information about the time you are away from home, i.e. do you have a dog walker or a relative that comes to check on your current pets? If you have a friend, neighbor, relatives or dog walker that will be helping, please provide the name and phone number so that we can verify.*

Need Help with any of the following? Crates and xpens are for puppies and dogs only. I'm sorry but at this time we can't supply kitty litter for felines. If your interest in fostering stems from an interest in adopting, the crate will be your responsibility to obtain as you will need it anyway when you adopt. We will still provide all of the medical care while in our care like spay/neuter, shots, microchip, flea preventative etc. as well as food*

Crate and/or xpen (Dog only)
Litter Box, scooper (if you have no felines)
Food
I can supply all those items

Are you able to drive to one of our participating vets to get your foster in for visits? Our vets are: Crest Hill Cat and Dog Clinic, Springbrook Animal Care Center in Naperville (rescue hours 11-4 M-F only), Naperville Animal Hospital Rescue hours (11-4 M-F only), Countryside Animal Hospital, Fox Valley Animal Welfare League in North Aurora for spays/neuters/vaccinations/dentals,no sick visits. ADOPT in Naperville for vetting but no sick visits.*

Yes, I can drive to one of the above vets
No, I can’t drive to the vet

Many supplies you will need are picked up or dropped off in South Naperville near 95th and Book. Are you able to drive there to pick up supplies you might need like extra food, medication, crate etc, and then drop back off when you are done with items?*

Yes
No

Are you willing to act as an Agent for Angels On Wheels Animal Rescue, and show the animal for adoption in your home along with possibly accepting adoption fees on behalf of Angels on Wheels? No foster animal should leave your home without the adoptive family signing an adoption contract and providing the adoption fee. (Only those families approved to adopt will be in your home for a meet and greet). After the adoption the contract is either mailed or dropped off in Naperville.**

Yes
No

Adopting Your Foster. If you do decide to adopt your fostered animal you will be required to follow normal adoption procedures along with paying the normal adoption donation, there is no discount for fosters adopting their own fostered animal. You must also let us know if your interested in adopting prior to your foster being placed up for adoption. Usually 1-2 weeks after arriving they are placed up for adoption. Much depends on if they were owner surrender, came from a shelter, the vetting needs and age. Our fosters always have first choice to adopt their foster dog or cat. However once we receive an adoption application, we will need to move forward with that, and your right of first choice has been bumped. Are you ok with this?**

Yes
No

Reference No.1: Please provide a personal Reference of a family member and relationship.*

Please provide the name, phone number, and relationship to you of a personal reference of a relative not living with you preferably a parent. If no parents another relative is fine. References must be 25+ in age

Reference No. 2: Please provide a name and phone personal reference of a friend, co-worker or a neighbor you have known for at least 5 year. Thank you!**

Please provide the name, phone number, and relationship to you of a personal reference of a friend, co-worker or neighbor ....excluding boyfriend/girlfriend/partner or others living in the same home as you.

Additional Comments

I agree as a foster parent for Angels on Wheels Animal Rescue that if there is a complaint against me I will allow the Department of Agriculture entrance to inspect my home.

Yes
No

Please check yes if you will allow and no if you will not. Also note that if you check no, you will be unable to foster per our department of Ag license.

Foster Care Agreement Section 1*

If the animal I foster is on medication, I will continue the medicate as directed, and will keep the animal up to date on vaccinations. Angels on Wheels pays for all medical expenses, and we will be in contact with you regarding meds and vaccinations.
If the foster animal becomes lost or runs away, the foster home must immediately contact Angels On Wheels Animal Rescue, the local police department, and animal control agency.
In the event of a medical emergency, the foster home will notify Angels On Wheels as soon as possible. Unapproved emergency vet visits to non-participating vets will not be reimbursed. As long as the animals are taken to one of our participating vets, the costs will be covered. DO NOT take your foster dog to an emergency vet for any reason without consent of Angels On Wheels.

(Check all that apply)

Foster Care Agreement Section 2*

The foster parent agrees to keep detailed and accurate records of any medical treatment and care given to the foster animal. A health Record envelope is provided with every foster animal, and dogs get an adoption bag. You write the date of the visit in the records
I understand the importance of my own animals being up-to-date on vaccinations and flea preventative. I understand that I receive foster care animals at my own risk. I indemnify and hold Angels On Wheels Animal Rescue NFP (also known as AOWAR) free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind which may occur to or be suffered by me, members of my household, my own animals or any third parties by reason of activities arising out of this agreement. I release AOWAR from responsibility for any diseases that may be contracted by my resident animal(s) from the foster animal. I agree that it is my responsibility to keep my own animals up to date on vaccinations along with preventatives and will be responsible for any illnesses that may occur with their own pets.
I will assume liability for the foster dog or cat while in my care and I will assume any and all veterinary care needed for my own animals before during and/or after the foster period.
I understand that animals could nip, have accidents inside, chew, bite, etc. and I assume all liability.

(check all that apply)

Foster Care Agreement Part 3*

I understand the foster animals is the property of Angels On Wheels Animal Rescue, and will not sell, trade or dispose of the animal without consent of Angels On Wheels Animal Rescue. I understand that anyone interested in adopting my foster dog, cat, puppies or kittens (including myself) must go through the standard adoption process, pay the designated adoption fee, and approval of candidates and placement of animals is up to AOWAR (Of course we welcome your referrals and input).
I understand that Angels On Wheels Animal Rescue will retain ownership of the foster dog/cat until adopted. I will surrender the dog/cat to Angels On Wheels Animal Rescue immediately if requested to do so by a board member for any reason at anytime.
Third Choice, I will return crates, carriers, x-pens, medications, empty containers, dewormers, blankets, bedding, medical supplies, toys, unused shampoos, bones, food, anything and all materials given to me by Angels On Wheels Animal Rescue immediately if requested to do so or if I choose to no longer foster. It will be my responsibility to return all of these items to Angels On Wheels Animal Rescue in Naperville or Angels On Wheels will charge me current market value to replace any unreturned items, and you agree to reimburse us.

(check all that apply)

Signature of Foster Parent In Agreement of Terms who must be over 23 years of age. I certify that the information I have provided is accurate and honest, and that my name as the applicant or co-applicant is in fact the person electronically signing the foster agreement. I understand and agree to all information and terms provided to me in my application.**

First Last
Additional Comments
Is there anything else you would like us to know?

FOSTER CARE AGREEMENT 1. I understand and agree to all information provided to me in my application process. By signing or typing your name below, the applicant and co-applicant certify that the information given is true. 2. If the animal I foster is on medication I will continue the medication as directed, and will keep the animal up to date on vaccinations. 3. If the foster animal becomes lost or runs away, the foster home must immediately contact Angels On Wheels Animal Rescue, the local police department and animal control agency. 4. In the event of a medical emergency, the foster home will notify AOWAR as soon as the pet is safely at the veterinarian or sooner if it is after veterinarian hours. Unapproved vets will not be reimbursed. As long as the animals are taken to our vets we will pay for everything. Our approved vets are in Crest Hill, Wheaton, Woodridge and Yorkville. 5. PLEASE DO NOT TAKE YOUR FOSTER DOG TO AN EMERGENCY VET FOR ANY REASON WITHOUT CONSENT OF ANGELS ON WHEELS. UNAUTHORIZED VISITS WILL NOT BE PAID FOR BY ANGELS ON WHEELS ANIMAL RESCUE. 6. I understand the foster animal is the property of the AOWAR, and will not sell, trade or dispose of the animal without consent Angels on Wheels. 7. I understand the importance of my own animals being up-to-date on vaccinations and flea preventative. 8. All foster home current resident pet(s) should be up-to-date vaccinations. 9. I will assume liability for the foster dog or cat while in my care and I will assume any and all veterinary care needed for my own animals. 10. The foster parent agrees to keep detailed and accurate records of any medical treatment and care given to the foster animal. A Health Record envelope is provided with every foster animal, and dogs get an adoption bag. 11. If the foster home resident pet (s) contracts a disease or is injured by a foster animal, Angels on Wheels Animal Rescue will not be liable for any expenses associate with the foster home pet(s). 12. I understand that AOWAR will retain ownership of the foster dog/cat until adopted. I will surrender the dog/cat to AOWAR immediately if requested to do so by a Board Member for any reason at any time. 13. I will return crates, carriers, x-pens, medications, dewormers, blankets, bedding, medical supplies, anything and all materials given to me by AOWAR will be returned upon request or should I decide I no longer want to foster. It will be my responsibility to return all of these items or AOWAR will charge me for those items. By signing or typing your name below, the applicant and/or co/applicant understand and agree to all information provided to me in my application process. I understand that anyone interested in adopting my foster dog, cat, puppies or kittens (including myself) must go through the standard adoption process, pay the designated adoption fee, and approval of candidates and placement of animals is up to AOWAR (Of course we welcome your referrals and input). You understand that although AOWAR takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the animals’ health, behavior or actions. I understand that I receive foster care animals at my own risk and can reject or return any animals for which AOWAR has asked me to provide care. I indemnify and hold Angels On Wheels Animal Rescue NFP (also known as AOWAR free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind and description which may occur to or be suffered by me, members of my household, my own animals or any third parties by reason of activities arising out of this agreement. I release AOWAR from responsibility for any diseases that may be contracted by my resident animal(s) from the foster animal. I agree that it is my responsibility to keep my own animals up to date on core vaccinations along with preventatives and will be responsible for any illnesses that may occur with their own pets.*

I agree