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Great Lakes Golden Retriever Rescue
Foster Home Application

Welcome to Great Lakes Golden Retriever Rescue. We are a 501©(3) organization that relies on volunteers at all levels and in all regions of Michigan. Thank you for your interest!

If you have questions contact us at:
glgoldenrescue@gmail.com

Name(s)________________________________________________Date______________

Address_______________________________________

City/Zip Code_____________________________

Home Ph#______________________________________

Work Ph#________________________________

E-mail__________________________________________

Fax#___________________________________

FULL SERVICE FOSTER
Provide care for a Golden in your home, either short-term or long-term basis. Bathe, groom, teach house manners, and observe for behavioral problems. Visitations at your home by potential adoptive families, complete paperwork and phone communications with program Interviewers. Complete the following section if you will be a full service foster home. A GLGRR representative will contact you to explain our procedures.

HOME ___Own ___Rent___ House ___Condo/Townhome ___Apartment/Duplex/Triplex ___Mobile Home___ Farm/Ranch ___Other

YARD

___full fence ___partial fence _ __kennel ___small fenced run

GENERAL

Name and location of nearest 24-hour vet emergency clinic_______________________________________

Name/Address/Phone of your Veterinarian____________________________________________________

How many hours will the foster Golden be alone during the day/night? ______________________________

Have you fostered a dog before? ____________________________________________________________

What would you do if your housetrained adult foster dog suddenly started having accidents in the house? ________________________________________________________________________________

Does your spouse/life partner like dogs, support your involvement?_________________________________

How many children are living at home?_______

Is anyone allergic to animals?_________________

Have asthma?_________________________________

WORK

___full time ___part time I can be reached at work___________

Work hours: ___traditional ___afternoons ___midnights
How many hours away from home? _________

YOUR PETS-PRESENT & PAST

Current pet name and age________________________________________________M_______F_______

Breed__________________________________________________________________________

Acquired from (name of breeder or other source)_______________________________________________

When acquired? __________________________

At what age?____________________________________

Spayed/neutered_________________________

Heartworm tested annually?_________________________

Type of preventative_______________________

Up to date on shots?_____________

Due when?________

Gets along with other dogs?________________________________

Licensed annually?________________

Any health or behavioral problems (specify)

___________________________________________________

Are any of these dogs aggressive toward humans?

_____________________________________________

How many dogs have you owned as an adult?_______

How did they die, and, at what age(s)?

_______________________________________________________

Where do your dogs sleep at night?

_________________________________________________________

Where would a rescue Golden sleep at night?

_________________________________________________

Do you own a cat? ______________________rabbit____________________other_____________________

Past Pet(s)

Name____________________________________

age at death_____________

spayed/neutered_________

Breed____________________________________________

Licensed annually? Yes_______ No________

Cause of death__________________________________________________________________________

Was dog kept up to date on vaccines?_________________

Heartworm testing and preventative__________

Are you associated with a breed club, or other rescue service or obedience school?

Do you prefer to foster a certain type of Golden Retriever, i.e., seniors, puppies, adolescents, males or females?

We don't always get to foster the perfect Golden Retriever. Fostering requires some level of experience with dogs and training, a sense of adventure, perseverance, patience, communication, and a healthy sense of humor. Please describe your dog training style, obedience training, books read, seminars you've attended, personal philosophies on dogs and training.

ISOLATION

One of the greatest needs a rescue organization has throughout the year is a separate area for dogs who have acquired kennel cough (Bordatella) from shelters, or bitches in season. Kennel cough is a highly contagious airborne virus that is transmitted from dog to dog. It has no impact on humans or cats. Dogs need to be isolated for approximately two weeks. Immunizing your dog is strongly recommended. However with any immunization, it does not provide 100% protection. Please discuss this with your veterinarian if you have further questions.

Isolation may be defined as a separate air space from your dog. It could be a heated garage, a laundry room or basement with direct outdoor access. Other helpful things for an isolation area would be a portable radio, lamp, x-pen, crate and appropriate bedding to ensure warmth or a fan to cool. Dealing with an isolation Golden adds a little work variation to your daily routine but it is not difficult to do. If you have questions about how this could work at your home, contact a Board member.

Yes, I can provide isolation with the following home set-up________________________________________

COMMENTS/CLARIFICATION

Personal References (not related to you)

Name_______________________________________________________

Phone_____________________

Name_______________________________________________________

Phone_____________________

How did you hear about GLGRR and volunteering?

_____________________________________________

Thanks!

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