Hounds Haven Basset Rescue Of Iowa - Nothing Butt Bassets
 
HHBR FOSTER HOME APPLICATION
 
Hounds Haven Basset Rescue of Iowa (HHBR) is a non-profit charitable organization established to place homeless, unwanted and/or mistreated basset hounds. Because the majority of these basset hounds come from county shelters, evaluation of their temperament and medical condition before placing them in permanent homes is essential. Foster homes are critical for this evaluation and for the completion of the HHBR mission. 
 
If you would like your home to be considered for fostering, please complete the form below and send it to us. Our foster recruiter will contact you to discuss your application and arrange for a volunteer to visit your house. Foster parents should have adequate medical, liability, and property insurance.
 
If you have any questions, please contact our foster coordinator BEFORE you submit your application.
 
ALL FIELDS BELOW MUST BE COMPLETED, AN INCOMLETE APPLICATION WILL NOT BE PROCESSED!
 
 
Date
Applicant First Name
Applicant Last Name
Co-Applicant First Name
Co-Applicant Last Name
Street Address
City
State
Zip
Home Phone #
Cell Phone #
Work Phone #
Email Address(s)
How did you learn about HHBR
Why are you interested in fostering?
A successful adoption depends on both the selection of the right basset for the "adopter's" household and the understanding of his caretaking needs that the "foster" provides us. As the foster, your role is to assess the adoptability and behavioral characteristics of the dog while it is in a normal family environment. Please answer the following questions as completely as possible.
How Many People are there in your home?
Ages of minor (18 & under) children
How long would the hound be left alone in a 24 Hr period?
Are you established with a local veterinarian?
Yes
No
Name of Veterinary Clinic/Hopsital
Street Address
City
State
Zip
Phone
Fax
Have you ever owned a dog before?
Have you ever owned a Basset Hound?
If yes, what happened to the dog, or any other dogs you have owned?
Do you own any other pets (cats, birds, pocket pets, etc) in the household?
If yes please list?
Your home is currently:
Owned
Rented
IMPORTANT: If you rent you MUST have proof of your legal ability to keep a dog (i.e., a copy of your lease, written letter from the landlord, tenants association or rental office, etc.) available for inspection when your home visit is performed.
What most appropriately describes your home?
Do you have a fenced in area or yard for the dog?
Yes
No
If yes what kind of fence?
If you don't have a fenced in yard, how do you plan to exercise your foster dog?
Have you ever taken a dog obedience course?
Yes
No
Have you ever had a dog with a behavior problem?
Yes
No
-If yes please tell us what kind of actions you took to correct it?
Have you ever had a dog with health problems?
Yes
No
If yes please describe it.
Have you ever adopted a dog before?
Yes
No
If yes, from where (check all that apply).
City/County Shelter
SPCA
Humane Society
Rescue group
Private Shelter
other
Have you ever fostered a dog before?
Yes
No
-If yes from whom?
City/County Shelter
SPCA
Humane Society
Rescue Group
Private Shelter
other
IF NECESSARY ARE YOU WILLING TO:
-Housetrain your foster dog?
Yes
No
-Work on behavior problems?
Yes
No
-Work with health problems?
Yes
No
-Crate Train your foster dog?
Yes
No
DO YOU UNDERSTAND YOU MAY BE REQUIRED TO....
-Take your foster for routine and emergency veterinary care, including dental work?
Yes
No
-Take your foster to training?
Yes
No
-Meet with prospective adopters?
Yes
No
DO YOU UNDERSTAND YOU WILL HAVE TO:
-Sign a foster home agreement?
Yes
No
-Be responsible for providing food & shelter for your foster?
Yes
No
-HHBR will reimburse any veterinary care for your foster.
Yes
No
-your foster is NOT your dog but is a HHBR dog?
Yes
No
-As a foster parent, you will be expected to relinquish the dog to a qualified adopter?
Yes
No
Please use this space to provide any additional information you feel is pertinent.
All the information I have provided on this application is, to the best of my knowledge, true and complete. I understand that falsifying information on this application, or at any other time during the process, disqualifies me from fostering. With the electronic submission of this application form, I am authorizing HHBR to contact my veterinarian to discuss my veterinary records.
Signature(Full Name)