Foster Volunteer Tibetan Spaniel Rescue Foster Home Questionnaire Rescue organizations struggle to find foster volunteers, and TSCA Rescue is no exception. Being a foster family is both rewarding and a big responsibility. Our Coordinators depend on input from our foster families. Besides making sure that the foster Tibbie's day-to-day needs are met, foster moms and dads arrange and supervise veterinary care, observe temperament and behavior, and, most of all, give a whole lotta love and attention. As a foster mom or dad, your recommendations and observations are invaluable to helping your foster Tibbie find the perfect furever home. For information about volunteering for TSCA Rescue, see our Volunteer page. All volunteers must file the basic Volunteer Application. Volunteers who want to foster must also submit the Foster Home Questionnaire below unless you are submitting (or have already submitted) a Prospective Adopter Questionnaire. If TSCA has your Prospective Adopter Questionnaire and it's up-to-date, this Foster Home Questionnaire is not needed. If you need to stop before completing the Questionnaire, scroll to the end where you will find a Save and Continue button. When you press the Save and Continue button, you will receive a link so that you can return to your Questionnaire later. You can also opt to have the link sent to you by email. When you have finished answering all the questions, press the Submit button to send the form to us. If you missed a required question(s), you'll receive an error message. Scroll down through the form to find the errors in red. After correcting the errors, you must re-submit the form. If you made no errors, you'll see a confirmation message.If you need help, you can reach us at info@tstrust.org. General InformationYour Name(s):(Required) Email:(Required) Cell Phone:It may not be possible to predict how long a dog will be in foster care. Do you agree to keep the dog until he is ready for adoption and, if you are unable to keep him for some reason, you will notify the Coordinator immediately? Yes No Family, friends, co-workers or others may become interested in adopting a foster dog in your care. Do you understand that you are not authorized to place your foster dog and do you agree to refer prospective adopters to TSCA Rescue's adoption procedures? Yes No If you are interested in adopting a foster dog in your care, do you agree to notify the Coordinator immediately? Do you understand that you will be required to complete an Adoption Agreement? Yes No Your HomeThese questions are about the residence(s) where you will be fostering.Residence Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do you have another residence?(Required) Yes No Additional Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country The residence above is (check one):(Required)HouseApartmentOtherDo you own or rent your home (check one)?(Required)OwnRentAre you allowed to have pets? Yes No Landlord Name Describe your home:(Required) Do you have a safe and securely fenced yard with no holes or gaps in the fencing?(Required) Yes No How do you plan for the dog to relieve itself?Your FamilyThese questions are about the people who live with you.Please list the names and ages of all persons who live in your home:(Required)Will children under 12 visit your home?(Required)NeverRarelySometimesOftenDogs and small children should be supervised. Can you provide supervision at all times? Yes No Do you or any family members have ongoing medical conditions or limitations (such as allergies) that may interfere with fostering a dog?(Required) Yes No Please explain the condition: Your PetsThese questions are about your pets, past and present, especially those that live with you now.Do you currently own any dogs?(Required) Yes No Please list each dog by name and give its sex, breed, and age:Have any of these dogs ever been aggressive toward another dog?(Required) Yes No Describe what happened:Do you currently have other pets?(Required) Yes No Please list them here and give the type of pet, its age and temperament:Have you previously owned any pets?(Required) Yes No How many and what kind of pets?What happened to these pets?Caring for Your Foster DogThese questions are about your arrangements to take care of a foster dog.How and when will the dog exercise?(Required)How many hours a day are you away from home on average?(Required)Where will the dog be when you are away from home?(Required)Please be specific. For example, will the dog be in a crate and, if so, for how long? When you are away from home on vacation or extended periods, how will the dog be cared for?(Required) Where will the dog sleep?(Required) Sometimes, we don't know much about a foster dog's former life. Are you willing to foster a dog that is not reliably house-trained?(Required) Yes No Coming to a new home sometimes disrupts house-training for a transition period. How would you deal with a break in training?(Required)Will you make sure that the foster dog receives the following routine care, even if you can't do it yourself: regular brushing and mat removal, occasional bathing, nail trimming, ear cleaning, teeth cleaning?(Required) Yes No We don't always know the age of a foster dog. Are you willing to foster a dog of any age?(Required) Yes No Please explain what ages you'd be willing to foster:Are you willing to foster a dog that has treatable medical conditions such as those that require ear or eye drops, medicine or other treatments?(Required) Yes No Maybe Since you answered "Maybe," please explain:Do you have a means to quarantine a foster dog for up to 14 days if necessary?(Required)Quarantining is rare. For example, if the Tibbie seems sick and has had no preventative veterinary care, keeping it away from your own dogs would be advisable. Yes No Please describe your quarantine arrangements:Do you agree to give your foster dog humane care - including food, water, shelter, affection, socialization, play and exercise - as you would your own dogs?(Required) Yes No Do you agree not to confine your foster dog to a crate, other than for sleep and housetraining, while in your home and to consult with the Coordinator in advance about other methods of confinement?(Required) Yes No TSCA Rescue may have limited or no information about the temperament or habits of a foster dog. Do you agree to take all reasonable precautions—by using leashes, supervision and common sense—to ensure that the dog does not escape or run loose, become a nuisance, destroy property, cause injury to or be injured by another animal or by a person(s).(Required) Yes No Veterinary CareThese questions are about veterinary care for your own dogs and your foster dogs. Veterinary Clinic Name:(Required)This is the veterinary practice that cares (or cared) for your own pets. Please contact your vet clinic and advise them that Tibetan Spaniel Rescue will be contacting them for a reference. Veterinarian Name: Veterinary Practice Address: Street Address City State / Province / Region ZIP / Postal Code Veterinarian Phone:(Required)Except In the case of life-threatening emergency, do you agree to make no decisions and take no actions on your foster dog's veterinary care without prior approval from the Coordinator?(Required) Yes No The Trust that funds TSCA Rescue must pre-approve veterinary expenses for a foster except in the case of life-threatening emergency. We try to find a practice that will give us a "rescue rate" on veterinary services. Are you willing to help find reasonably priced vet services?(Required)We may not be able to use your own veterinary practice. Yes No In the case of life-threatening emergency, do you agree to get immediate veterinary care for your foster dog and to contact the Coordinator as soon as possible?(Required) Yes No ExperienceWhy do you want to foster a Tibbie? How do your family members feel about it?(Required)Have you had any prior experience with fostering a rescue?(Required) Yes No Please tell us about your experience:Use this space for any other comments about your experience with or interest in rescue:Fostering ProcessBefore entrusting a foster Tibbie to you, TSCA Rescue will must approve you for fostering. Do you understand that a visit to your home is required before you are approved to foster?(Required)Home visits may be conducted in person or by videochat (on phone or computer). Yes No First Personal Reference Name:(Required)We ask for two personal references. First Personal Reference Relationship:(Required)Only one personal reference may be a relative. First Personal Reference Address: Street Address City State / Province / Region ZIP / Postal Code First Personal Reference Phone:(Required)First Personal Reference Email: Second Personal Reference Name:(Required) Second Personal Reference Relationship:(Required)Only one personal reference may be a relative. Second Personal Reference Address: Street Address City State / Province / Region ZIP / Postal Code Second Personal Reference Phone:(Required)Second Personal Reference Email: The Tibetan Spaniel Club of America, Inc., TSCA Rescue and its volunteers, and the TSCA Rescue & Health Trust will not hold you responsible for damages to a foster dog - including illness, death or loss - provided you follow the TSCA Rescue guidelines and comply with the commitments you have made in this document to the best of your ability. Do you agree?(Required) I agree. Certain risks are inherent in handling dogs, and you must be willing to accept those risks. Do you agree that you will hold neither the Tibetan Spaniel Club of America, Inc. or its officers nor the TSCA Rescue & Health Trust or its trustees responsible for any loss, damage, injury, harm, claims, liability, costs and/or expenses of any nature whatsoever arising out of or in connection with adopting a rescue Tibetan Spaniel? Do you agree to this waiver of liability?(Required) I agree to this waiver of liability. Certification(Required)I/We hereby submit this information to TIBETAN SPANIEL CLUB OF AMERICA RESCUE in partnership with the TSCA RESCUE AND HEALTH TRUST (hereafter the "Rescue") with the intention of volunteering as a foster home provider for the Rescue without expectation of recompense in the form of wages, salaries or fees except for any out-of-pocket expenses I/we may incur in connection with my volunteer activity and for which I may apply to the Trust for reimbursement. I/We am motivated solely by concern for and love of the Tibetan Spaniel breed. I/we: 1. Do not own or have any interest in a pet shop or boarding kennel and that I/we are not engaged in buying dogs for resale. 2. Have never been convicted of cruelty to animals. 3. Have not been disciplined nor are under suspension by the American Kennel Club, Tibetan Spaniel Club of America, or any other purebred dog association or organization. I/We certify that all information I/we have given in this Foster Home Questionnaire is true and correct.Your Signature:(Required)Enter (key) your name(s). Signature Date:(Required)Enter date you're submitting this form. Thank you for your interest in fostering a rescue Tibbie.