KEI Foster/Adopter Application Form
PLEASE NOTE: K9 Enrichment Initiative (KEI) is an all volunteer organization and applications are processed in the order in which they are received. Please allow a minimum of 72 hours after submitting your application for a reply from our placement coordinator.

PLEASE COMPLETE ALL OF INFORMATION ON THIS FORM, IT IS REQUIRED FOR US TO PROCESS YOUR REQUEST TO BE CONSIDERED TO FOSTER or ADOPT ONE OF OUR DOGS. DELAYS OCCUR WHEN INFORMATION IS MISSING. APPLICATIONS NOT COMPLETED CAN BE DISCARDED.

In order to qualify for K9 Enrichment Initiative, Inc. foster/adoption program, the following need to be met:

-Must be at least 21 years of age, and show proof of age with either a State ID or Driver's License
-All current pets must be up to date with vaccinations and be spayed/neutered
-If you currently rent, must provide landlord's phone number
-If you have an HOA, must be able to provide HOA contact information
-Must live within 60 miles of the 60544 zip code
-Be an Illinois resident, we do not adopt out of state
-DO NOT hit "back", application does not save. Only begin application when you have sufficient time to complete.

Please Note: All fields with an asterisk * are required, and must be filled out in order to submit your application.

Email address *
Today's Date *
MM
/
DD
/
YYYY
If you use Facebook, what is your Facebook name? *
Your answer
Applicants Birthdate *
Your answer
Name of Applicant *
Your answer
In running a background check is there another name your data is associated with in the system. Example: recently married, divorced *
Your answer
Street Address, City, State, Zip Code (Please be sure to list COMPLETE ADDRESS including CITY, STATE and ZIP CODE) *
Your answer
Co-Applicant Name
Your answer
In running a background check is there another name your data is associated with in the system. Example: recently married, divorced
Your answer
Co-Applicant Birthdate
MM
/
DD
/
YYYY
Does Co-Applicant live with Applicant?
Length of time at current residence *
Your answer
If less than a year at current residence, please list complete address, street, city, state and zip code of prior residence below:
Your answer
Telephone Number to contact applicant directly. *
Your answer
Alternate Number to contact applicant directly. *
Your answer
Best times to contact you: *
Your answer
Applicants Employer *
Your answer
Number of years with employer *
Your answer
Types of dogs you would be interested in fostering/adopting: *
Where will the dog stay while you are not home on a daily basis? *
Your answer
On average, how many hours a day will the dog be alone? *
Your answer
Type of Dwelling. *
Do you own or rent your dwelling? *
Do you have a Home Owner's Association (HOA)? *
If yes, please fill out the HOA's contact information below. Name/Contact Phone/Contact Email *
Your answer
If renting, landlord's name and phone number:
Your answer
Do you have a fenced yard? *
If fenced, what type and height is your fence?
Your answer
If no fence, how do you intend to exercise the dog? Not having a fence will not automatically disqualify you from adopting, but may limit your options as to which dogs you qualify to adopt.
Your answer
Where do you intend the dog to stay when you are out of town, away from the home for an extended period of time? *
Your answer
Name of Adults (other then yourself) living in home who will be in contact with dog.
Your answer
List children under 18 years of age by name and age living in the home.
Your answer
Please list 4 references other than relatives and their PHONE numbers so we can contact them on your behalf: (Please let them know we will be calling)
Your answer
Reference Name and Telephone Number
Your answer
Reference Name and Telephone Number
Your answer
Reference Name and Telephone Number
Your answer
Reference Name and Telephone Number
Your answer
Name of your veterinarian, telephone number & address: *
Your answer
List the animals and their ages under their care:
Your answer
Are all your current pets up to date with their core vaccinations? *
Are your current pets given heartworm preventative? *
Are your current pets given flea & tick preventative? *
Are all your current pets Spayed or Neutered? *
If not up-to-date or altered due to medical issues, please explain why and the vet attending to the dog.
Your answer
If you use day care for your current/or past dog, please list the facility and phone number.
Your answer
In the past or currently, where did you attend training classes?
Your answer
Do you have any previous foster/adopter experience with a rescue?
Please list the organizations, contact name and telephone number?
Your answer
What type of role are you looking to provide? *
Please let us know why you are interested in fostering/adopting at this time. *
Your answer
Name of Dog you are interested in: *
Your answer
Have you ever relinquished or rehomed a dog? If so, why and to whom. *
Your answer
Have you ever had to euthanize a dog for reasons other then quality of life prohibited by health issues? *
Your answer
Are you willing to allow for an adjustment period when the foster/adopted dog arrives? (Adjustment period estimated to be 3 to 6 weeks total, including a 2 to 3 week separation period to decompress. Some dogs adjust sooner than others, but we ask that the rules of engagement with dogs, people, ect., be followed regardless as recommended by our professional behaviorists and instructors) *
Your answer
Have you heard about the 2 Week Shutdown protocal in bringing a new dog into the home? *
Are you willing to attend training classes with the foster dog if rescue deems necessary for well being of the dog? (All dogs under the age of 1 are required to attend training with their new adopted family as a prerequisite to adoption) *
Your answer
Are you familiar with Force Free and Postive Reinforcement Training? *
How much money do you expect to spend on your adopted dog this year on food, medical care & training?
Your answer
Do you or anyone in the home suffer from allergies that may require the dog being returned to rescue?
Your answer
Have you, the applicant or co-applicant ever been charged with a felony? *
Have you the applicant or co-applicant ever been charged with a violent crime?(Battery & Assault, Domestic Violence, Harassment) *
How did you hear about K9 Enrichment Initiative? *
Your answer
Have you completed applications with other rescues? If so, when were those applications submitted? *
Your answer
Please list the characteristics most important to you in choosing a dog? *
Your answer
How long have you been looking to adopt a dog? *
Your answer
Check the boxes corresponding to the answers pertaining to you. A checked box constitutes a "yes" answer. *
Required
Who will be primarily responsible for feeding/caring for your new animal companion? *
Your answer
What would you do with the dog in the event that you had to move? *
Your answer
How would you handle jumping on furniture/counters/tables? *
Your answer
How would you handle destroying/scratching the furniture? *
Your answer
How would you handle chewing? *
Your answer
How would you handle barking? *
Your answer
How would you handle urinating/defecating where it is not acceptable? *
Your answer
How would you handle being kept up all night? *
Your answer
How would you handle excessive shedding? *
Your answer
How would you handle it if your new animal companion ruined your favorite article of clothing? *
Your answer
How would you handle biting/play biting? *
Your answer
How would you handle biting/play biting? *
Your answer
By signing below you are acknowledging your answers are truthful. You also acknowledge that K9 Enrichment Initiative, Inc. will be contacting your references and conducting a criminal background check. (Electronic signature accepted. You will be asked to initial this document should you be approved by a rescue) Please sign with First, Middle and Last Name. *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service
Google Forms