Please Tell Us About Yourself:
First Name Last Name Street Address Address (cont.) City State/Province Zip/Postal Code Work Phone Home Phone E-mail
Employer:
Hours you are at work:
May we call you at work?
Have you placed an application with any other rescue group?
Have you ever adopted a dog from a rescue group?
If yes, which group?
Why do you want a Sheltie?
What role will this animal have (pet, watchdog, breeding, etc)?
Do you currently have any other animals?
Please list type, age, sex and whether they are spayed/neutered.
How many pets other than the ones listed above have you owned in the last 10 years?
When did you have them, and what happened to each?
Do you currently have a veterinarian?
Name and Address of Veterinarian (may be used as reference):
Please describe your family members (i.e. Mom, Dad, 2 kids ages 8 & 10). Be sure to indicate if you have children living in your home, even part-time. Please include the ages of your children.
How would you describe your household?
ex: Quiet,calm, Active, lots going on Mixture
Do you live in house, condo, apt:
Do you Own or Rent?
Do you have a yard for the dog to use?
Is it fenced?
What type and height of fencing?
If not fenced, how will the dog be exercised?
Do all the adults in the home work?
Is anyone at home during the day?
If so, who, and what hours are they at home?
Where will the dog stay during the day, while you are at work?
Where will the dog sleep?
Do you intend to keep the dog primarily outdoors or indoors?
Do you have the time and patience to housetrain a dog if it is not already trained?
Would you be willing to take a 'special needs' dog with hearing or sight problems?
Would you be willing to work with a dog with behavior problems?
Would you be willing to take a much older, more needy dog?
Are you willing to dedicate at least 30 minutes a day to exercising, grooming and playing with your Sheltie?
Are you aware that Shelties shed? A Lot!
Would you be willing to attend an obedience class with your Sheltie?
Have you ever formally trained a dog before?
Are you aware that some Shelties bark excessively?
Are you aware that Shelties may be somewhat shy around new people, and may take a while to bond with you
Do you have a color preference ( Sable, Tri-color, Blue, Doesn't matter, best fit)
Do you have a sex preference? (Male, Female, Doesn't matter, best fit)
Do you have an age preference? Please describe. Shelties live on average 12-16 years of age.
Do you have a size preference? (Small <20 lbs, Average 20-25 lbs, Large >25 lbs, Doesn't matter)
Please describe your ideal dog. (Couch potato, frisbee dog, jogging partner, quiet companion, etc)
Do you have a plan for your dog's care when you vacation?
What circumstances in your opinion would justify you having to give up this dog? (Moving, Birth of child, Job Change, Less time available, Divorce, Dog's behavior)
Please describe any other possible reasons we have not listed:
Are you aware of the financial responsibilities of dog ownership (vet care, medication, food, licensing, shots, grooming, etc)? And that total expenses of owning this dog could be $1000 per year?
Are you aware a minimum donation of $250 is required for adult dogs, and $350 for puppies?
All the answers I have given are true and correct to the best of my knowledge. I am over 18 years of age, or have my parent's permission to submit this application if under 18 months.
Date
Signature of Applicant
PLEASE NOTE WE HAVE THE RIGHT TO REFUSE ANY APPLICANT
If you do not receive a phone call within 2 days of submitting your application, please call 888-873-5443 and let us know. We have been having server problems.
Would you mind telling us how you heard about rescue? Also, please indicate which volunteer you have spoken with, if any: