New England Sheltie Rescue Adoption Application
Name
Date
Address
City
/ State / Zip
Home
Phone
Work
or Cell Phone
Email
Address
Have
you placed an application with any other rescue group? Yes
If Yes, What was their response?
Why
do you wish to adopt a Sheltie?
How
many dogs have you owned in the last 10 years?
What
happened to them?
What
role will this dog have in you life? (ie; pet, watchdog, breeding,
etc)
Do
you have any other animals? Yes
If
Yes, please list all other animals: include type, age, sex and if spayed
or neutered
Do
you have a veterinarian? Yes
If
you have a Veterinarian, what is the Name & Phone Number
Name
& Phone Number of 2 References
Do
you have any children living in your home (even part-time)?
Yes
List
the ages of each child separated by a comma
What
type of dwelling do you live in? (ie: house, condo, apartment, trailer,
etc.)
Do
you own your home Yes
If
you do NOT own your home, will your landlord allow pets? Yes
Do
you have a yard for the dog to use? Yes
If
you have a yard, is it fenced? Yes
If the yard is fenced,
what type of fence is it?
If
the yard is NOT fenced, or you do not have a yard, how will the dog be
maintained under your care while relieving itself and exercising? (ie:
tied, on leash, let loose and monitored from window, etc.)
Do
all adults in the house work? Yes
Is
someone home during the day? Yes
If
someone is at home during the day, who are they and when are they at
home
If no
one is at home during the day, what will you do with your dog?
Do
you intend to keep this dog primarily indoors? Yes
Where
will the dog sleep? (ie: crate, dog bed, your bed, etc.)
Do
you have the time and patience to housetrain a dog if it is not fully
trained? Yes
Do
you know what a crate is? Yes
Are
you willing to use one with a rescue dog until it is reliable in the
house? Yes
Would
you be willing to adopt a special needs dog? (ie: blind, sick, deaf, etc.)
Yes
Would
you be willing to adopt an obese dog that requires measured amounts of
food and exercise? Yes
Would
you be willing to adopt a dog with a "behavior problem" ? Yes
Would
you be willing to adopt an older dog? Yes
If
you are willing to adopt an older dog, what maximum age or age range will
you consider
If
you are NOT willing to adopt an older dog, what maximum age or age range
will you consider
Have
you ever owned a Sheltie before? Yes
Are
you aware of all a Shelties needs? (ie: grooming, exercising, etc.)
Yes
Are
you aware that Shelties are barkers? Yes
Do
you have a color preference? Yes
If
you do have a color preference, what would your first choice color
be?
Do
you have a sex preference? Yes
If
you do have a sex preference, what would it be and why?
Do
you have a size preference? Yes
If
you do have a size preference, what would it be?
Are
you aware of the financial responsibilies of dog ownership? Including vet
care, food, licensing, yearly shots, heartworm testing and monthly
prevention, and regular grooming Yes
Explain what, if any, circumstances justify giving up ownership of
you dog?
Are
you aware of the fees that our rescue organization charges?
Yes
Are
you willing to allow a volunteer to do an in-home inspection?
Yes
Once
you have adopted a dog, are you willing to allow a volunteer to do
unannounced in-home visits to ensure the dog is being properly cared for?
Yes
I agree that all the answers I have given are true and correct to
the best of my knowledge
Or