This form must be filled out and submitted using the "Submit Button" at the bottom. This form cannot be saved and sent as an email attachment.

This application must be completed by the person that wishes to adopt the dog.  Upon our discovery that the application has been filled out by anyone other than the person in whose name application is being made, the application will be voided.

Name
Title
Where do you work?
Home Address
Home Address (cont.)
City
State
Zip/Postal Code
Country
Work Phone
Home Phone
Cell Phone
E-Mail

Today's date:

-- mm/dd/yy

Yes No

Hours you are at work?  

May we call you at work?  yes,  no

        Yes No

If yes, what is the best day and time to reach you?

Have you placed an application with any other rescue group?  yes,  no

        Yes No

If yes, what is the status of your application?

Why do you want a sheltie?

What role (companion, watchdog, breeder, etc.) will this animal fill in your household?

How many pets have you owned in the last 10 years, when, and what happened to each of them?

Do you currently have any other animals?  yes,  no

        Yes No

If yes, please list name, type, age and sex of other animals and, if a cat or dog, whether it is spayed or neutered.

If you currently have a dog, what breed is it?

If you currently have a dog, what type and brand of food do you feed?

What feeding schedule do you use for your dogs? 

Shelties are a breed that gains weight easily and this is bad for their health. How do you determine the amount of food you feed your dogs?

Do you currently have a veterinarian?  yes,  no

        Yes No

If yes, list the name, telephone number and address. Please include all information. We will contact your vet reference.

Under whose name is the account at the vet listed? Also indicate the pet's name.

Who lives in your home? (for example: mom, dad, 2 kids)

Do you have children living in your home (even part-time)?  yes,  no

        Yes No

If yes, please list name and age of each.

Do you live in a  House,  Apartment,  Condo,  Other (please specify)

Do you  own or  rent? If you rent, list the name, telephone number and address of the landlord.

Do you have a yard for the dog to use?  yes,  no

        Yes No

If yes, is it fenced?  If it is fenced, describe the type and height of the fence.

How will you provide exercise for the dog?

Does your home have stairs in it?  yes,  no

        Yes No

If yes, describe where they are and how often the dog will need to use them.

How close or far away is the street to your front door? (Estimate in feet.) In your opinion, is the road you live on a: quiet neighborhood street; quiet city street;  busy city street;  quiet rural road; or busy rural road? If you consider your road to be quiet, how far away is there a busier road or street?

Is anyone home during the day?  yes,  no

        Yes No

If yes, who, and what hours are they home?

If no, can anyone come home during the lunch hour? 

        Yes No

If no, what is the longest number of hours that the dog will be alone?

Where will the dog stay during the day while you are at work?

Do you intend to keep this dog primarily  indoors or outdoors?

Where will the dog sleep?

Please explain your plans for caring for your dog while you are vacationing or out of town.

Do you have the time and/or patience to housetrain a dog if it is not already trained?  yes,  no

        Yes No

If yes, please describe the method of housetraining you will use.

Please briefly describe the type of house manners you encourage and any commands that your dog knows. Include a discussion of the type of training methods you use and whether or not you have any experience with an obedience trainer in either a class or private lesson.

Are you willing to adopt a special-needs dog such as one which is blind, deaf, or that is hypothyroid or has seizures?  yes,  no

        Yes No

If yes, please identify the conditions with which you are willing to work.

Are you willing to work with a dog with behavior issues such as one that barks excessively, spins, runs the fence, or that needs obedience training?  yes,  no

        Yes No

 If yes, please identify the behavior with which you are willing to work.

Have you ever owned a sheltie before?  yes,  no

        Yes No

Are you aware a sheltie needs routine grooming, daily exercise, and play or work to keep him or her happy and out of mischief?  yes,  no

        Yes No

If yes, describe what you plan to provide in each of these areas.

Are you aware that shelties can be barkers?  yes,  no  (Consider whether your situation will allow this or if you are you are willing to train to reduce it.)

        Yes No

Are you aware that shelties may be somewhat shy around new people, and may take a while to bond with you?  yes,  no  (Few shelties are social butterflies and you may need to wait for the rare one or work to socialize your new family member if your household is very active.)

        Yes No

Do you have a color preference?  yes,  no

        Yes No

If yes, what color do you want? Sable, Tri, Blue Merle, Other (please specify)

Do you have a sex preference?  yes,  no

        Yes No

If yes, please specify...

What age do you prefer?  under 2 years, 3-6 years, 7-9 years, 10 years or older

Do you have a size preference?  yes,  no

        Yes No

 If yes, please specify...

Are you aware that the financial responsibilities of dog ownership including quality food, licensing, vaccinations, preventative medications, grooming, problem or emergency vet care, etc., can reach $750-$1,500 per year?  yes,  no (Consider whether you are willing or able to cover these expenses during the 14-16 years of the dog's lifetime.)

        Yes No

Comment upon how the dog will be a part of your family and whether or not it will be a priority in your life?

What circumstances would justify you needing to move this dog out of your home and family?

Are you wanting to adopt a sheltie soon or do you have the preference to wait until a certain date to take possession of a new sheltie?

Are you aware that our rescue organization charges the following adoption fees? yes, no

      Puppies and dogs up to age 10...$175       Adult dogs over age 10...$50

        Yes No

How did you learn about our rescue group and who referred you to our rescue group to adopt a sheltie?

Please list the names of three people who can describe the type of pet owner that you are.

Reference 1:

Name
Relationship
How long have you known this person?
Phone number
Street Address
City
State
E-mail

Reference 2:

Name
Relationship
How long have you known this person?
Phone number
Street Address
City
State
E-mail

Reference 3:

Name
Relationship
How long have you known this person?
Phone number
Street Address
City
State
E-mail