ADOPTION  FOSTER

PERSONAL INFORMATION

Today's Date:
Your Name (First & Last):
Date of Birth:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Employer:
May we call you at work?
Email Address:
Do you check your email every day?
Name of dog(s) you are applying for?
Have you submitted an application with any other rescue group?
Why do you want to adopt a rescue sheltie? (Please explain)

YOUR PREFERENCES

Do you have a time and/or patience to housetrain a dog, if it is not already trained?
Would you be willing to take a "Special Needs" (scared, shy, handicapped, or need medication) dog?
Would you be willing to work with a "behavior problem" dog?
Do you have an age preference?
Would you be willing to take an older dog?    Up to what Age?  
Do you have a color preference?
Do you have a size preference?
Do you have a sex preference?
Will you take the opposite sex?

Please put the following in order of importance to you: 1 being the most important, 11 the least important.

I want my new Sheltie to:

 
Other (Please Explain):

SHELTIE HABITS

Have you ever owned a Sheltie before?
Are you aware of all of a Shelties needs and habits? (i.e. regular grooming, exercise)
Are you aware that Shelties are "barkers"? (doorbell, phone, UPS man, mailman, strangers, etc.)
Are you aware that a Sheltie is a longhaired, double-coated breed, one that will shed?
Are you aware that Shelties may be somewhat shy around new people, and may take a while for bonding to take place?
Are you also aware that because of their reserved nature, Shelties are a high runaway risk during the first month or more?

Your Current and/or Previous Pets

Tell us about your present and past pets:

Do you currently have any pets (dogs, cats, birds, reptiles, etc.) at home?

If YES, please describe below:

Type/Breed?: Sex?: Fixed?  Age?

Any special circumstances for this pet?

 

Have you had any pets (dogs, cats, birds, reptiles, etc.) in the past?

If YES, please describe below::

Type/Breed?: Sex?: Fixed?  Age*?

What happened to this pet?
       

*How Old was this pet when the pet "left" you?
If any of your present or past pets are/were not spayed or neutered, please explain why:

Will you agree to keep all of your current pets, and your new Sheltie, up to date on all of the following:

Vaccinations?  Heartworm Prevention? What Brand?
Flea Prevention What Brand?
Licensed in your County?
What dog food do you plan on feeding your new Sheltie?

Your Current Veterinarian Information:

Vet or Clinic's Name:
Phone Number:
Address:
City:
State: Zip:
My vet may be used as a reference:
If NO, please explain:
   
How often do/did your dogs get groomed?
Who is your groomer?
Groomer's Phone Number:

Your Home:

Who lives in your home?
What are the ages? Important - List the age of every person living (even part-time) in your home:
What are the ages of frequent visitors, if they are minors, and how often?
What is the speed limit of the road you live on?
   
Type of home you live in:
If other, please explain:
How long have you lived there?
Do you own or rent?
If renting, does your landlord allow pets?
Your Landlord's Name and Phone Number:
Do you have a yard for the dog to use?
Is your yard fenced, with no holes or gaps, on all sides, so that a small animal could not escape?
Describe the material and height of your fence?
If you do not have a fence, please select one of the following:
*Other: Please explain
How will you allow this dog to run and get exercise?
*Other: Please Explain
Does a door from your house open directly into the fenced yard?
How will your dog access the area for relieving himself?
Do you have a swimming pool?  
If YES, is it  
If YES, is it fenced in?   
How tall is the pool fencing?   
What kind of fencing is it?   
Does your home have any steps and/or stairs?
If YES, please describe:
Are you planning a move in the foreseeable future?
If you were to move, would you insist on a new house having a fenced yard?
IF you were to move, what would happen to this dog?

Daily Schedule

Do all adults in the home work away from home?
Will any adults be home during the day with the dog?
Specifically, how many hours will this dog be home alone daily?
Where will this dog stay while home alone?
*If other, please explain:

Please check all that apply in your home:

Busy household - visits by friends, children, parties

Noisy - TV, stereo, machinery, tools, children playing

Moderate - normal comings and goings

Quiet - "homebodies", few guests, stay home a lot

Lots of children in the neighborhood

Live on busy street or highway

Where will this dog spend most of its time?
Are dogs allowed in all rooms in your home? Explain:
Where will the dog sleep at night?
Are dogs allowed on your furniture?

Financial Commitment

Are you aware of the financial responsibility of dog ownership, including vet care, medications, food, licensing, shots, grooming, etc.?

AKC reports it costs over $1,000 per year to properly care for a dog.  Will this fit into your budget?
Will you agree to use only a premium, quality dog food for your Sheltie?

Long Term Commitment

If your Sheltie were to get loose and run away, would you be prepared to spend money for posters, ads in newspapers, and rewards, to find it?  Would you go to these lengths?

 Check any of the following circumstances that would cause you to give this dog back to us.  (Check all that may apply)

,

Are you aware that the process of becoming approved may involve someone from rescue coming out to meet with you and do a home check?
How are you planning on getting this dog to you? (We don't ship dogs) Please explain:

 

All of the answers I have given are true and correct to the best of my knowledge. I also understand that if any of my answers are shown to be false at a later time, the adoption contract will become null and void, and I will immediately return the dog back to NorCal Sheltie Rescue.

By submitting this application electronically, this will be considered as to represent your signature. (You may be asked to sign a hard copy at a later date)