Name:
Address:
City
State
Zip
Phones: Home
( ) Work: ( )
Employer:
May we call you
at work?
E-mail address:
**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?
Have you ever
owned a Sheltie before?
Are you aware of
all a Shelties needs and habits?
(i.e. regular grooming, exercise)
Are you aware
that Shelties are "barkers"?
(doorbell, UPS man, mailman, strangers etc etc)
Are you aware
that a Sheltie is a longhaired, double-coated breed,
that WILL SHED?
Are you aware
that Shelties may be somewhat shy
around new people, and may take awhile to bond with?
Are you aware
that because of their shyness, Shelties are a high
runaway risk during the first month?
Your Home
Who lives in your home?
Please list ages
of every person living (even part-time) in your home:
What is the speed
limit of the road you live on?
Do you live in a:
(circle one) House Apartment Condo Other
Do you own or
rent?
If renting, does the landlord allow pets?
Do you have a
yard for the dog to use?
Is it securely
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?
List the number
of entrances (gates) in the fence and describe their locations?
Does a door from
your house open directly into the fenced yard?
Are you planning
a move in the foreseeable future?
IF you were to
move, what would happen to this dog?
______ I would give the dog back to CISR
______ We would take the dog with us no matter what
______ We would try and find the dog a home
______ Depends on circumstances
** If you
don’t have a fence......complete this section:
How will this dog
be allowed to relieve itself daily?
_____ I will walk
it on leash
_____ I plan on training this dog to stay in my yard
_____ I have a "tie-out" trolley or stake.
_____ Other explain: _______________________________
How will you
allow this dog to run and get exercise?
_____ I will walk
it on a leash for _____ miles every day.
_____ I have a large yard the dog can run in.
_____ There is a large park or field nearby.
_____ Other: _____________________________
Your Present or Previous
Pets
Please tell us
about your past and present pets;
(continue on back if needed)
Breed? - Sex?
- Fixed? - What happened to pet?
If any of your
present or past pets 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
shots?
-
On heartworm
prevention medication?
-
What brand?
___________________
-
On flea prevention
medication?
-
What brand?
__________________
-
Licensed in your
county?
What dog food do
you plan on feeding your new Sheltie ?
Name, address and
phone number of your Vet:
Please circle
one: My vet may or may not be used as a reference.
How often do your
current dogs get groomed?
Who is your
groomer?
Daily Schedule
Do all adults in
the house work away from home?
Will any adult 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?
_____ loose in
house
_____ outside
_____ crate
_____ X-pen
_____ kitchen
_____ basement
_____ other: 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?
______ outside
______ inside
______ outside during the day and inside at night
______ outside and in garage
Are dogs allowed
in all rooms in your home?
Explain:______________________________________
Where will the
dog sleep at night?
Are dogs allowed
on your furniture?
Your preferences
Do you have the
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 needs medication) dog?
Would you be
willing to work with a "behavior problem" dog?
Would you be
willing to take an older dog?
Up to what age?
Do you have a
color preference?
Do you have a sex
preference ?
Will you take the opposite sex?
Do you have an
age preference?
Do you have a
size preference?
Do you have a personality preference?
(ie: Couch potato, frisbee dog, jogging partner, quiet companion, etc.)
Explain:___________________________________
Please put the
following in order of importance to you:
I want my new sheltie to:
_____ play with
my other dog
_____ play with my children
_____ go walking or running with me
_____ be affectionate and cuddly
_____ be a good watch dog
_____ become a performance dog
_____ be very laid back and calm
_____ have lots of energy and exuberance
_____ be totally housetrained
_____ not be shy with strangers
_____ Other: __________________________________
Financial Commitment
Are you aware of
the financial responsibilities of dog ownership….
Including vet care, medications, food, licensing, shots,
grooming…etc?
AKC reports it
costs over $1000 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
was to get loose and run away, because this breed is so shy.....
it could take $1000's of dollars in posters, ads in newspapers, and
rewards, to find it.
Are you aware of this, and would you go to these lengths?
Are you aware
that the next step in becoming approved, is for someone from rescue
to come out and meet with you?
How are you
planning on getting this dog to you? (We don’t ship dogs)
Are you aware of
the fees that our rescue organization charges ?
Puppies up to 1
year old........ minimum donation $ 250
Adults
1-9.......... minimum donation $ 200
Senior Adults
10+.......... minimum donation $100
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,
that the adoption contract will become null and void,
and I will immediately return the Sheltie to North Iowa Sheltie Rescue.
________________________
Date
______________________________
Signature of
applicant
Please check to
be sure all questions are answered.
Incomplete applications are not accepted.
Mail to: North
Iowa Sheltie Rescue – P.O. Box 518 – Webster City, IA – 50595
Or email to
redsheltie2@mchsi.com
Please note that
we have the right to refuse any applicant.