FRIENDS OF COLLIES AND SHELTIES

Adoption Application


All the dogs needing homes have their individual personalities and needs. Matching applicants with available dogs is very important for a successful adoption. To help us make a good match for your family, we ask that you take the time to complete this application. This will help us to get to know you and your family and home and to find the right dog for you.

APPLICANT INFORMATION
Please fill out information requested.   If necessary, enter N/A

Email Address:

Name:
Address:
City:   State:   ZipCode:

How long have you lived at this address?

Home phone:   Work Phone:   Cell Phone:

Name of Spouse/Partner/Roommate:
What is your age?
Where do you work?
May we call you at work?
No Response
Yes
No
Hours you are at work?

Are you applying for a collie or a sheltie?
Either
Collie
Sheltie

Are you interested in a particular dog?
No Response
No
Yes
If yes, which one?

Have you submitted an application with any other rescue groups?
No Response
No
Yes
If yes, where?

Check all the statements below that best describe your reasons for adopting a rescue dog:
I want companionship for myself and my family.
I want to adopt a dog that has special needs. I really enjoy rehabbing and helping the needy dogs.
I want to have dog-inclusive fun like walking, playing fetch, agility competitions, or volunteering for pet therapy.
I want to save a dog's life by adopting a dog that no one else may want.
I want to teach my children to be responsible.
I am interested in adopting a young, healthy, well-mannered dog.
I want a dog to keep our current dog company.
I will adopt the dog that needs me.
I want to give a dog as a gift to someone.
I think our home needs a guard dog.
Other
If "Other" explain:


FAMILY INFORMATION AND HOUSEHOLD ROUTINE
Please fill out information requested.   If necessary, enter N/A

Please list the names and ages of every person living (even part-time) in your home:


Do all the adults in the home work away from home?   If so, what are their work schedules?


Will any adults be home during the day with the dog?


Specifically, how many hours will the dog be home alone daily?


Where will this dog stay while home alone?
Loose in house
Outside
Crate
X-pen
Kitchen
Laundry Room
Other
If "Other" explain:


Please check all that apply to your household:
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
Anything else you would like to tell us about your family activities and routine?


Where will this dog spend most of its time?
No Response
Outside
Inside
Outside during the day and inside at night
Outside and in the garage
Other
If "Other", please describe:


HOME INFORMATION
Please fill out information requested.   If necessary, enter N/A

Do you live in a:  
No Response
Single family house
Condominium
Apartment
Other
If "Other", please describe:


Check all that describe your housing situation:
Own
Rent
Live with parents
Military housing
College
Other
If "Other", please describe:


If renting, please give name and phone number for your landlord or rental agent:


May we contact your landlord or rental agent?
No Response
Yes
No

How many stories in your home?
No Response
One story
Two story
Split level

Please describe the floor coverings in your house (i.e. tile in kitchen, carpet in bedrooms):


What is the speed limit of the road you live on?

Where will this dog be allowed to play and eliminate/go potty?
No Response
Front yard
Back yard
Both

Is either yard securely fenced, with no holes or gaps, on all sides so that a small animal could not escape?
No Response
No
Yes
If yes, please describe height and material of the fence?


Does a door from your house open directly into the fenced yard?
No Response
Yes
No

If you do not have a fenced yard, please answer questions A and B below:

A) How will this dog be allowed to eliminate/potty daily?
I will walk it on leash
I plan on training this dog to stay in my yard
I have or plan to install an invisible fence
I have a "tie-out" trolley or stake
Other
If "Other", please explain:


B) How will this dog be allowed to run and get exercise?


Are dogs allowed in all rooms of your home? Explain:


Where will the dog sleep at night?


Are dogs allowed on your furniture?


PET INFORMATION
Please fill out information requested.   If necessary, enter N/A

Your Current Pets

Please list all current pets below - one pet/line:
LIST Name - Type (dog/cat/ect.) - Breed - Age - Sex - Spayed/neutered? - When you got it? - Where you got it?
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

If any of the above pets are not spayed or neutered, please explain why:


What is the name, address and phone number for the veterinarian for these pets?


May we contact this vet office for a reference?
No Response
Yes
No

Are your current dogs on heartworm prevention and if so, what type?


Are your current pets on flea prevention and if so, what type?


What dog food do you feed your current dog(s) or plan to feed your new dog?


How often and where do your current pets get groomed?


Your Past Pets

Please list all other pets you have owned in past 10 years - one pet/line:
LIST Name - Type (dog/cat/ect.) - Breed - Sex - Spayed/neutered? - Dates owned? - What happened to each pet?
Pet 1
Pet 2
Pet 3
Pet 4
Pet 5
Pet 6

If a different vet cared for these pets, please give their name, address and phone number:


Your experience and knowledge

Check all below that correspond to your dog-owner personality:
I have never owned my own dog as an adult.
I am a softie and pretty much let dogs do what they want.
I have taken one or more dogs through obedience classes.
My dog passed Canine Good Citizen.
I have done agility, flyball or freestyle dancing with my dog.
I watch It's Me or the Dog and/or Dog Whisperer.
I am leader of my pack.
And this is how the pack knows I am the leader:


Please put the following in order of importance for your dog (1=most important through 4=least important)
Health and Safety
Exercise and play
Love and affection
Leadership and training

Would you be willing to take this dog to obedience classes?
No Response
Yes
No
Maybe

What are your thoughts about or experience with using crates with dogs?


COLLIES AND SHELTIES
Please fill out information requested.   If necessary, enter N/A

Habits

If you have a collie or sheltie now or have owned a collie or sheltie in the past, please tell us about them:


Are you aware of all the needs and habits of Collies and Shelties? (i.e. regular grooming, exercise)
No Response
Yes
No

Are you aware that many Shelties and some Collies are "barkers"? (doorbell, UPS man, mailman, strangers etc etc)
No Response
Yes
No

Are you aware that Collies and Shelties are long-haired, double-coated breeds that WILL SHED? (Except smooth-coated collies that have a short coat)
No Response
Yes
No

Are you aware that many Shelties and some Collies may be somewhat shy around new people, and may take a while to bond with?
No Response
Yes
No

Are you aware that because of this shyness, the dog you adopt will be a high runaway risk for at least the first month?
NoResponse
Yes
No

Your Preferences

Do you have a color preference?
No Response
No
Yes
If yes, what color do you prefer?


If you are applying for a collie, do you prefer a rough (long) coated or a smooth (short) coated collie?
Either
Rough
Smooth

Do you have a sex preference?
Either
Female
Male
Reason for choice?


Do you have an age preference?
No Response
No
Yes
If yes, what age and why?


Would you be willing to take an older dog?
No Response
Yes
No

Do you have the time and patience to housetrain a dog if it is not already trained?
No Response
Yes
No

Would you be willing to take a "special needs" dog? (timid, deaf, blind, needs medication, 3-legged)
No Response
Yes
No
Comments:


Would you be willing to work with a "behavior problem" dog?
No Response
Yes
No
Comments:


Please describe the type of personality you would like in your next dog: (i.e. couch potato, frisbee dog, jogging partner, quiet companion, etc)


Please put the following in order of importance to you (1 through 12)
Play with my other dog
Play with my children
Go walking or running with me
Be affectionate and cuddly
Be a good watch dog
Train for agility or flyball
Train and shown in obedience
Be very laid back and calm
Have lots of energy and exuberance
Be totally housetrained
Not be shy with strangers
Other
If "Other", please explain:


How will you help your new dog adjust to your family and house when you bring it home?


RESPONSIBILITY AND COMMITMENT
Please fill out information requested.   If necessary, enter N/A

Are you willing to have a rescue volunteer visit your home prior to adoption to meet you and your family and after the adoption?
No Response
Yes
No

Are you aware of the financial responsibilities of dog ownership? (i.e. vet care, medications, food, licensing, grooming, shots, boarding or pet-sitting, heartworm and flea preventive)
No Response
Yes
No

Dog owners should plan on spending at least $1200 per year to properly care for a dog. Will this fit into your budget?
No Response
Yes
No

Are you aware of the benefits of using a premium quality dog food (no generic or grocery store brands) for your dog? (i.e. fewer skin ailments and allergies, more energy, healthy weight, fewer digestive disorders, stronger immunity, better overall health)
No Response
Yes
No
We will be happy to discuss quality dog foods with you.

Are you aware that ALL dogs, just like people, WILL sometime in their life need surgery, blood tests, medications and other medical procedures that can be costly?
No Response
Yes
No

Is there any reason that you would not choose to give expensive care to your dog if it needed it?


Is there any reason that would cause you to decide you could not keep this dog?
No Response
No
Yes
If yes, give reason below.
Check all the following reasons that would cause you to decide you could not keep this dog:
A new job (working more, longer hours)
Kids getting busy, no time for
Divorce
Moving to a new home
New baby
If the dog needed expensive vet care
Bad habits (potty accidents, chewing, destruction)
The dog bit someone
None of the above
Other
If "Other", please explain:


Please give the name, address and phone number for two references.
One relative not living with you:

One friend who has known you and your pets:


Do you understand that all new owners are expected to pay an adoption donation of $300 to help defray the expenses incurred with our rescued Collies and Shelties?
No Response
Yes
No

Do you have any other comments that you would like to make?


By entering your name below you are stating that all of the answers you have given are true and correct to the best of your knowledge.

Name:   Date:

Thank you for applying for a dog from Friends of Collies and Shelties.
We will followup with you when we have a dog we think will work well in your home.