Name of the dog you are applying for:
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| First Choice: |
Second Choice: |
Third Choice: |
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| Do you have an application pending with any other rescue group? |
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| Why do you want a Sheltie? |
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| Please tell us about ALL of the pets you've had in your adult life: |
| Breed: |
Sex: |
Neutered or Spayed: |
What happend to this animal?
Please be Specific: |
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| Breed:
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Sex:
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Neutered or Spayed:
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What happend to this animal?
Please be Specific: |
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| Breed:
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Sex:
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Neutered or Spayed:
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What happend to this animal?
Please be Specific: |
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| Breed:
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Sex:
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Neutered or Spayed:
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What happend to this animal?
Please be Specific: |
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| Breed:
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Sex:
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Neutered or Spayed:
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What happend to this animal?
Please be Specific: |
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| If your current or previous pets were not spayed or neutered, please explain why? |
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| Do you keep all of your pets up to date on all shots? |
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Heartworm prevention medication? |
Flea prevention medication? |
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Do your pets have yearly vet check-ups? |
Licensed in your county? |
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| Which brand of Heartworm prevention and or Flea prevention medication do you (did you) use on your pets? |
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| Who is your current/previous Veterinarian? |
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| Vet's Address: |
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| City and State: |
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| Telephone Number: |
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| May we use your vet as a reference? |
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| Do you intend to keep this dog indoors or outdoors? |
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| Where will the dog sleep? |
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| Do you have the time and or patience to housetrain a dog, if it is not already trained? |
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| Would you be willing to take a "special needs" (blind, deaf, handicapped) dog? |
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| Would you be willing to work with a "behavior problem" dog? |
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| Would you be willing to take a much older, more needy dog? |
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| Have you ever owned a Sheltie before? |
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| Are you aware of all a Shelties needs? (i.e. grooming, exercise) |
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| Are you aware that Shelties are "barkers"? |
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| Are you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with? |
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| Do you have a color preference? |
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| Do you have a gender preference ? |
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| Do you have an age preference? |
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| Do you have a size preference? |
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| Are you aware of the financial responsibilities of dog ownership…. Including vet care, medications, food, licensing, shots, grooming…etc? And that total expenses of owning this dog could be $1000.00 per year? |
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| Would this dog be a priority in your life? |
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| Check any of the following circumstances that would force you to give up this dog (Check all that apply) |
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A new job or working long hours |
Illness |
Divorce |
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Bad habits (pottying in the house, destruction, ... etc etc.) |
Moving to house or apartment that won't allow pets |
If it bit someone |
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New baby |
Other (please explain)
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| Please list the names, relationship and ages of everyone living in your house. Please include anyone who lives with you part-time. |
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| Do you link in a: |
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House |
Apartment |
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Condo |
Other (Please Specify)
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| If renting, does the landlord allow pets? |
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| Do you have a fully fenced yard (with no gaps) for the dog to use? |
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| Does the door that you will use to let the dog outside, open directly in to the fenced area |
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| If not, how will the dog be exercised? |
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| Will this dog be home alone during any part of the day? |
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| If so, during what hours? |
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| Where will this dog stay while you are gone? |
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| Please check all that apply in yoru home: |
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Moderate - normal comings and goings |
Busy household - visits by friends, in and out a lot, children, parties at home |
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Live on busy street |
Quiet - "homebodies" few guests, come home and stay home |
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Lots of children in the neighborhood |
Noisy - TV, stereo, machinery, tools, children playing, dogs barking |
Please check to be sure all questions are answered. Incomplete applications are not accepted.