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Home ( )
Work: ( )
Do you check your e-mail everyday? Y
Date of birth: (mm/dd/yyyy)
you are at work?
May we call you at work? Y / N
area(s) of Rescue work are you available for?
Home visits _____ Transporting
dogs ________ Foster home
Coordinating transports ______
Grooming _________ Newsletter
you have any special training or experience in working with dogs?
tell us about your past and current pets;
Breed age spayed or neutered
indoor or outdoor what
happened to animal
your current or previous pets are/were not spayed or neutered, please explain why?
Do you keep all of your pets up to date on all shots?
on heartworm prevention medication?
flea prevention medication?
and licensed in your county?
Are your pets vaccinated against Kennel Cough?
(they will need to be)
brand of Heartworm prevention and Flea prevention medication do you use on your pets?
is your current/previous Veterinarian?
address and phone number of your Vet:
circle one: My vet may or may not be used as a reference.
lives in your home? (ie...Mom-Dad-2 kids)
list ages of everyone living (even part-time) in your home:
you able to keep a dog that is not good with children?
you able to keep a dog that is not good with cats?
you live in a: (circle one) House Apartment Condo Other
you own or rent?
renting, does the landlord allow pets?
you have a yard for the dog to use?
it securely fenced on all sides?
a door from your house open directly into the fenced yard?
not, how will you exercise the dog?
anyone home during the day?
Who and for how long?
not, what hours would this dog be left alone?
will this dog stay during the day, while you are at work?
check all that apply in your home:
____ Busy household
- visits by friends, in and out a lot, children, parties at home
____ Noisy - TV, stereo, machinery, tools, children playing, dogs barking
____ Moderate - normal
comings and goings
____ Quiet - "homebodies" few guests, come home and stay home
____ Lots of children in the neighborhood
____ Live on
you intend to keep this dog primarily indoors or outdoors?
tell us what supplies you already have for a foster dog : Large
Leash _________ Food and Water Bowls ____________ Brush ___________
Would you be able to supply
a premium dog food to the foster dog?
you ever owned a Sheltie before?
you ever handled a very scared dog?
you ever been taken a dog through an obedience class?
you ever handled an aggressive dog?
you able to help housetrain a dog?
you able to take a "special needs" (blind, deaf, sick) dog?
you able to administer medication in a timely manner?
you able to work with a "behavior problem" dog? (we don’t
take known biters)
you aware of all a Shelties needs? (i.e. grooming, exercise)
you aware that Shelties are "barkers"?
you aware that Shelties may be somewhat shy around new people, and may take awhile to bond with?
of the answers I have given, are true and correct to the best of my knowledge.
· Please check to be sure all questions are answered. Incomplete applications
are not accepted.
· Please note that we have the right to refuse any applicant.