Application

Date

Full Name

Email Address

Phone

Address

City

State

Zip

Occupation

Have you ever owned a Sheltie before?

What happened to that dog?

Why do you want a Sheltie?

Have you lost a pet (not through death)?

Have you had one killed by a vehicle?

Have you had one poisoned?

Have you had one die due to disease?

Do you rent or own?

If you rent, do you have the landlord’s permission to keep a dog?

Please list all your CURRENT animals, breed, age, sex: and weight. Please add whether they are spayed or neutered

Please list the name and ages of any children living at home (even part time)?

Do you have a securely fenced yard?

Type of fence

How tall is your fence?

Is your fence in good conditiion and capable of contaiining a scared dog?

Do all the adults in your household work outside the home?

How many hours a day will this new dog be home alone?

Where will this dog stay while home alone?

How much time per day are you able to devote to training and interacting with this new dog?

Do you intend to keep this dog primarily indoors or outdoors?

Where will this dog sleep at night?

Do you have a sex preference?

Do you have an age preference?

Do you have a size reference?

Are you prepared to accept the financial responsibilities of caring for a Sheltie?

Is the entire family in agreement on adoptng a Sheltie?

Are you planning on moving in the near future?

Is anyone in your house allergic to dogs?

What heartworm and flea/tick protection are you using?

What circumstances, in your mind, justify getting rid of a dog?

Is this dog going to be a gift? If yes, please explain

Do you understand that any rescue Sheltie you may adopt through Sheltie Rescue will be spayed or nuetered?

Are you willing to allow a rescue representative to visit your home by appointment?

Have you read and understand our fee's?

Please give the name and address of your Veterinarian:

Do you give your permission for us to contact and speak to your Vet?

NOTE: If you are under 18 years of age, a parent or guardian must also sign this application. Thank you for considering a dog from Sheltie Rescue of East Tennessee. If you have any questions, or if we can be of any assistance, please do not hesitate to call.

We reserve the right to refuse any applicant.

If mailing please return to:

Sheltie Rescue of East Tennessee c/o Larry Jenkins P O Box 2354 Greeneville, TN 37744

I am in full agreement with the Sheltie Rescue of East Tennessee Terms of Adoption (attached). By signing below, I am attesting to the truthfulness of my answers. I understand that falsification of any of the above information will be grounds to disallow adoption of a rescue Sheltie.