Adoption Application

To help ensure the best possible placement of our rescued dogs and to help us determine that the proposed adoption is in the best interest of both the dog and you and your family, please complete and submit this application before inquiring about a specific dog.

Please be thorough—incomplete applications will not be considered.

We keep applications active for 2 months. If a match has not been found during that time, please contact us to keep your application active. If you acquire a dog from another source, please notify us so we can deactivate your application.

Note: We only place dogs within a 4-hour drive of the Denver metro area. We do NOT place animals in homes where current pets are not spayed or neutered or properly vaccinated, unless there is a medical reason for not doing so, or the animal is actively being shown in conformation. Responsible pet owners spay or neuter.

Today's date:
First name:	Last name:
Your street address:
City:	State:	Zip:
Home phone:	Fax number:
Email address:	Driver's license or identification number:
Your occupation:	Work phone:
Name of employer:	How long there?
Spouse's occupation:	Spouse's work phone:
	Where did you hear about us?

Have you owned pets before?	Yes	No
If yes, list the kinds and numbers you've owned in the past 7 years:
If no, why do you want a pet now?
Do you still have the pet(s) listed above:	Yes	No
If not, why not and what happened to the pet(s)?
What pets do you currently own? List kinds and numbers of each:
Are they spayed or neutered?	Yes	No
If no, why not? We do NOT place animals in homes where current pets are not spayed/neutered or properly vaccinated, unless there is a medical reason for not doing so, or the dog in actively being shown in conformation.

Why do you want a Sheltie?
Have you owned a Sheltie before?	Yes	No
How have you educated yourself about this breed of dog?

Please list your preference regarding the following:

Sex of dog:	Male	Female	Either
Color of dog:
Age of dog (list minimum and maximum):
Are you applying for a dog currently listed on our website? If yes, which one?
Will you consider something other than your stated preference?	Yes	No
We frequently receive bonded pairs of dogs. Would you consider adopting a pair who need to stay together?	Yes	No

List names and ages of members of your household:
Do you	own	rent	your home?
If renting, do you have your landlord's permission to keep dogs?		Yes	No
Can you provide us with such permission in writing?		Yes	No

How long have you lived at your current address?
Where will you keep the dog during the day?
During the night?
During family absences overnight?

Do you have a fenced yard?	Yes	No
If yes, how large is the fenced area, what kind of fencing is used, and how high is it? Please note we do not consider an invisible fence, or boundary training appropriate for a rescue Sheltie.
If no, how will you exercise the dog, confine him, and provide for his need to eliminate?

What is the maximum number of hours your dog will be left alone during a 24-hour period?
Where will he spend his time?
Do you object to the discriminate use of a crate?	Yes	No
Do you have a crate?	Yes	No
Would you get one?	Yes	No
What will you do if your dog is destructive when left alone?
Are you willing to attend obedience classes with your dog?	Yes	No
Have you ever trained a dog before?	Yes	No

Have you ever surrendered a pet of yours to an animal shelter?	Yes	No
If yes, why?
Have you ever sold or given away one of your pets?	Yes	No
If yes, why?
Can you afford to spend at least $1000 per year for food and routine medical care for your pet?	Yes	No

Has anyone in your immediate family/household ever been convicted of a charge related to cruelty to animals or child abuse?	Yes	No
Is there any such charge pending?	Yes	No
Has any such charge ever been filed?	Yes	No
If yes to any of the above, please explain and give disposition of charge:

Name of veterinarian:		Phone:
Address:

Please provide the names and phone numbers of two non-related individuals who can serve as references:

Name:	Phone:
Name:	Phone:
May we visit your home and check your references to verify the information you have provided?	Yes	No

What are the requirements for dog ownership in your community?
How many pets may you legally have?
Are dogs required to be vaccinated against rabies?	Yes	No

What will you do with your dog if you move?
Is anyone in your household allergic to dogs?	Yes	No
How much time per day will you spend with your dog?
What kind of dog food will you feed (be specific):
What hobbies do you have in which you could include your dog?

What circumstances, in your mind, justify getting rid of a dog?
What would you do with the dog if the above circumstances occurred?
What do you and your home environment have to offer a Sheltie that has been neglected or abandoned?

Are you aware of the fees our rescue organization charges?	Yes	No
Puppies up to 1 year:	$300.00
1 - 4 years:	$250.00
5 - 9 years:	$200.00
10+ years	$100.00

Thank you for taking time to complete this application.
By clicking the Submit button, you attest to the truthfulness of your answers. Falsification of any of the above information will be grounds to disallow your adoption of a rescue dog.
This rescue service reserves the right to refuse any adoption.

If you experience any difficulty submitting this form, please contact us by phone at 303-783-5772 or by email at colosheltierescue@prodigy.net for further instructions.