Heartland Sheltie Rescue Adoption Application
Download our app here for easy attachment to an email.  (word file)

 

Applicant Name: ____________________       Driver's License #: __________________________
Co Applicant Name: __________________ _  Driver’s License #: _________________________

Street Address: _________________________________________

Mailing Address if different from above: ______________________________________________________

City: _________________________________   State: ____________  
Zip Code: _______________

Home Phone: ____________________ Cell Phone: _____________________

Privacy Note: This information is for private use by Heartland Sheltie Rescue and will never be made public.

Why do you want to adopt a Sheltie/Shetland Sheepdog?

 

Why do you want to adopt a Sheltie/Shetland Sheepdog from rescue?

 

Have you ever had a Sheltie before?       If not, have you done any research on the breed so that you know what to expect, such as shedding, a tendency to bark, shyness with strangers, etc?

 

If so, do you still have that Sheltie?   If not, what happened to that sheltie?

 

Do you have other pets in your home?                If so, please list what kind of pet, sex, age, and if the pet is spayed/neutered/intact.  If your pet is not spayed or neutered, please explain why not. 

 

Are these pets up to date on vaccinations and on heartworm preventative?  If not, please explain.

 

How many people live in your home?  What are their ages and relationship to applicant?

 

Do you have small children that visit frequently?

 

Your vet's name, address, phone number:

 

What purpose will this sheltie serve in your lifestyle?

 

Do you live in a  House/ Apartment / Mobile Home/ Other

 

Do you rent or own your home?            

If you rent, do you have permission from your landlord to have a pet?  Can you produce proof of permission or can we contact your landlord for verification?

Landlord's Name: ____________________________
Contact Info: _________________________

 

Do you have a yard?              
Is it fenced on all sides?  

Describe the fence- what is it made of?  How tall?

 

If you do not have a fence, how do you plan to exercise and potty the sheltie?

 

How many hours a day will the sheltie be left alone typically?

 

What provisions will be made if the sheltie is to be left alone during the day?

 

Will you keep the sheltie indoors or outdoors?

 

Where will the sheltie sleep?

 

Do you have stairs in your home?               How many and where are they located?

 

Do you have stairs outside that the Sheltie will be required to use regularly? 

How many and where are they located?

 

Are you aware that Shelties are considered a run/escape risk for at least the first month after placement and may take some time to bond with you and your family? 

 

 

Are you looking for a particular color of sheltie?

Sable / Sable Merle / Blue Merle / Bi-Blue / Bi-Black / Color Headed White / Tri- Color

 

Are you looking for a particular sex?

 

What age range is acceptable?

 

Are you willing to have a Heartland Sheltie Rescue volunteer visit your home and discuss your desires and our regulations and available shelties?

 

Do you plan to have your sheltie groomed regularly or will you groom him/her yourself?

 

Is anyone in the home allergic to dogs?

 

Are you aware that Heartland Sheltie Rescue's adoption agreement requires this sheltie be on heartworm preventative year round and on flea control as needed?

 

Do you understand that a sheltie adopted from Heartland Sheltie Rescue can not be transferred to another party and must be returned to Heartland Sheltie Rescue if it must be given up for any reason?

 

Do you understand that any sheltie you adopt from Heartland Sheltie Rescue is required to be spayed or neutered?

 

Have you applied to any other rescues?               Who?                               When?

*We work with other rescues if a home visit has already been completed.

*At first the sheltie may be shy and prefer to hide for the first few days.  This is normal and should not be taken

  as a failed placement. 

*If you have issues you feel are unusual, please feel free to contact Heartland Sheltie Rescue for assistance in         

  working through them.

*Please also provide contact information for two personal references.  Name, address, phone number, e-mail.

Do you accept that Heartland Sheltie Rescue requires a minimum adoption donation of $300 for an adult Sheltie age 18 months to 8 years old, $100 for a senior Sheltie over age 9, or $350 for a puppy up to the age of 18 months to cover the vetting and rehabilitation costs of rescue?  This donation is collected by cash, check, or money order at the time of adoption or placement or by PayPal before picking up your new Sheltie family member.

Heartland Sheltie Rescue will not agree to adopt a dog as a gift to another person.

_____________________________________                      _______________________

Adopter's Signature                                                                Date

 

_____________________________________                      ________________________

Co-Adopter's Signture                                                            Date