The Jacksonville Sheltie Rescue
Adoption Application

In order to be considered for adoption, you must:
Be 18 years of age
Have the Knowledge and consent of all adults living in your household
Have verifiable identification
Understand we have the right to deny you an adoption
KNOW ALL dogs will be placed already spayed/neutered

    Name:                                Age:
 Address:                Home Phone#:  
State: Zip:                               Drivers License #:  


Hours you are at work?:
 Work Phone #:     May we call you at work?: YesNo

Email Address:

1.  Have you placed an application with any other Rescue group?: YesNo
     If yes, explain:
2.  Why do you want a Sheltie?:
3.  How many pets have you owned in the last 10 years?:
4.  What happened to each of them?:
5.  What role will this animal have? (ie.. pet, watchdog, breeding):
6.  Do you currently have any other animals?: YesNo
7.  Please list: type, age & sex and if they are spayed/neutered:

8.  Do you currently have a Veterinarian?: YesNo
9.  Name of Vet:    Vet Phone #:
10.  Who lives in your home? (ie..Mom-Dad-2 kids):
11.  Do you have children living in your home, even part-time?: YesNo       
       Their ages:
12.  Do you live in a - House, Apartment, Condo or Other?:
13.  Do you own or rent?:    Landlord's Name/Phone #:

14.  Do you have a fenced yard for the dog to use?: YesNo
15.  If Not - How will the dog be exercised?:
16.  Do all adults in the house work?:
17.  Is anyone home during the day?:
18.  If so - who, and what hours are they home?:
19.  Where will this dog stay during the day, while you are at work:
20.  Do you intend to keep this dog primarily indoors or outdoors?:
21.  Where will the dog sleep?:
22.  Do you have the time and or patience to housetrain a dog?:
23.  Would you be willing to take a "special needs" (blind, deaf, sick) dog?:
24.  Would you be willing to work with a "behavior problem" dog?:
25.  Would you be willing to take a much older, more needy dog?:
26.  Have you ever owned a Sheltie before?:
27.  Are you aware of all a Shelties needs? (i.e. grooming, exercise):
28.  Are you aware that Shelties are "barkers"?:
29.  Are you aware that Shelties may be shy around new people, and may take awhile to bond with?:
30.  Do you have a color preference?:
31.  Do you have a sex preference?:
32.  Do you have an age preference?:
33.  Do you have a size preference?:

34.  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 $500 per year?:
35.  Would this dog be a priority in your life?:
36.  What circumstances, in your opinion, would justify you getting rid of this dog?:
37.  Are you aware of the fees that our rescue organization charges?  Adoption fees range from $200.00 - $350.00 depending on the age and/or health of the dog:
38.  Are you willing to have a member of Sheltie Rescue visit your home prior to adoption and after the adoption?:

Name Of Closest Relative not living with you: Relationship:

Relative's Address:   City:   State:   Zip:

Telephone of Relative:

All of the answers I have given, are true and correct to the best of my knowledge.
Signature of applicant:         Date:

It may take several seconds to process your application.   Please be patient and do not press the Submit button more than once.
Thank you for your interest in a Sheltie Rescue!