Glen Highland Collie Rescue Form – Fill Out and Use This PDF

GLEN HIGHLAND FARM,

SWEET BORDER COLLIE RESCUE

ADOPTION APPLICATION

GLEN HIGHLAND FARM, SWEET BORDER COLLIE RESCUE

217 Pegg Road, Morris, NY 13808

LILLIE GOODRICH 607-263-5415 FAX: 607-263-5325

EMAIL: SWEETBCRESCUE@CITLINK.NET

Please fill out the following application completely. The adoption process is designed to match appropriate homes with appropriate dogs. While many dogs may be attractive to the eye, we are very careful to understand the lifestyle of each adopter since we clearly understand the individual dogs in our care and not all border collies are the same.

Before you proceed with the application, we have two “qualifying questions” -

1.Do you have a 5 foot or higher fenced-in yard or an electronic fence? No _______ Yes ______

2.Are ALL of your children 7 years or older? No _________ Yes _________

If you answered “No” to either question, we will not be able to place a rescue dog with you. Many of the dogs have some abuse in their history and we cannot always determine their reaction to the behavior of young children and because of their spirit, they deserve to have the ability to run free of ropes and cages. If you answered “Yes” to both questions, please proceed – we will be happy to review your application.

Thank you for your understanding. We will also be asking you to provide pictures of your yard if you visit, including the driveway and nearest roads plus proof of fencing and yard area. We may also onduct a home visit to see your home before placing a dog with you.

Name_______________________________________________________

Address_________________________________________________

City ___________________________State___________Zip_____________

WE ONLY ADOPT INTO CT, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT

Phone home/work______________________________________________

Fax/e-mail (print clearly)________________________________________

IF you do NOT have email, pls call us to follow up on your application.

Occupation___________________________________________________

How did you hear about Glen Highland Farm? __________________________

What is your ideal timeframe for visiting the Farm to adopt? _______________________

Age & Sex of Children_________________________________

Are there a lot of children in the neighborhood and/or

do children frequently visit you or grandkids (be specific about your situation)?

____________________________________________________________________________

are there other adults in the household & relationship?

Their ages:____________________________________________________

their relationship to you:_________________________________________

Describe a typical day in the dog’s life with you & in your home (be specific):

_________________________________________________________________________________

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Why have you decided at this point to get a border collie?

_________________________________________________________________________________

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Have you had a rescue dog before? If yes, describe the situation:______________________________

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Why do you want to adopt a RESCUED Border Collie?_____________________________________

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Dogs/Animals in current home (age, sex, breed, temperament, socialization w/other dogs-inc birds cats

__________________________________________________________________________________

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Which animals are spayed or neutered?__________________________________________________

How many dogs have you owned in the past 5 years? ______________________________________

If no longer own a dog, please give reason why____________________________________________

Preferences for a dog: age __________sex ___________________________

Would you consider an older dog (4 years or older)? _____________________

Would you consider a cross? _______________________________________

Would you consider a dog that has a physical problem (for example, hip dysplasia, epilepsy, etc.) that might be controlled or cured with the use of drugs, or surgery? _______________________________

Would you consider a dog that has an emotional problem (for example, separation anxiety, fear aggression, etc.) that might be controlled or cured with training, behavior modification, or the use of

drugs? _____________

Would you consider more than one dog? ________________________________

Are you looking for a working/herding dog? Companion? or for formal obedience, agility, flyball?

______________________________________________________________________________

Pick the 5 most important descriptions of what you are looking for in this new dog…

___obedient ____playful ____easy going _____ energetic _______ focused

______athletic_______housetrained _____good w/kids _______good in car

_____performance –agility/sports________affectionate _____walking/hiking companion

_____good w/other dogs ______calm______high drive ______eager to bond

_____needs nurturing ______ no issues w/people ______ smart

Which looks would you consider (check all that apply): rough coat (long hair?___________

smooth coat/shorter hair?_______Red & white_______Black & white_________Tri-color______

Color/Coat are irrevelant______________

Is this dog allowed on the furniture? ____________Crated or Free run of the house?____________

How important is it that the dog is already housetrained?_______________________________________

Or will you housetrain, if needed?____________________________

Are you willing to travel a distance to see a dog? If so, how far? _____________

Own or Rent Home_____________________

If not own, do you have permission from your landlord to have pets? __________

Describe the home, property (busy street,etc acreage)_________________________________________

_____________________________________________________________________________________

________________________________________

What distance is the road from your home & how busy is the traffic?

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Years at present address_________

Are there regular visitors to the home with whom dog will interact with? ________________________

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Is your neighborhood urban? Suburban? Rural? _____________________________

Are there any unusual sounds nearby like a firehouse, train, school w/school bus pick ups, hunting Club, airport, etc?__________________________________________________________________________

Do you live in a development or other area where there are a lot of houses nearby? __________________

Do you live in an apartment?_____ A condo?___________ A mobile home? ______________________

A single-family house? _________ Other dogs in neighboring yards?_____________________________

Do you have a fenced yard or outdoor kennel? What kind of fence? _____________________________

How large is it? __________________How high is the fence? ________________

Will the dog be allowed to run loose? __________________________________________________

Does a dog you adopt need to go to dog parks?_________________________________________

Will you have your dog on a run or trolley, or tied out at any time? __________________________

How do you intend to exercise this dog? _______________________________________________

_________________________________________________________________

Hours Dog Left Alone Each day__________________ Where will dog spend the day (be specific)?

________________________________________________________________________________

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Are you planning to enroll your dog in an obedience/training class? __________________________

What type of training? ______________________________________________________________

If not, how do you intend to train this dog? _____________________________________________

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What is the most challenging training situation you have previously faced with dogs?

____________________________________________________________________________________

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What is the most important thing you need to do for a rescued Border Collie from your perspective?

_________________________________________________________________________________

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Who is primary caretaker ____________________________________________

References (2 required, state relationship, no relatives please, neighbor required)

YOU MUST PROVIDE OR WE WILL NOT CONSIDER YOUR

APPLICATION________________________________________________________________________

_____________________________________________________________________________________

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Veterinarian (names, address, phone)______________________________________________________

___________________________________________________________________________________

Adopter's Statement of Commitment

All of the above information I have given is true and complete. Should an un-neutered or unspayed dog be placed with me, I agree to have it altered within one month of adoption or by a date agreed upon by me and the Rescue representive. I also agree that this dog will reside in my home. I will provide the dog with adequate food, water, shelter, training, affection and medical care and the dog will not be tied out or on a run. Fencing will be in place or some other form of containment, as agreed upon. I understand that Lillie Goodrich/Glen Highland Farm, is not responsible for the accuracy of information received about the temperament, habits or physical condition of dogs available for adoption. However, all information provided is given in an effort to do the best in knowing a dog prior to adoption.

Adopter signature:___________________________________________

Date____________________

EMAIL (please print clearly or we cannot contact you)_______________________________________

Rescue Statement of Commitment

We reserve the right to refuse an applicant for any reason if we feel the needs of the dog will not be properly met or the adoption is not in the best interest of the dog. Glen Highland Farm/Sweet Border Collie Rescue is a non-profit organization, therefore the adoption fees are donations to help us continue the work in helping dogs in need.

The adoption fee of $275 covers vet, medical costs and supplies as well as the cost of adoption from the shelter. The medical history of the dog is provided, as well as all shots necessary for adoption. Thank you for contacting us regarding adoption. You will be contacted shortly in response to your application.