Application for COSR

Name(s) of Applicant(s): *

Address of Applicant(s)(Please include city, state, and zip): *

How long have you lived at this address? *

Driver's License Number and State Issued: *

Email address: *

Phone #: *

Work Phone #: *

Alternate Phone #: *

*Do you rent or own your home? *

If renting, please provide contact information (name, address, phone) of landlord. We require verification that landlord allows pets. *

Residence Type: *

How many people are living in your home? Please number of adults/children and their ages. *

List ages of children who are regular visitors to your home: *

Employer(s): *

How long have you worked there? *

Are there any pets in the home? *

If yes, list type, breed, sex, and indicate whether spayed/neutered for ALL pets in the home: *

Current or past veterinarian(s) that have treated every pet listed above. Please include name, address and phone. *

Previous pets? If yes, explain how long ago and why you no longer have them. Please include veterinarian's name address and phone number that cared for these pets. *

Have you ever turned an animal into a rescue or a shelter? If yes, please explain the circumstances. *

Have you applied with any other rescues? If yes, please explain the outcome. *

Why are you considering a rescued sheltie?

Anyone in your home with known allergies to animals? If yes, how severe are those allergies?

Do you have a yard for the dog's use? *

If yes, please describe the yard, height and type of fence, is yard private or used by several homes or units, is yard completely or partially enclosed.

If no, please described how the dog will be exercised.
*

Do you plan to move in the foreseeable future? If yes, explain your plans for your pets. *

Will this dog be a priority in your life? Explain. *

Where will the dog sleep? *

Where will the dog stay when you are at work? How long are you away per day? *

Do you have the time/patience to housetrain a dog if it is not already trained? *

Would you be willing to take a special needs dog? (blind/deaf/medical problems/behavior problems) *

Have you had a sheltie in the past? *

Explain your experience with shelties. *

Are you aware that shelties are barkers? *

Are you aware of a sheltie's needs?(grooming, exercise, etc.?) *

Are you aware that shelties may be shy around new people? *

Are you aware of the financial responsibilities of dog ownership? Vet care, licensing, medications, etc.? And that total expense of owning this dog could exceed $500/year? *

Do you have a particular dog in mind or do you have a color, sex, age size preference or activity level in mind for your sheltie? Explain. *

In your opinion, what circumstances would justify getting rid of this dog? *

Are you willing to have a member of Sheltie Rescue visit your home? Both before and after adoption? *

Do you have a problem staying in touch with this Rescue? *

Do you understand this Rescue will check the references provided by you? *

Please provide: Name, address, phone number of closest relative to contact in an emergency. *

Please Provide us two references:

Reference #1: Name, address, phone number (a neighbor would be great) *

Reference #2: Name, address, phone number *

By typing your name(s) below you are indicating all of the answers you have given above are true and correct to the best of your knowledge. You also give Central Ohio Sheltie rescue permission to contact any references you have named above.

Once you click submit button you will be re-directed to our adoption information page. Please read it for further information about our adoption process if you haven't already done so.

Also note our rescue is completely staffed by volunteers so it may be a few weeks before your application is processed and you hear back from us. Thank you for your patience.

Applicant signanture. Please type your full name and todays date. *

Co-applicant signature. Please type your full name and todays date.
(please type none if there is no co-applicant) all fields must be completed to successfully submit application) *

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