Name of Applicants Home Phone with area code Street Address/City/ST Cell Phone with area code Email Address Have you ever owned a Sheltie before? Yes No Tell us why you want a Sheltie? If you have previously had other dogs(including Shelties) how did you acquire them (breeder/petstore/shelter/rescue) and what happened to them? Do you have any other animals? Yes No Do you have any children? Yes No If you have other animals, please list type, sex and age of all. Ages of children at home Tell us about your home Choose all that apply Own Rent Pets ok if renting Fenced yard Stairs How many hours a day will the dog be alone? Where will the dog be kept during the day and at night? Do you have an age preference for your Sheltie? What age range? M Do you have a sex preference for your Sheltie? F Sable Tricolor Merle Color preference? >35 lbs 20-35 lbs <20 lbs Size preference? No Color preference? do you have any experience in dealing with behavioral issues such as aggression, barking, chewing, shyness? Would you consider adopting a dog with special needs, i.e. deaf, blind, mobility impaired and if so what type of need? Please tell us a little about yourself so we can match the right Sheltie to your home and lifestyle. Yes We also place collies. Would you be interested in learning about rescue collies? Their adoption fees run up to $175. No Yes Would you be interested in fostering a rescue Sheltie on a short term basis? No How did you learn about Sheltie rescue? Word of Mouth Internet Upon receipt of this application we will match it against available dogs to determine if we have any suitable Shelties for your household. If a Sheltie is available that meets your needs, and we feel will be a good fit with your household, we will discuss the Sheltie with you. If you are interested in the Sheltie we will arrange to bring the Sheltie to your home and meet any other household members and pets. If after seeing the Sheltie you and our representative believe that the Sheltie is a good fit, you will sign and adoption contract and the Sheltie will be left at your house. We will perform some follow-up with you to ensure that any initial questions are answered and the adoption is going well. Our adoption fee typical runs around $175. If you have any questions about our adoption process or the application please call Bill Ferrell at 480-507-7996 or email him at bkferrell@cox.net When you have finished the application click Submit below.