Application – All Herding Breed Dog Rescue Application

IMPORTANT NOTE: You will receive a confirmation message when your application is submitted. It may take up to ten minutes to receive the confirmation. Please check your junk mail if the message does not arrive in your inbox. If you do not receive this email, we have not received your application!

If you experience any issues and would like to submit a manual application, you can download an application form and email it to applications@allherdingbreeddogrescue.com. Please make sure all required fields are completed.

Please complete all applicable fields

Your Name (required):

Your Email (required)

Spouse First Name

Spouse Last Name

Street Address (required)

Street Address 2

City (required)

State (required)

Zip

Country

Home Phone (required)

Cell Phone

Do you have herding dog experience? If not, why are you interested in adopting one of these breeds? Please explain why you would be a good herding dog parent. (required)

Employer

Employer Address

Work Phone Number

Work Hours

Spouse/Partner's Employer

Spouse/Partner's Work Hours

List all Members living in your home and their ages (required)

Do you have young children visit on a regular basis? (i.e.grandchildren, babysitting, friends with small children)? YesNo

If yes, to the question above, list ages of the children visiting

Are you expecting a child, planning a family in the future? If yes, will the Herding Dog remain in the home?

How long have you lived at your current address?

Previous Address

Previous Address 2

Previous City

Previous State

Previous Zip

Previous County

Number of years at that previous address?

Is everyone in your home agreeable to adopting a rescued dog? If not, who and why? (required)

For whom are you adopting this dog? If for someone else, please explain. Do they know?

Does anyone in your home have any known allergies? If so please explain:

Which of the following best describes your current living situation?

If renting, Landlord's Name and Phone #

Social environment ( city, suburban, country)? Briefly explain:

Does your city or county have a limit on the number of pets per household? If so, what is that limit?

Does your home have a backyard?

Is your yard fenced? If so, what is the type and height of the fence?

Will the dog be left alone during the day? If so, where will the dog be kept and for how long?

Specifically, what will be the dog's living situation? (example, run of the house, kennel, outside kennel, garage, basement, tie out)

If you answered outside to the question above, please describe the fencing, kennel, dog house, example- is it heated in winter/ cooled in summer?

Where will the adopted dog sleep?

Will you attend obedience training with your adopted dog?
YesNo

If not attending obedience training, how much time will you devote to daily training?

Preferred Age Range of Dog

Why do you want this rescue dog? What are your expectations?

What activities are you going to engage in with your adopted dog?

How long will you keep this dog? What if there is a major lifestyle change, or if the dog becomes ill, will the dog be given up?

Are you willing to adopt a dog with special medical needs? (example- daily eye drops, special diet or medication)
YesNo

What do you consider behavioral problems?

Are you willing to adopt a rescue dog with behavioral issues like jumping on people, excessive barking, not house trained, etc?

What is your method of disciplining a dog?

Do you own a crate? What are your thoughts on crating?

Will you be able to continue the crate training? (good for housebreaking, boarding, hospital stays)

Are there other pets living in your home? (if not, skip this section)

What brand of food to you feed your pets?

List breed(s), age(s), and sex(es) of current 3 pets.

List breed(s), age(s), and sex(es) of past 3 pets.

If you have an animal now, have you ever introduced it to a new animal? If yes, how did your current pet react?

Are all pets current on a vaccinations?

Are all of your pets spayed or neutered? If no, please explain.

If necessary, will you spay or neuter your current dog?

Are all of your current pets on Heartworm preventative. What brand? If no, please explain.

Veterinarian's Name

Veterinarian's Phone Number

File name for each of your pet(s) and additional owner name if different from yours.

Have you attended obedience training with your current or previous pets? If so, trainers name?

Do any of your current pets have behavioral issues? Have you had a pet with behavioral issues in the past? Is so, how do/did you handle it?

Are you willing to travel to pick up your adopted dog? If so, how far?

Have you applied to adopt from any other rescue groups?
YesNo

If so, what group(s)?

Do you understand that often times the complete history of a rescued dog may not be known? Is this acceptable to you?
YesNo

Please provide the name, email address and phone number of a non-Related Reference

Please provide the name, email address and phone number of a Related Reference

Please list any dogs you are interested in from our All Herding Breed Dog Rescue site (required)

Where did you hear about All Herding Breed Dog Rescue and/or find the dog you’re interested in? (required)

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