We have occasionally had problems with applications coming through. If you have not heard from our volunteer coordinator within 5 days please email us at vapp@nvsr.org
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Date
*Applicant Name
*Street Address
*City *State AK AL AR AZ CA CO CT DC DE FL HI IA ID IL KS LA MA MD ME MN MO MS MT NC ND NE NH NJ NY OK PA RI SC SD TN TX VA VT WA WV WY *Zip
*Home Phone Fax *E-mail
Work Phone Cell Phone
Do you currently have any animals? Yes No If yes, please list breed, name, sex, spayed/neutered:
Please list all pets you have owned in the last ten years (breed, name, sex, spayed/neutered, where is/are it/they now?)
Have you ever participated in obedience training with a dog? Yes No If yes, at what level?
Are you involved in any dog sports, dog-assisted therapy or other activities involving dogs? Yes No If yes, what?
Is any such charge currently pending? Yes No If yes, please explain
Please complete the following to help us match volunteers with assignments. Enter "yes", "maybe" or "maybe later" where it applies. Also fill in appropriate blanks.
B. VISIT my local POUND/SHELTER to search for Shelties; this would be the facility at intervals.
Yes Maybe Maybe Later notify Rescue of Sheltie present & file "interest form" for Rescue. Yes Maybe Maybe Later bail the dog out and hold for Rescue to come get. Yes Maybe Maybe Later bail the dog out and transport to foster, boarding, etc.
C. GROOM/CLIP DOWN & BATHE newly rescued Shelties
Yes Maybe Maybe Later moderately matted/filthy Yes Maybe Maybe Later dreadfully matted/filthy Yes Maybe Maybe Later cooperative dogs Yes Maybe Maybe Later uncooperative dogs
D. FOSTER rescued Sheltie in my home or kennel run
Yes Maybe Maybe Later few days Yes Maybe Maybe Later several weeks Yes Maybe Maybe Later several months Yes Maybe Maybe Later male only female only either Yes Maybe Maybe Later adult only puppy or teen any age Yes Maybe Maybe Later inside house (full/part time) kennel run only Yes Maybe Maybe Later can housebreak & teach good housedog manners Yes Maybe Maybe Later can do basic obedience training (come, down, stay, heel) Yes Maybe Maybe Later can do problem solving/rehab for behaviour problems Yes Maybe Maybe Later CANNOT foster, but could if
Applicant's employer Position Phone
If you have been with your current employer for less than one year, where were you previously employed? Position Phone
Name of person in local area (non-relative) who knows you well and perhaps has known your animals Address Reference Phone
Name of relative in local area (not living with you) Address Relative Phone
May we check the above references and verify the information you provide? Yes No
Have you ever owned a sheltie before? Yes No
What do you know about the sheltie breed? (temperament, health)
Do you realize shelties are barkers? Yes No
Do you realize shelties may be somewhat shy around new people and may take a while to bond? Yes No
What are your living arrangements? Rent Own
Please check those that apply: Live with parents house townhouse condo apartment duplex mobile home other If other, please explain:
If renting, please provide your landlord's name, address and phone number:
Do you have permission from your landlord to have a dog? Yes No (Proof of ownership, or lease with pet clause may be requested.)
Where will the foster be kept while you are away or at work?
At night?
Is anyone home during the day? Yes No If yes, who? How long are they home?
Do you work FT PT? How many hours will the foster be alone per day?
How many adults live in your home? Children? Children's ages?
Is anyone in your home allergic to animals? Yes No If yes, please explain how the allergy will be treated if you are bringing in a foster dog.
Are all animals current on vaccinations (including Bordatella)? Yes No If not, please explain
If you have ever had a pet die at an early age or in an accident, please explain
Do you have a fenced yard? Yes No If yes, please describe (type of materials, height, square footage, condition)
If you don't have a fence, do you plan to build one in the near future? Yes No
If you don't have a fence, how do you plan to exercise the dog?
Do you plan to tie or chain the dog at any time? No Yes If yes, please explain
Do you have the facilities to quarantine a dog? Yes No If yes, please describe
May a Northern Virginia Sheltie Rescue volunteer arrange to visit you in your home? Yes No If no, why not?
Do you have a veterinarian? Yes No May we contact them? Yes No Vets Name Vets Phone
E. Help to INTERVIEW & EDUCATE prospective ADOPTERS
Yes Maybe Maybe Later talk to potential adopters on the phone, tell them about Shelties, answer questions, listen to them, take notes & report to Rescue.
Yes Maybe Maybe Later invite potential adopters to my home to meet my own Shelties, then interview & educate (same as for phone).
Yes Maybe Maybe Later take my own Sheltie to potential adopter's home, interview & discreetly evaluate home & fencing, take notes, miscellaneous.
F. TRANSPORTATION of dogs: max distance = miles
Yes Maybe Maybe Later take dog from foster to vet & back, to groomer & back, etc. Yes Maybe Maybe Later transport dog from board/foster to adopter Yes Maybe Maybe Later transport dog from adopter back to Rescue if adoption fails
G. PUBLICITY for dogs available for adoption
H. CONTRIBUTIONS to help others do rescue and foster care
Yes Maybe Maybe Later can contribute equipment (e.g. crate, kennel run, grooming equipment, training equipment), specifically Yes Maybe Maybe Later can contribute money (to help pay Pound fees, spay/neuter & other vet costs, board bills, purchase of equipment needed by fosterers) $at intervals = monthly quarterly yearly ; $now; $at later time = (specify)
I. FUNDRAISING
J. EVENTS
K. SPECIALIZED SKILLS
L. Help with OTHER tasks
Yes Maybe Maybe Later search local newspapers for Shelties being given away for free
Yes Maybe Maybe Later other task not previously mentioned. Please specify