IMPORTANT ADOPTION POINTS
By submitting this application, you are making a formal request to adopt a dog from New England Border Collie Rescue, Inc. (NEBCR) All applicants are thoroughly screened and must meet certain qualifications for approval. Compatible Border Collies may not immediately be available. Your patience is appreciated! A donation to New England Border Collie Rescue, Inc. is required to adopt a Border Collie. Please refer back to Adopting a Border Collie page for more information. We only adopt to homes in the Northeast. Filling out an application does not guarantee adoption. Many rescued Border Collies have special needs and some homes are simply not suitable for a typical Border Collie. We RARELY get Border Collie puppies (under 12 mos), so if you only want a very young dog the wait could be lengthy. Please be as detailed as possible in describing your circumstances and ideal dog. We want to help you find a great, lifelong companion to bring into your home and life. We offer support in training, nutrition and health advice for the life of your dog. We will keep your application on file at your request for 6 months. Below is the application for adopting a Border Collie from NEBCR. It will be reviewed by the Applications Committee and you will typically be notified within ONE WEEK as to your application status. If you have additional questions on the adoption process, please contact us. Sincerely, New England Border Collie Rescue, Inc. (NEBCR) Copyright 2009 All rights reserved The information contained in this application is for the express use of New England Border Collie Rescue, Inc. and may not be forwarded in whole or in part for use by any other organization or individual without the express permission of NEBCR, Inc. While we do occasionally receive requests from other rescue groups to share Home Visit reports (and will do so ONLY with the applicant's permission), we feel that it is the responsibility of each individual rescue group to properly screen their own adopters according to their specific policies and operating procedures. Any application submitted to NEBCR is kept confidential to the group and your information will not be shared elsewhere. IN ORDER TO RECEIVE COMMUNICATION FROM US, PLEASE ADD APPLICATIONS@NEBCR.ORG TO YOUR SPAM WHITELIST AND/OR CHECK YOUR JUNK FOLDER FOR OUR RESPONSE. IF YOU HAVE NOT HEARD BACK FROM US WITHIN ONE WEEK, PLEASE FEEL FREE TO EMAIL APPLICATIONS@NEBCR.ORG
Items marked with an asterisk (*) are REQUIRED fields.
TELL US ABOUT YOURSELF
Date
Last Name *
First Name *
E-mail *
Address *
City *
State *
Zip *
Home Phone *
Work Phone
Best way to contact you:	Home Phone Work Phone Email
Age
Occupation
How did you hear about NEBCR?
Other
I would like to be notified about NEBCR Special Events.	Yes, please! No, thanks.
It is OK for foster homes to notify me about dogs that they feel are a good match for my situation.	Yes, please! No, thanks.
Please check the box below to indicate that you are aware that there is a minimum $250 adoption fee for all dogs, with the exception of our "Seniors-for-Seniors" program (refer back to Senior-to-Senior program information). Dogs requiring training classes will have additional deposits required.
... *	I am aware of the $250 minimum adoption fee.

SECTION 1: YOUR FAMILY AND NEIGHBORS
Are there any other adults (18 years or older) in your household? *	Yes No
If "Yes", please tell us their name(s):
...Their age(s):
...Their occupation(s):
...Their relationship to you:
Please list all children (names and ages) in the household (if applicable):
Please list any responsibilities your children may have in helping with the dog's care.
If you currently do not have children, are you planning on having children in the future?	Yes No
Are there a lot of children in your neighborhood?	Yes No
Are you frequently visited by children?	Yes No
Is anyone in your household allergic to dogs?	Yes No
Is anyone in your household afraid of dogs?	Yes No
Is anyone in your household elderly or frail?	Yes No
Do you have close neighbors who might be affected adversely by a barking dog?	Yes No

SECTION 2: YOUR EXPERIENCE WITH DOGS
Have you ever owned a dog? *	Yes No
Please give us a brief history of your past dog ownership. Please tell us the breeds, length of ownerships and what happened with each dog. (enter "n/a" if not applicable) *
Do you currently own a dog? *	Yes No
For EACH dog you currently own, please answer the following questions:
Dog 1 Name:
Breed:
Gender:
Age:
Please describe your dog's temperament, particularly in regard to other dogs:
Is this dog:	Spayed Neutered Neither
Vaccination status:	Up to date Needs updating I don't vaccinate (please explain) I titer my dogs Other
If "Other", please explain:
Do you use Heartworm preventative on this dog?	Yes No
If "No", please explain why:
Is this dog's license up to date?	Yes No My town doesn't require licenses
Dog 2 Name:
Breed:
Gender:
Age
Please describe your dog's temperament, particularly in regard to other dogs:
Is this dog:	Spayed Neutered Neither
Vaccination status:	Up to date Needs updating I don't vaccinate I titer my dogs Other
If "Other", please explain:
Do you use Heartworm preventative on this dog?	Yes No
If "No", please explain why:
Is this dog's license up to date?	Yes No My town doesn't require licenses
If you have additional dogs, please provide the information above for each additional dog here:
If any of your dogs are not spayed or neutered, please explain why:
Why have you decided to get a dog (or another dog) at this point?
Why have you decided to get a Border Collie? *
Please explain what you believe to be the special characteristics of Border Collies: *
Have you ever adopted an animal from a shelter or rescue group before?	Yes No
If "Yes", please provide the name, address and telephone number of the shelter or rescue as a reference:
Have you ever surrendered an animal to a shelter or rescue group or personally rehomed a dog? *	Yes No
If "Yes", please describe the circumstances:
Have you ever been attacked or bitten by a dog?	Yes No
If "Yes", please describe the circumstances and what you would have done differently in the situation:
What are the requirements for obtaining a dog license in your town?

REFERENCES:
Please list your vet and three people who are knowledgeable about you and your care of dogs. The three references should be people in the dog community (for example, a trainer, a groomer, a rescue person, or someone who has dogs and knows you well). You may include a shelter or rescue person that you once adopted a dog from if you listed one above. If you do not know a person in the dog community that can give you a reference, please list three people who can give you a character reference, like an employer, a clergyman, or a teacher. Without references we CANNOT complete your evaluation. Please provide a valid phone number and/or email address for each person listed. Please do not use more than ONE immediate family member as a reference.
Veterinary Reference:
Name of Vet:
Name of Practice: *
Email:
Phone: *
Reference 1:
Name: *
Phone: *
Email:
Relation to you:
Reference 2:
Name: *
Phone: *
Email:
Relation to you:
Reference 3:
Name: *
Phone: *
Email:
Relation to you:

SECTION 3: YOUR PREFERENCE WITH DOGS
Preferred age range (select all that apply)	Puppy (under 1yr) Young (1 - 4) Middle Aged (5 - 10) Senior (10+)
Gender:	Male Female No Preference
Would you consider a Border Collie mix?	Yes No
Would you consider a dog that has a physical problem (for example, hip dysplasia, epilepsy, etc.) that might be cured with drugs or surgery?	Yes No Maybe
Would you consider a dog that has an emotional problem (for example, separation anxiety, fear reactivity, etc.) that might be controlled or cured with training, behavior modification or with drugs?	Yes No Maybe
After researching the breed, please list any Border Collie-specific traits that you would like to avoid:
Are you considering adopting more than one dog?	Yes No
What type of dog are you looking for (check all that apply): *	Family pet / companion Sport / Competition Working dog (stock / herding)
If you selected 'Working dog', please explain what type of herding / stock:
If you selected 'Working dog', do you have experience training dogs for stock work?	Yes No No, but I have a trainer lined up.
Please provide the trainer's name:
PLEASE NOTE: It is extremely rare that we get border collies into rescue with actual herding training/experience. While it is true that the instinct is present in many Border Collies, the amount of drive/ability varies from dog to dog. If you are looking for a herding dog and do not have experience training one in the past, we will require that you provide a trainer reference before considering you for any particular dog.

Is there a specific dog on our website that interests you?	Yes No
If so, please list which one(s):
Please explain why you think this particular dog may be a match for your household:

SECTION 4: YOUR ENVIRONMENT
Is your neighborhood: *	Urban Rural Suburban
Do you live in an:	Apartment Condo Mobile Home Single Family Home Farm Military Housing Other
If "Other", please describe:
Do you:	Own Rent
If you Rent, do you have permission to have pets on the property?	Yes No
If "Yes", please provide your landlord's name and contact information:
Would you ever move to a house or apartment that doesn't allow dogs?	Yes No
Do you: (check all that apply)	Have close neighbors (on sides) Live in a multi-family home
If you checked either of the above, are they aware that you intend to adopt a dog?	Yes No
Are there any restrictions as to the number of dogs and/or combination of dogs and cats you are allowed to have in your town/residence?	Yes, and I'm within the limit No restrictions
Do you have other pets in the house (besides those you may have already listed)?	Yes No
If "Yes", how many and what type?
Do you own livestock?	Yes No
If "Yes", how many and what type?
Do you live on or near a busy road?	Yes No
How large is your property?
Do you have a: (check all that apply)	Open Yard Fenced Yard Fenced Kennel Area Invisible Fenced Yard
If you have a fence or kennel, what type is it (e.g. stockade, chain link, etc.)?
How large is the enclosed area?
How high is the fence / kennel?

SECTION 5: YOUR "DOG" LIFESTYLE
All of our dogs are in volunteer foster homes spread throughout New England. It may be possible that the dog you're interested in is several states away, and significant travel may be necessary.
How far are you willing to travel for the right dog?
How long will the dog be alone on most days?
WHEN NO ONE IS HOME, where will the dog be kept? (e.g. when you're at work, running errands, out to dinner, etc) Check all that apply *	In a crate Free roam of house Gated / shut in safe room(s) Free roam of neighborhood Loose in fenced yard Loose in Invisible Fenced yard Tied in yard Other
If "Other", please explain:
AT NIGHT, where will the dog be kept? Check all that apply	In a crate Free roam of house Gated / shut in safe room(s) Free roam of neighborhood Loose in fenced yard Loose in Invisible Fenced yard Tied in yard Other
If "Other", please explain:
If you are away for an extended period (overnight or longer), where will the dog be left? Check all that apply.	At home (dog sitter) With friends / family At a kennel / day care My dog comes with me Loose in house Other
If "Other", please explain:
Will you allow your dog to run loose outside? *	Yes No
If "Yes", please explain when, why and for how long:
Will the dog be tied out on a run, line or trolley at any time?	Yes No
If "Yes", please explain when, why and for how long:
What do you see as normal veterinary requirements for an average dog? Please give details of vaccines / preventative medicine as well as cost estimates of yearly routine vet care:
Please describe a typical day in the life of your dog (from waking up to bedtime). This information helps us make the best match for you and your family: *
Which type(s) of dog collars do you plan on using with your dog? (check all that apply) *	Prong Collar Shock Collar (e-collar) Choke Chain Standard Buckle Martingale No Collar
Will you be enrolling your dog in an obedience/ training class? *	Yes No Depends on the dog
When teaching commands and obedience, which methods do you employ, if any? (check all that apply)	Treats Verbal Praise Verbal Warnings Jerk and Pop on Leash Aversions (scruff shakes, alpha-rolls, cuffing/hitting)
Please describe how you would train your dog:
... to be housebroken: *
...not to jump up when greeting people: *
...to stop nipping: *
...to stop counter-surfing: *
...to stop barking excessively: *
...to react positively to strangers/other dogs: *
Based on the training methods you employ, please indicate which philosophy describes you best: *	I am new to dogs/dog training, and open to suggestions. My training system isn't as effective as I'd like - please help! My training system seems to be working well, but I am open to alternative suggestions. I've had success with my current training system and unlikely to change how I do things without a compelling reason. I am knowledgeable on the variety of current training styles, and know my methods to be the most successful and effective. None of the above.
If "None of the above" and for additional comments:
Do you have plans for your dog's care in the event of a catastrophic incident (e.g. death, long-term illness, temporary incapacitation, etc.)?	Yes No Hadn't considered it
Your turn! Please add any information about yourself that you think would be useful in helping us match you with the right dog.
Are you willing to have one of our Volunteers come to your house for a Home Visit?	Yes No
By submitting this application, I attest to the truthfulness of my answers. I understand that falsification or fabrication of answers will be grounds to disallow an adoption of a Border Collie from New England Border Collie Rescue, Inc.
Click here to agree *	I understand that New England Border Collie Rescue, Inc. has the right to refuse any applicant for any reason.
Please verify the text in the image: *