Name: Type: (dog,cat,etc.) Age:Current on Vaccinations?
Are your animals on heartworm prevention?
Type:
Your Veterinarian:
Name:
City:
State:
Zip:
Phone:
If applicable, approximate date of your current pet's last office visit?
Are you willing to pay for a heartworm test (about $20)?
Have you ever had to give a dog up?
If yes, what was the circumstance?
If you have owned other dogs and do not now, what happened to them?
Have you ever owned a Border Collie?
If yes, tell us about your Border Collies
What are your favorite qualities in the Border Collie breed?
What are your least favorite qualities in the Border Collie breed?
Training a Border Collie:
Which of the following methods/tools do you/would you use in training a dog (check all that apply).
Briefly describe the methods you would use to discipline your foster dog when he/she misbehaves (for example, jumping up on you)?
How will you ensure that the Border Collie you adopt accepts you as the alpha figure (for example if it growls at you)?
Are you interested in learning other training or discipline methods? (Nebraska Border Collie Rescue, Inc. volunteers are always here to help with any training issues that may arise.)
What books on dog behavior/training have you read?
Please rate your experience with the Border Collie breed:
How did you hear about the Nebraska Border Collie Rescue Group?
List any Humane Societies, Organizations, Breed or Training Clubs you are associated with:
As an NBCR foster home & volunteer, We will always attempt to provide you with an honest evaluation of temperament on any dog that comes into rescue and into a foster home.
Foster Home Application
Nebraska Border Collie Rescue, Inc.
824 Calais St.
Bellevue, NE 68123
Thank you for volunteering to share your home with a rescued Border Collie. The information you will provide on this application will help us make the best possible match between each rescued dog and a prospective foster home. Please be sure to answer all questions as completely as possible. Omitted information may require a follow-up.
SECTION 1 - Personal Information
Your Name:
Who would be the dog's primary caregiver?
Street Address:
Apt.or Box:
City:
State:
Zip Code:
Home Phone:
Email Address:
Cell Phone:
Spouse Name:
Number of Children:
Age:
Ages and Names of Children:
1.
2.
3.
4.
5.
6.
SECTION 2 - Employment Information
Applicant:Co-Applicant:
Employer Name:
Employer Address:
Employer City:
Employer State:
Employer Zip:
Employer Phone:
SECTION 3 - Residence Information
Please mark which of the following best describes your current living situation:
Ownership: Type: Location:
:
If you Rent or Lease, list the name, address, phone number of your Landlord or Property Owner, who holds your lease/rental agreement:
Landlord / Property Owner:
Address:
City:
State:
Zip:
Phone:
How long have you lived at this address?
If less than 2 years, please list your previous address:
City:
State:
Zip:
Besides your immediate family, are there others residing in your house?
If yes, relationship and name:
Does your home have a yard?
If yes, is it fenced?
What type of fence?
How tall is the fence?
Will the gate be locked with a padlock?
Do you have a swimming pool or a spa?
SECTION 4 - Placement Information
Is someone home during the day?
If no, where will the dog stay while you are gone?
Where will your dog be kept most of the time?
If kept outside, will you have a dog run and/or dog house?
Specify:
Would you let the dog outside by itself occasionally if you had a house with lots of land and away from busy streets?
SECTION 5 - Other Pet Information
SECTION 6 - Living With a Border Collie
Do you realize that often times the complete history of a Border Collie may not be known and you may encounter some behavioral problems?
Are you willing to work with us on correcting these problems?
SECTION 7 - References - ONLY ONE FAMILY MEMBER MAY BE LISTED
Listing more than one family member will delay your application process.
Please include address, phone number and how long known:
Relationship
Name: Address: Phone Number: Known: to You:
SECTION 7 - References
SECTION 8 - Additional Comments
SECTION 9 - Terms and Conditions
I certify that the information provided on this form is true and correct, to the best of my knowledge. A home visit is made prior to fostering. If upon inspection we find that the information contained in this application to be false, we retain the right to deny your foster home application.
Date:
Signature:
By checking this box and/or signing this form you acknowledge the above statement and agree to accept all terms and conditions herein. A signed application form must be received before your application can be considered.
This application may be submitted over the internet or printed and mailed to Nebraska Border Collie Rescue.
Work Phone:
Age:
Thank You for volunteering to share your home with a Border Collie in need!
