First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

County

Email*

Home Phone

Cell Phone

Alt Email

Name of the dog you are interested in*
Choose an animal: Disco Other/Coming Soon

Do you live within two (2) hours driving time of the foster dog you are applying for? Please note this is a Rescue policy, please refer to our website www.centralaussierescue.org, FAQs.

Co-Applicant's Name*

Name of your employer*

How long have you been employed with this organization?*

Can we visit your house?*

I verify that I am over 21 years old *

How did you hear of Central Aussie Rescue?

Please list at least two references (who are not immediate family members) along with their email address or phone number (email address is preferred). Please let your reference know we will be contacting them.*

Where will your Australian Shepherd stay when you are not at home? Example: in a crate, gated in room, outside, kennel outside, garage, etc.*

In what type of home do you live*
Choose one: House Apartment Condo/Townhouse Other

Do you own or rent your home?*
Choose one: Rent Own Live with parents Other

Unfortunately, we are no longer taking applications from those who rent or live with their parents (even if you are over 21 years of age). This is a rescue guideline. We apologize for the inconvenience.*

What would you do if you moved to a residence where dogs are not permitted?*

For how many hours a day would the dog be alone?*

Is your yard completely fenced*

What type of fence do you have?*
Choose one: Privacy Chain Link Invisible Other

What is the height of the fence (if applicable)*

Please list the names and ages of children that currently live in the household*

Do children visit your house regularly (grandkids, neighbors, etc)?*

Are all members of your household in agreement about adopting a dog?*

Describe your household activity/noise level.
Choose all that apply: Active Noisy Quiet Normal Other

List the Name, breed/species, age, and gender of any CURRENT pets.*

Please list the Names, breed/species, age, and gender of any PAST pets within the past five (5) years.*

Veterinarian's Name and Phone Number*

Are all your current pets (dogs and cats) spayed or neutered?*

Are your cats and dogs currently up-to-date on vaccinations (rabies, DHPP, etc) as required by your local ordinances and recommended by your vet?*

Do you give your cats and dogs heartworm preventatives once a month, every month of the year, as recommended by your Veterinarian? *

Have you ever surrendered a pet, lost a pet, given it to a shelter/rescue, returned to breeder, sold, had a pet seized, etc? If yes, please describe.*

Are you aware that some dogs require a period of weeks or even months to adjust fully to their new home/environment/family/other pets?*

Have you had experience being the primary caregiver to a dog?*

Are you willing to bring your pet to a veterinarian for yearly exams, vaccinations and preventatives per your veterinarian’s recommendations?*

Are you able and willing to pay for emergency care, which could result in a bill of $200 to $1,000 or more?*

Are you able to commit to providing a home for a dog for the life of the dog (up to 15 years or more)?*

What circumstances might justify giving up a dog? (check all that apply by holding the "ctrl" button)
Choose all that apply: NONE OF THE ABOVE Baby Divorce Not getting along with other pets Moving Allergies New family member dislikes dog Shedding Destructive Behavioral problems Want to travel Dog becomes ill Marking/peeing in house Too much time Not doing its job

I prefer a dog that is sized
Choose all that apply: mini/small medium large any size

I prefer a dog that is age
Choose all that apply: puppy 1-4 years 4+ years any age

I prefer a dog that is
Choose all that apply: male female either gender

I prefer a dog that is energy level
Choose all that apply: low energy med/avg energy high energy any energy level

Have you owned an Australian Shepherd Before? If no, what have you done to prepare for this particular breed?*

Describe the dog that would fit your dream companion (personality, abilities, physical characteristics, etc).*

How will you make sure your dog gets enough exercise?*

Would you be willing to pay for obedience or behavioral sessions if needed?*

When it comes to relating to dogs, I consider myself*
Choose one: a strong leader a little wishy-washy somewhere in-between

If dog exhibits behavioral or adjustment issues, what will you do?*

What issues/behaviors do you feel you ARE able to deal with? (check all that apply by holding the 'Ctrl' button)
Choose all that apply: barking whining resource guarding jumping shyness separation anxiety housetraining storm phobia sound reactive stranger aggression none of the above

What bad doggie habits can you NOT tolerate? (see above list for reference)*

Please share anything else you would like us to know when helping find the perfect companion for your family.

Would you be interested in learning about some of our “special needs” dogs?*

Would you like to find out more about fostering or volunteering with CARS?*

If yes, what type of volunteer work would you be interested in doing?

The information I have given is accurate and complete.*

I understand that CARS has the right to deny any application.*

I give permission for a representative of CARS to call the references and veterinary practices I have listed. If your application is missing information (your address, references, etc.) it will not be processed, thank you.*