How did you hear about Northeast Border Collie Rescue?
Please list the adults in your household, their relationship to you, their
occupations and their ages:
If fostering, do they agree with and support your decision?
Yes
No
If not, please explain:
Are there children in your household?
Yes
No
If yes, please list their ages:
If fostering, will they be responsible for caring for this dog?
Yes
No
Are there children in your neighborhood?
Yes
No
Are you frequently visited by children?
Yes
No
Do any children have access to your yard/kennel/house when you are not at
home? Yes
No
If yes, please explain how you intend to prevent them from teasing a dog,
letting a dog out either intentionally or accidentally, or doing anything that
might be detrimental to the welfare of a dog in your care.
Is anyone in your home allergic to animals?
Yes
No
Is anyone in your home afraid of dogs?
Yes
No
Is anyone in your home elderly or frail?
Yes
No
Your Neighborhood
Is your neighborhood
Rural
Suburban
Urban
Do you you live in
Apartment
Condo
Mobile Home
Single-Family Home
Military Housing
Do you Own
Rent your property?
If you rent, do you have permission from your landlord to have
pets on the property? Yes
No
Do you live in a development or other area where there are
houses nearby? Yes
No
Do you share a house with other families?
Yes
No
Are there neighbors nearby who would be upset by a barking dog?
Yes
No
Are they aware that you intend to adopt a dog?
Yes
No
Are there any restrictions to the number of dogs and /or cats or
combination that you may have at your residence?
Yes
No
If yes, please explain:
How large is your property?
Do you have cats or other animals living in your house?
Yes
No
If yes, what kind and how many?
Is there a busy road nearby?
Yes
No
Do you have a fenced yard or outdoor kennel?
Yes
No
Please describe any fencing, including its height, and the size
of the area it encloses:
Are you required to obtain a kennel license if you take in dogs
in addition to your own?
Yes
No
If yes, are you willing to obtain such a license?
Yes
No
Your Experience With Dogs
How many years have you owned/been involved with dogs?
Please give a brief history of the previous dogs you have owned:
Please describe your experience with Border Collies:
Your Current Dogs
Do you own a dog now?
Yes
No
Please describe each dog you own . Please include breed, age,
size and temperament, particularly with regards to other dogs:
Have you ever been bitten or attacked by a dog?
Yes
No
If yes, please explain:
Are you comfortable approaching unfamiliar dogs?
Yes
No
Please list the names, phone numbers and /or email addresses,
and their relationship to you and your dogs of three people who are
knowledgeable about you and your care of dogs (i.e. trainer, kennel owner or
groomer) Please include your vet as one of these references.
How You Are Able to Assist NBCR
Please check all that apply:
Home visits to
evaluate potential adopters and their environment
Post-adoption
follow-up visits and phone calls
Evaluation of dogs
for acceptance into NBCR (training will be provided)
Public education
(i.e. staffing tables) at various events
Demonstrations of
sports, herding, flyball, free style and/or other events with Border Collies
Meet with local
shelters, vets, etc and distribute NBCR literature
Provide
transportation of dogs within a mile
radius of my home
Assist with
photocopying, mailing, computer services, editing, telephone, etc
Other. Please
describe:
I am a:
Vet
Vet Tech
Trainer
Animal Behavior
Consultant
Groomer
Other animal
professional/specialist:
I am willing to
offer free or discounted services to NBCR and /or NBCR's volunteers. Please be
specific:
I am willing to
help my rescue workers/foster homes by dog walking, kennel cleaning, dog
sitting, etc. Please be specific:
If fostering, do you own a crate/s
Yes
No
If yes, what type, what size and how many:
If fostering, how many foster dogs are you able to foster at a
time?
If fostering where will you house your foster dog/s while with
you?
For All Foster Home Applicants
Care and training provisions:
Are you willing to take responsibility for assuring that a dog
in your care is given all the health care it needs, including spaying/neutering,
vaccinations, de-worming, Heartworm/Lyme Disease testing, preventative and
treatment, if necessary? Yes
No
Please check each area in which you feel comfortable assessing:
A dog's
temperament for an ordinary household
Suitability for
placement in a home with children 10 years or older
Suitability with
children younger than ten including toddlers and infants
Suitability for
placement in a home with other dogs
Suitability for
placement for placement in a home with cats or other animals. Please be
specific:
Reaction to a
variety of experiences
Suitability for
dog sports
Evaluation of
herding instinct
Other. Please
specify:
Please check the level of training you are able to provide a
foster dog:
Socialization with
other dogs
Socialization with
other animals
Socialization with
children of various ages
Socialization with
strangers, delivery people, etc
Housetraining
Crate Training
Walking on a leash
Basic training
including: sit, down, stay and heel
More advanced
training such as obedience, sports or herding
Please describe the training methods you use:
Do you have the experience to handle dogs with severe behavioral
problems (i.e. aggression, fear biting, etc)?
Yes
No If yes, please explain:
Foster Volunteer's Relationship With Their Rescue
Supervisor
Are you willing to assume the risks involved with working with
animals who are sometimes frightened and in unfamiliar surroundings who may
become aggressive? Yes
No
If no, please explain:
Are you willing to commit to fostering a dog for as long as it
takes to place it?
Yes
No If no, please explain:
Volunteer and Foster Home Contract
By signing the following contract you agree to abide by the
rules and policies of NBCR. Failure to abide by these rules and policies
will cause your termination from NBCR.
I, ,
as a Volunteer and/or Foster Home, agree to abide by NBCR's
policies and rules. I, furthermore, agree to the following items that I
have initialed or checked.
I agree to work
with a rescue supervisor and to abide by any decisions made by him/her.
I understand that
my rescue supervisor has the ultimate responsibility for each dog and the right
to place it as he/she feels appropriate.
I will treat all
Border Collies in my care humanely.
I will never
falsely represent myself, NBCR, or any NBCR dog in my care.
I will never sell
a NBCR rescue dog that comes into my care, or otherwise profit from Northeast
Border Collie Rescue.
I will not
knowingly give any NBCR dog to a research facility, pet shop, dog broker, puppy
mill, dog breeder for purposes of breeding,or to any other person, firm,
corporation or organization that may cause harm either mentally or physically to
any NBCR dog that has been in my care.
I will never use
NBCR's name in order to sell a dog or puppy of my own.
I will never use a
NBCR dog in my care for breeding purposes.
No NBCR dog will
leave my care that has not been spayed/neutered unless I have provided in some
way for its spaying/neutering, either by written contract with the new owner or
by some other method approved by my rescue supervisor.
I have read,
understand and agree to abide by NBCR's policies and rules governing
volunteering and fostering for NBCR.
Signed:
Date:
NCBR Representative: