Please answer the following questions as honestly and completely as possible. The more details you provide, the easier it will be for us to find a dog that is suitable for your home environment, and that meets all the expectations you have for your new family member!

CAUTION!!
If you are applying for a dog from the Courtesy Page, DO NOT FILL OUT THIS APPLICATION.

For dogs on our Courtesy Page, contact the name listed with the dog's information.

If you are interested in multiple dogs, please contact each of the particular rescuers/homes.

Don't forget that this is only the first step in our application process. After you have submitted this form, a Carolina Border Collie rescue volunteer will contact you, discuss your application with you, and set up an in-home interview.

If you have any questions, or do not receive a response within a few days, please contact us annMiller@nc.rr.com or cbcrapplications@gmail.com

Please provide the following contact information: You must be 18 years of age to apply! *Denotes required field
*Name:
*Address:
*City:
*State:
*Zip:
*Home Phone (Include Area Code):
Cell Phone:
*E-mail:

Please complete the following questions:

Is there a current CBCR dog that you are interested in? (Please keep in mind that this dog may no longer be available)

Time Frame that you would like to adopt: 1-3 months 4-6 months 6-8 months 8-10 months No Hurry

Number of children at home:

Please provide the ages for children included above:

How would you describe your neighborhood?: Urban Suburban Rural

What type of home do you have? Mutiple-family - no yard Multiple family - yard space House with no yard House with yard House with acreage

Do you rent or own? Rent Own

Which of the following best describes the dog you feel would fit best in your lifestyle? You may select more than one. Active Pet Sport Competitor Working Dog

Use this space to provide any explanation for the above selection(s):

What activities do you plan to pursue with your new dog?

Average expected daily time spent with dog (hours per day): 1-3 4-6 6-8 8-10 All day

Work schedule for primary caregiver (if applicable)

Describe any other pets:

If you have a yard, describe fencing or restraint system:

*Please give your veterinarian's name and phone number, if you currently have pets:

Where will you primarily keep your dog when you are at home?

Where will you primarily keep your dog when you are away at work?

Where will you primarily keep your dog when you are away for extended periods of time?

Why do you want a Border Collie, as opposed to any other breed?

Describe your ideal dog:

What previous experience have you had with Border Collies (if any) ?

Use the space provided below to give us any other information you think may help us match you with the right dog for your home.

Would you like to receive email updates when we become aware of new available dogs? You must type in "yes" to receive emails from us.

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