GLBCR
Great Lakes Border Collie Rescue
Great Lakes Border Collie Rescue

Humane Society/Shelter Employee Form

This form is for use by Humane Societies and Animal Shelters who wish to transfer a Border Collie to our care. Please complete the following information to the best of your ability. All information provided is used solely for the purpose determining how we might help the dog you are contacting us about.

*** We cannot process your request without photos. ***

Contact Name:
Email Address:
Phone #:
Facility Name:
Facility Address:
Dog's Name/ID:
Dog's Age:
Gender:

History:



Arrival date at shelter:
Known background:
Are there any known or reported bite incidents?
If so, what were the circumstances?
Reason for relinquishment (if known):
Urgency:

Is there a scheduled euthanasia date if not adopted or rescued?

If so, when?
Apparent health status / condition on arrival:
Weight:
Vaccination status:
Will the dog be altered and brought up to date on vaccinations before release?
Is this dog a purebred or a mix?


Mix

If this is a mix, what breed characteristics do you see?
Dog's behavior in run:
Behavior towards other dogs:
Behavior towards people:
What do you know about the dog's behavior around children?
What do you know about the dog's behavior around cats?

Which traits does the dog display?

(Check all that apply)

Housebroken
Crate-trained
Good with children
Good with other dogs
Good with cats
Escape artist
Friendly
Affectionate
Shy
Assertive
Dominant
Treat-motivated
Likes toys
Leash-trained
Food/resource guards
Scared
Anxious
Abused
Underweight
Overweight
Abused
Bored/Kennel Crazy
Known commands:
Any known fears?
Other comments
If a rescuer does not contact you within one week of your submitting this application, please email our incoming team.