| Date & Referral Source | |||||||
| State: | Date of Application: | 06/20/2018 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
| Address | |||||||
| Street: | |||||||
| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful |
Other preferences: |
I live and work in a residence hall on Central Michigan University’s campus. I am looking for a pembroke that does not or will not exceed 25-30 pounds. This is the biggest size that I am allowed to have in my apartment.
I am looking for a match (pembroke) that would be okay with seeing lots of people as each time I would take them outside we would pass by a lobby area or main hub that has lots of college age students. I wouldn’t be able to have a fenced in space outdoors, but the plan is to take long or short walks around campus. Also, to visit the multiple dog parks in the greater Mt. Pleasant area. |
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| Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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Dog 1 name: |
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| Dog 2 | |||||||
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| Dog 3 | |||||||
Dog 3 name: |
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| Dog 4 | |||||||
Dog 4 name: |
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| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
Myself – I live alone. | ||||||
Why do you want a Pembroke? |
I have a friend that is in love with her Pembroke Welsh Corgi. I met her dog a few years back while I was finishing up graduate school and always told myself that one day I would get one of my own. My friend now volunteers for the Corgi Connection of Kansas and fosters corgis regularly. I wish that I lived closer (I moved back to Michigan) because she is constantly posting pictures of her corgis and the fun they are having together. This is the only real experience I have had with a Pembroke. I see the intellect these dogs have as they are quick witted. But, also the feel good, playful nature that they bring their owners. | ||||||
Activities planned with Pembroke: |
I would take them for walks and to the dog parks in town. I have the luxury of working and living in a location that has other people around constantly. I would bring my Pembroke to local events happening in town and on CMU’s campus. My Pembroke would meet lots of faculty, staff and students – would be loved by many. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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Money for basic care? |
Yes | ||||||
Money for unforeseen medical expenses? |
Yes | ||||||
Willing to house train? |
Yes Willing to do formal training? Yes |
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Do you have a veterinarian? |
No | ||||||
Vet contact info: |
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Will handle mistakes Pembroke makes like this: |
I honestly have never owned a dog before and my family did have any dogs while I was growing up. I would need assistance in this area and would reach out to friends/extended family to give me guidance. If you all believe that my Pembroke needs obedience classes then I would register them as it would mutually beneficial for us both.
I am a pretty relaxed individual and would not fault the dog for making a mistake. They happen and we would be learning together to find our ebb and flow for what works. |
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Discipline: |
I honestly haven’t ever had to discipline a dog. I have seen others do it, however I would need to research and ask others what the best methods would be for a Pembroke. | ||||||
Where would Pembroke spend the majority of the time: |
In my apartment during the hours of 9am-5pm(M-F).
I would be able to check on my Pembroke quite regularly as my office is located in the same complex as my apartment. (15 second walk) I would be able to check on my Pembroke every 2 hours (or less) and take them outside or for a walk (especially during my lunch hour). After 5pm, we would go outside or to an event happening on campus. They would be with me and go wherever I go. |
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Discipline: |
I honestly haven’t ever had to discipline a dog. I have seen others do it, however I would need to research and ask others what the best methods would be for a Pembroke. Where would Pembroke spend the majority of the time: In my apartment during the hours of 9am-5pm(M-F). I would be able to check on my Pembroke quite regularly as my office is located in the same complex as my apartment. (15 second walk) I would be able to check on my Pembroke every 2 hours (or less) and take them outside or for a walk (especially during my lunch hour). After 5pm, we would go outside or to an event happening on campus. They would be with me and go wherever I go. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Just me in my actual apartment, but right outside the door is a big lobby space. This lobby space is a connector for all the students that live on campus in my complex (almost 2,000). | ||||||
Where would dog eat? |
In my apartment. | ||||||
Where would dog sleep: |
In my apartment. | ||||||
Play & exercise: |
My corgi will get exercise by going on walks. Students and colleagues tell me all the time to get a dog. This corgi will have lots of people who want to spend time with them and play, snuggle or go on walks. | ||||||
How will you exercise your dog? |
On leash | ||||||
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Fenced yard? |
No, I don’t have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
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Living arrangements: |
I live on a collegiate campus in an apartment. | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
Not applicable | ||||||
Breed/size restrictions? |
Yes | ||||||
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Description of yard: |
N/A | ||||||
Household members: |
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Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
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May we do a home visit? |
Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke. | ||||||
Who will be responsible for the adopted corgi’s care? |
Jamie Herrygers (myself) | ||||||
Willing to train children? |
N/A | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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Current pets dog friendly? |
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Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
N/A | ||||||
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Lifetime commitment to Pembroke? |
Yes, I am willing to commit to this dog for the rest of its life. | ||||||
Return to Lakeshore if unable to care for Pembroke? |
Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it. | ||||||
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Understand no guarantees? |
Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt. | ||||||
Carefully considered the pluses and minuses of adopting a pet? |
Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences. | ||||||
Personal references: |
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