Untitled_2354

Applicant IL
State: {Applicant State:2} Date of Application: 04/22/2019 Referred by: Website
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Quiet, Playful, Energetic

Other preferences:

Previous dog owner?
 Yes
 
Dog 1
 
Dog 1 name:
 {Dog Name (Most recent/ current first):24}
 
Dog description:
 {Description of Dog:25}
 
How long owned?
 {Length of time owned:26}
 
Where is this dog now?
 {Where is this dog now? (Explain if you no longer have the dog):37}
  Dog 2
 
Dog 2 name:
 {Dog Name (Most recent/ current first):30}
 
Dog description:
 {Description of Dog:33}
 
How long owned?
 {Length of time owned:35}
 
Where is the dog now?
 {Where is this dog now? (Explain if you no longer have the dog):39}
  Dog 3
 
Dog 3 name:
 {Dog Name (Most recent/ current first):29}
 
Dog description:
 {Description of Dog:32}
 
How long owned?
 {Length of time owned:36}
 
Where is dog now?
 {Where is this dog now? (Explain if you no longer have the dog):27}
  Dog 4
 
Dog 4 name:
 {Dog Name (Most recent/ current first):28}
 
Dog description:
 {Description of Dog:31}
 
How long owned?
 {Length of time owned:34}
Where is this dog now? {Where is this dog now? (Explain if you no longer have the dog):38}

Who is this dog for?

 Me!

Why do you want a Pembroke?
 I have done extensive research on the breed and love that they are very centered around their people and are also trainable. Their lifestyle (moderately active) also fits well with me!

Activities planned with Pembroke:
 Leisure walks (and I live across the street from a park, where we would visit on leash), reading, strolls to the downtown area, basically everything.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 Yes

Willing to house train?
 Yes
Willing to do formal training? Yes

Do you have a veterinarian?

 No

Vet contact info:
 {If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}

Will handle mistakes Pembroke makes like this: 		I would not use negative reinforcement as that has been proven not to work. Likely the mistake will have been made without me being present, so unsure what reinforcement will do since association with that activity may not be remembered.

I will emphasize positive behavior.


Discipline:
 I volunteer at the Naperville Area Humane Society and have learned a lot in the 3 years I've been there!

Positive reinforcement works best, using small pinkie-nail sized treats for training and attention when behavior is good. When behavior is undesirable, we leave the room or turn our backs so the dog understands that behavior is not recognized by us, and so it promotes good behavior for attention.

Where would Pembroke spend the majority of the time:
 In the house with me!

Discipline:
 I volunteer at the Naperville Area Humane Society and have learned a lot in the 3 years I've been there!

Positive reinforcement works best, using small pinkie-nail sized treats for training and attention when behavior is good. When behavior is undesirable, we leave the room or turn our backs so the dog understands that behavior is not recognized by us, and so it promotes good behavior for attention.
Where would Pembroke spend the majority of the time: In the house with me!

House dog or outside dog?

 House dog

People at home during the day?
 No (work full time but go home during lunch)

Where would dog eat?
 Kitchen/dining area

Where would dog sleep:
 In my bedroom on her own bed ?

Play & exercise:
 Live across the street from a park for leashed fun! Also live nearby a dog park and a dog indoor beach for activities. The shelter I volunteer for also has socials for dogs to play with other dogs in a safe, fenced environment, and I plan to walk her a lot, as I love walking outside.

How will you exercise your dog?
 On leash

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?

Living arrangements:
 Own home

Landlord info:
 {If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}

May we contact your landlord?

Lease allow dogs:

Landlord permission:

Restrictive covenants?
 No, the condo covenants do not prevent me from having a dog.

Breed/size restrictions?
 No

Description of yard:

 Townhome, no owned yard but I do have a small sideyard for on-leash play

Household members:
 {Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}

Everyone in household agrees about adopting a corgi?
 Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi.

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?
 me! (Cassie)

Willing to train children?
 No children, and no plans for them
(but in FAR futuretimes, yes of course!)

Any allergies?

 No one is allergic.

Current pets:

{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}

Current pets dog friendly?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 n/a

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.

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:
 {Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}