Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 01/23/2020 | Referred by: | Website | ||
Contact Information | |||||||
First name: | {First Name:98} | Last name: | {Last Name:97} | First name 2: | {First Name 2:94} | Last name 2: | {Last Name 2:93} |
Address | |||||||
Street: | {Street Address:3} | ||||||
City: | {City:4} | State: | {State:5} | Zip: | {Zip:6} | ||
Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years, 10 years + | Gender preferred: |
Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Playful, Other (Please describe in the box below.) |
Other preferences: |
|||||||
Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
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} | ||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
Me! My name is Grace Cone, I am 21 years old, and live in the Twin Cities in MN. | ||||||
Why do you want a Pembroke? |
I have loved corgi's ever since I found out about them. I love their personalities and how they can do a lot more than people think they can just because of their size. Other than them being adorable, I think they'd be a great dog for me. This next fall, Fall 2020, I will be living on my own with no roommates except my cat… I feel like I have waited so long to finally have a corgi of my own and for it to be the right time, so now I want to start looking! I have had friends who have had corgi's that I spend time with, but I have never had one myself. My family has only had Portuguese Water Dogs and cats. I've done some research, and I see they used to be herding dogs which is cool – I've been trying to look more at what their activity level would be, for most I see they're pretty active. | ||||||
Activities planned with Pembroke: |
I want a corgi that can spend time with me watching movies and being able to have a lowkey night, but can also go hiking with me and can go on long walks. I would consider myself an active person, and I love being outside, so a dog that can be active with me and exercise with me would be great. | ||||||
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 suppose it depends on what the mistake was. I try to handle accidents or mistakes rationally – I work at an animal shelter and act as if those animals are mine. If it's a consistent thing, like potty-training, I would try to use positive reinforcement and use treats/toys as a reward. Then if a mistake was made, then take the reward away and correct the issue. | ||||||
Discipline: |
My family was big on positive reinforcement, using treats and toys as a reward for good behavior. The biggest thing I would do for discipline would be like a "timeout", or send the dog to a different area of the home (my family would send our dog to their bed/kennel, but I struggle with that because I want them to see that as a safe/good space). Then give treats afterwards to reward positive behavior. If I'm being honest, a lot of dogs we have had have all been really well-trained, so we didn't do a lot of disciplining other than a "timeout". | ||||||
Where would Pembroke spend the majority of the time: |
In my apartment! I am moving in the fall to a new apartment in St. Paul where I will be living with my cat. It is a one bedroom apartment. | ||||||
Discipline: |
My family was big on positive reinforcement, using treats and toys as a reward for good behavior. The biggest thing I would do for discipline would be like a "timeout", or send the dog to a different area of the home (my family would send our dog to their bed/kennel, but I struggle with that because I want them to see that as a safe/good space). Then give treats afterwards to reward positive behavior. If I'm being honest, a lot of dogs we have had have all been really well-trained, so we didn't do a lot of disciplining other than a "timeout". Where would Pembroke spend the majority of the time: In my apartment! I am moving in the fall to a new apartment in St. Paul where I will be living with my cat. It is a one bedroom apartment. |
||||||
House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No, since I will be living alone. | ||||||
Where would dog eat? |
I would have a food and water bowl in either the living room or in my bedroom. | ||||||
Where would dog sleep: |
I would buy a nice bed for the dog, but be fine with it sleeping in bed with me. 🙂 | ||||||
Play & exercise: |
I consider myself an active person, and I like to hike a lot. I would take my corgi on frequent hikes, long walks, and play time at a dog park. I would also love to take the corgi to my family's home to play with our family dog – she loves other dogs. | ||||||
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: |
Apartment – not living there until September. | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
N/A | ||||||
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? |
Grace Cone | ||||||
Willing to train children? |
N/A | ||||||
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? |
Yes, all of our current pets are friendly toward dogs. | ||||||
Are you willing to work on it if your new dog doesn’t get along with your current pets right away? |
Yes. My cat Floyd has been around dogs before and is a sassy boy, but he has never tried to ever hurt a dog. He likes them, even if he doesn't act like it. I would be open to working with the dog if they didn't know how to act/didn't like Floyd. | ||||||
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} |