Untitled_3623

Applicant IL
State: {Applicant State:2} Date of Application: 02/06/2021 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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active, Other (Please describe in the box below.)

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, myself and I

Why do you want a Pembroke?
 Corgis to me bring so much happiness to me, and to those around me. I’ve always wanted to be able to have a companion that would be able to do that, and enjoy going on walks and enjoying the neighborhood that I live in with me. Going to the dog park/beach.

Activities planned with Pembroke:
 Dog parks. Beach. Walks. I’m very active and I would love to take walks with my new and possibly furry corgi friends.

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: 		Dogs are not meant to be scolded. Dogs are best trained by evidence and object based obedience training. I would always focus on correcting the mistake by ensuring positive reinforcement that is easily understood to the corgi until the new corrected behavior is learned.

Discipline:
 This would require getting to know the corgi and their temperament, but I am a very strong believer in non-physical operant conditioning styles that I am familiar with from my background in psychology.

Where would Pembroke spend the majority of the time:
 This would be very eclectic as I would definitely have them in the house with me while I work, but making time to go out for walks multiple times a day as well as going to the dog park/beach to have some fetch and leash time would be wonderful. I do not travel for work, however I do stay with a friend once a month or so and would bring my new friend with me

Discipline:
 This would require getting to know the corgi and their temperament, but I am a very strong believer in non-physical operant conditioning styles that I am familiar with from my background in psychology.
Where would Pembroke spend the majority of the time: This would be very eclectic as I would definitely have them in the house with me while I work, but making time to go out for walks multiple times a day as well as going to the dog park/beach to have some fetch and leash time would be wonderful. I do not travel for work, however I do stay with a friend once a month or so and would bring my new friend with me

House dog or outside dog?

 House dog

People at home during the day?
 Yep. I have been working from home for the past year and a half and am home unless I am out for groceries.

Where would dog eat?
 In the kitchen area. I have a spot for a bowl of food and water.

Where would dog sleep:
 I would have a corner in my bedroom that my new corgi friend would sleep in a size appropriate bed.

Play & exercise:
 I would love my corgi to have opportunities for play. There are plenty of dog parks around me where they could go for walks and runs.

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:
 Rent/lease 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?
 Yes, you may contact my landlord.

Lease allow dogs:
 Yes, my lease permits dogs.

Landlord permission:
 Yes, my landlord is fine with me owning a Pembroke

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

Breed/size restrictions?
 No

Description of yard:

 No hous

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?
 James Novack

Willing to train children?
 I do not and will not plan on having children

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?
 I do not own a pet or consider getting a second companion. It would just be one corgi.

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}