Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 08/31/2021 | 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: |
Any age | Gender preferred: |
Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
We currently live in a two-bedroom (1000 sq. ft.) with a small backyard. We do also own a car and live close to multiple dog-friendly city parks. | ||||||
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? |
This dog would be for Sarah and I to have a friend and companion to live with, in a beautiful Corgi that is in need of a loving home | ||||||
Why do you want a Pembroke? |
I have always been interested in dogs and dog breeds that are intelligent, sociable, and affectionate. I have gravitated towards the Pembroke Welsh Corgi because of a love for their incredibly expressive faces and personalities. I have noticed this across the board, from interactions with strangers and friends who own corgis and Corgi-focused online posts and pages. I have done some research and I know that they are herders which entails a dog that is high activity and vocal, due to the breeding, but also attributes their mental acuity. | ||||||
Activities planned with Pembroke: |
I would love to spend a lot of time with a Pembroke walking around Chicago and exploring new neighborhoods and parks that are safe and friendly to dogs. I would appreciate a dog that is comfortable being around the house and relaxing, in addition to playing and learning skills. What's most important to me is that my Pembroke and I bond as emotional companions and adapt our lifestyles to each others needs. | ||||||
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 |
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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: |
Especially with a new pet and a new home I expect there will be some mistakes. I hope that I would handle mistakes with firmness and proportionality, while always showing love. Additionally I am a believer in positive reinforcement for good behavior, especially when righting past mistakes! Also there will be room for adapting our home to be as dog-fitted as possible to ameliorate unnecessary "mistakes". | ||||||
Discipline: |
This is an area that I am definitely open to learning more. I don't have experience caring for dogs, so I would look to suggestions from friends that are dog-owners as well as direct feedback from the Lakeshore Corgi Rescue and veterinarians and trainers that we might works with. | ||||||
Where would Pembroke spend the majority of the time: |
Most of the time would be spent indoors in the home. Our current apartment is nice and hospitable, though we can foresee moving in the next ~3-5 years somewhere larger. I would expect to have all the interior doors open throughout the day, depending on the sound needs of the activities of my job. Though the office front/room is the only door I would consider closing throughout the day. | ||||||
Discipline: |
This is an area that I am definitely open to learning more. I don't have experience caring for dogs, so I would look to suggestions from friends that are dog-owners as well as direct feedback from the Lakeshore Corgi Rescue and veterinarians and trainers that we might works with. Where would Pembroke spend the majority of the time: Most of the time would be spent indoors in the home. Our current apartment is nice and hospitable, though we can foresee moving in the next ~3-5 years somewhere larger. I would expect to have all the interior doors open throughout the day, depending on the sound needs of the activities of my job. Though the office front/room is the only door I would consider closing throughout the day. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Yes, I work from home. | ||||||
Where would dog eat? |
He/she would eat in the house. Our apartment is large enough that we can designate a clear space for food and water bowls. | ||||||
Where would dog sleep: |
He/she would sleep in the house. I would be happy to provide a bed specifically for the dog but do not currently own anything like that. We have rugs and couches as well. | ||||||
Play & exercise: |
I would be prepared for regular walks outdoors with in open streets while leashed. I would also allow for plenty of off-leash outdoor time in the backyard, or at a nearby dog park. After work hours I would have interest in play time as well in the house. | ||||||
How will you exercise your dog? |
Both on leash and restrained to the yard | ||||||
Fenced yard? |
Yes, I have a fenced in yard. | ||||||
Willing to pick up dog waste? |
Yes, I will clean up after my dog. | ||||||
Willing to use a crate? |
There is a ~7-foot wooden fence in back on one side. The other sides are walled off by the garage, the gangway and building, and the neighboring building | ||||||
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? |
Not applicable | ||||||
Breed/size restrictions? |
No | ||||||
Description of yard: |
Our apartment contains a small back yard that is square in shape and roughly 500 square feet. It is a grass yard that is maintained by the landlord and mowed and weeded semi-regularly. | ||||||
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? |
Samuel Feldt | ||||||
Willing to train children? |
Any future children would learn that our Corgi would be an equal member of the family deserving humane treatment. | ||||||
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? |
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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? |
Not Applicable currently, but if we added pets in the future we would be willing to resolve any problems. | ||||||
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} |