Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 10/15/2021 | 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: |
3 years – 5 years, 5 years – 10 years | Gender preferred: |
Either a Male or a Female | Color preferred: |
Red & White, Red Headed Tri, Black Headed Tri, Sable & White, Any color | Activity level: |
Couch Potato, Quiet |
Other preferences: |
I'm single, have no children, live alone and have a permanent work from home job. I have a degree in Animal Management and worked in the shelter system for several years before getting into healthcare. I have 1 cat, who is good with gentle dogs. My lease allows me two pets, one of which can be a dog at least one year old, no more than 30 lbs, no more than 14 inches high at the shoulder. My landlord is aware that I'm looking for a dog ?
My cat has a chronic respiratory illness (which is not transferrable to dogs), and she hasn't been completely clear for a few years, so my vet recommended against renewing her vaccinations. I am not opposed to adopting a dog with a medical issue if is controllable or treatable. I am gone on Saturdays and I plan to use doggy daycare on those days. I also hope to take my dog on playdates with friend's dogs and possibly to obedience classes if it would be beneficial. I am hoping to find an adult dog who is good with cats and other dogs and who is not an excessive barker (I live in an apartment, and though the soundproofing is excellent I don't wish to disturb my neighbors). |
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Dog Ownership History | |||||||
Previous dog owner? |
No | ||||||
Dog 1 |
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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? |
Myself | ||||||
Why do you want a Pembroke? |
I've loved Corgi's ever since I read Tasha Tudor books as a child ? I have a close friend who had a corgi until it passed away a few years ago and it was a very sweet dog. We also had a few Corgi's pass through the shelter while I was working there (Sheboygan County Humane Society and Niagara SPCA), and they were all nice dogs. I am aware that Corgi's can be stubborn though! | ||||||
Activities planned with Pembroke: |
Daily walks, trips to the pet store. Road tripping on Sundays up north. Possibly obedience classes. | ||||||
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? |
Yes | ||||||
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: |
Positive reinforcement. Reward positive behavior, ignore negative behavior. | ||||||
Discipline: |
I don't think that discipline is effective. It's much better for the dog human relationship to reward positive behavior than to discipline for bad behavior. Besides which, bad behavior usually stems from excessive energy, fear, etc, so if you address the issue that's actually causing the issue then eventually the bad behavior should cease | ||||||
Where would Pembroke spend the majority of the time: |
In my apartment, with me | ||||||
Discipline: |
I don't think that discipline is effective. It's much better for the dog human relationship to reward positive behavior than to discipline for bad behavior. Besides which, bad behavior usually stems from excessive energy, fear, etc, so if you address the issue that's actually causing the issue then eventually the bad behavior should cease Where would Pembroke spend the majority of the time: In my apartment, with me |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
Every day except for Saturdays and occasionally Sundays. | ||||||
Where would dog eat? |
In the kitchen. My place is open plan though, so there's not much distinction between the rooms. | ||||||
Where would dog sleep: |
In a dog bed. I tend to thrash around and roll over a lot, so my cat doesn't sleep with me. It would most likely be the same with a dog | ||||||
Play & exercise: |
Multiple walks. I walk in the morning, evening and on my lunch break. | ||||||
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? |
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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? |
Yes | ||||||
Description of yard: |
NA, I live in an apartment with an external unit door. I live off of a nice neighborhood to walk a dog and a few blocks away from a park. | ||||||
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? |
Myself | ||||||
Willing to train children? |
I would if I were to have any, but I don't have children and don't plan to | ||||||
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, I have a dog gate with a cat door for my spare bedroom. I have used it when dogsitting to make introductions. I would also use Feliway for the cat. I would prefer to adopt a dog who is friendly with cats already though. My cat is unaggressive and would not defend herself if actually attacked by a dog. With the dogs she has met she basically just rolls over and let's them snuffle her all over. | ||||||
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} |