Untitled_4114

Applicant IL
State: {Applicant State:2} Date of Application: 02/02/2022 Referred by: Other
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, 10 years +, Any age
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful, Energetic

Other preferences:

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}

Who is this dog for?

 The Pembroke would be for me.

Why do you want a Pembroke?
 My research has led me to a few conclusions and has informed my choice on adopting a corgi. First, corgis are very loyal. This is a trait I desire in a pet. I want to form a strong bond with my pet, and I think a corgi would fit this well. Second, corgis are energetic and love to play. As a person who is more active than the average American but who could still benefit from having more motivation to be active, a corgi is a perfect match in that respect. I look forward to going on walks, runs, and playing outdoor games if I was to adopt. Third, my research states that the breed would make a good fit for my living situation. I live in a house with roommates. My roommates are supportive of the idea, and the corgi would benefit from the extra social interaction. Finally, I have found they are good therapeutic pet. Owning a corgi would come with it's stressors—as would owning any dog—but the benefits would outweigh the costs. In short, I would be able to connect with a corgi as a pet, we have matching levels of energy/activity, the corgi would do well in my living situation, and owing one would benefit my mental health.

Activities planned with Pembroke:
 I am hoping to do regular walks with my Pembroke. I would also like to go on runs and spend time outside with them playing various games such as fetch.

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 discipline my pets with positive reinforcement. I am strictly against using pain or punishment as a form of training. Psychological research shows that the best way to train or teach is via positive rewards following the desired behavior.

Discipline:
 As I mentioned above, the main technique for discipline would be positive reinforcement (e.g. food reward to condition appropriate behavior).

Where would Pembroke spend the majority of the time:
 The Pembroke would spend most of its time inside the house where I live. Though, it would be given proper exercise at least twice a day.

Discipline:
 As I mentioned above, the main technique for discipline would be positive reinforcement (e.g. food reward to condition appropriate behavior).
Where would Pembroke spend the majority of the time: The Pembroke would spend most of its time inside the house where I live. Though, it would be given proper exercise at least twice a day.

House dog or outside dog?

 House dog

People at home during the day?
 Yes. There is always someone present at my house.

Where would dog eat?
 It would eat in my room.

Where would dog sleep:
 The corgi would sleep in my room either in its own bed or my bed.

Play & exercise:
 I would give the corgi at least two walks per day, one in the morning and one at night. Additionally, I plan to play with them regularly at local dog parks. If the Pembroke is good with other dogs, I would then plan opportunities for them to interact with 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:
 I live in a student co-op. In short, my house is own by a non-profit organization that provides affordable housing to students. I pay rent to this company. Concerning pets, they are allowed in some houses, but in some houses the pets are required to be registered as an Emotional Support Animal (ESA). I have already talked with my therapist, and she is willing to make my pet an ESA as soon as possible. In short, my landlord allows me to have a pet.

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:

 The house has an open backyard and front yard. There is a flower bed in the backyard along with a picnic table. Note: anytime that my dog would be outside, they would be supervised and be on a leash.

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?
 Alxandr Kane York

Willing to train children?
 I do not have children nor do I plan to have any.

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?
 I have no other pets.

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, [email protected], friend.:87}