| Date & Referral Source | |||||||
| State: | Date of Application: | 02/12/2019 | Referred by: | Website | |||
| Contact Information | |||||||
| First name: | Last name: | First name 2: | Last name 2: | ||||
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| City: | State: | Zip: | |||||
| Type of Dog Wanted | |||||||
Ages interested in: |
1 year – 3 years, 3 years – 5 years, 5 years – 10 years | Gender preferred: |
Female, Either a Male or a Female | Color preferred: |
Any color | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic |
Other preferences: |
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| Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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Dog 1 name: |
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Dog description: |
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Where is this dog now? |
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| Dog 2 | |||||||
Dog 2 name: |
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Dog description: |
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How long owned? |
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Where is the dog now? |
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| Dog 3 | |||||||
Dog 3 name: |
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Dog description: |
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How long owned? |
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Where is dog now? |
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| Dog 4 | |||||||
Dog 4 name: |
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Dog description: |
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How long owned? |
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| Where is this dog now? | |||||||
| Questions Regarding Motivation for Adopting and Intentions | |||||||
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Who is this dog for? |
The Pembroke would be for me. I am starting a new job as a chemistry professor at the University of Minnesota. I will be buying my first house and I would love to add a corgi to my family as we had them growing up and they are excellent dogs! | ||||||
Why do you want a Pembroke? |
I would love to adopt a Pembroke Walsh Corgi because they are wonderful dogs full of personality. I had a corgi when I was growing up so I am familiar with the breeds temperament and needs. Additionally, I am looking for a smaller to medium sized dog to fit my lifestyle. Also, I am going to be starting as a chemistry professor at the University of Minnesota (I currently live in Ann Arbor but will be moving in June to Minneapolis) and I will be supervising graduate students. Graduate school is very stressful so I would love to be able provide my students with the opportunity to interact with a dog as this can reduce stress levels. Additionally, I will most likely be able to bring my dog to work and he or she can stay in my office during the day. | ||||||
Activities planned with Pembroke: |
I will commit to taking my Pembroke to the dog park. He or she will be exposed to playing with my graduate students. Additionally, my dog will go to doggy day care if I can't bring him or her to work that day. | ||||||
Aware that Pembrokes are busy, noisy dogs? |
Yes | ||||||
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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: |
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Will handle mistakes Pembroke makes like this: |
I would understand and realize that dogs have instincts that make them behave in a certain way. What we might consider a "mistake" is probably just a result of a natural instinct or boredom. If my Pembroke made a mistake, I would try to understand why (i.e. if they chewed something they weren't supposed to they were probably bored) and try to prevent that action in the future by being proactive and making sure that the dog had more stimulation or more chew toys to prevent this action in the future. | ||||||
Discipline: |
I would try to understand why a dog needed discipline and then just prevent that behavior in the future rather than punishing it. I believe positive reinforcement is a better method than punishment.
Additionally, I would take the dog to obedience classes to learn the best response to specific behaviors that might need disciple. |
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Where would Pembroke spend the majority of the time: |
Either in my office or in doggy day care during the day. All evenings and nights would be spent in my home. | ||||||
Discipline: |
I would try to understand why a dog needed discipline and then just prevent that behavior in the future rather than punishing it. I believe positive reinforcement is a better method than punishment.
Additionally, I would take the dog to obedience classes to learn the best response to specific behaviors that might need disciple. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No there are not | ||||||
Where would dog eat? |
In my home | ||||||
Where would dog sleep: |
In my home | ||||||
Play & exercise: |
He or she will have ample opportunity to interact with myself as well as the undergraduate and graduate students that I supervise. Additionally, he or she can get exercise at doggy daycare or at a dog park (I know Minneapolis has indoor dog parks for use during winter). | ||||||
How will you exercise your dog? |
On leash | ||||||
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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: |
I will be purchasing a home when I move to Minneapolis | ||||||
Landlord info: |
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May we contact your landlord? |
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Lease allow dogs: |
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Landlord permission: |
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Restrictive covenants? |
No, the condo covenants do not prevent me from having a dog. | ||||||
Breed/size restrictions? |
No | ||||||
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Description of yard: |
I will be moving so I don't know this information yet. | ||||||
Household members: |
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Everyone in household agrees about adopting a corgi? |
Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi. | ||||||
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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? |
Courtney Roberts | ||||||
Willing to train children? |
Absolutely | ||||||
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Any allergies? |
No one is allergic. | ||||||
Current pets: |
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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? |
I don't own any other pets but if I did eventually get another pet I will ensure that my corgi gets along with it before committing to adopt another pet. I currently do not have plans to have any other pets. | ||||||
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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. | ||||||
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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: |
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