Untitled_2798

Applicant IL
State: {Applicant State:2} Date of Application: 01/28/2020 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

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?

 Myself

Why do you want a Pembroke?
 I've always dreamed of having a Corgi. I think they always look happy, and their smiles are contagious. They are cute, fun, and funny. I've grown up with two Shelties, so I'm aware of the herding breeds. They seem very smart and full of life. Although I don't have much direct experience with Corgis, if I ever seen one on the street, I think I instantly smile and always ask if I can pet the good boy/girl. One of the residents in my neighborhood has a Corgi named Tank (so cute!), and he just exuded happiness.

Activities planned with Pembroke:
 I would love a Corgi to go on walks with, play with at home, bring to family and friends' houses when visiting, cuddle with on the couch or floor, and just be with. Dogs enrich your life!

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 believe in positive reinforcement. I would try rewarding the good, and redirecting the mistakes.

Discipline:
 I would use positive reinforcement – rewarding good behavior with praise and/or treats. It would also depend on the issue. If the problem was chewing on furniture, I would be firm (strict, not anything more) if I caught him/her chewing, then I would redirect the dog with a distraction like a bone. Then reward him/her when they are chewing on what they are supposed to be chewing on. Maybe the problem is that they're bored or need more exercise, so maybe the answer would also be play with him/her or take him/her for a short walk.

Where would Pembroke spend the majority of the time:
 In my house. I would plan for a crate and dog bed on the lower level and a dog bed on the second level.

Discipline:
 I would use positive reinforcement – rewarding good behavior with praise and/or treats. It would also depend on the issue. If the problem was chewing on furniture, I would be firm (strict, not anything more) if I caught him/her chewing, then I would redirect the dog with a distraction like a bone. Then reward him/her when they are chewing on what they are supposed to be chewing on. Maybe the problem is that they're bored or need more exercise, so maybe the answer would also be play with him/her or take him/her for a short walk.
Where would Pembroke spend the majority of the time: In my house. I would plan for a crate and dog bed on the lower level and a dog bed on the second level.

House dog or outside dog?

 House dog

People at home during the day?
 Only on weekends. During the week, I leave for work around 7am and return around 4:45-5pm. I would plan to hire a dog walker to stop by midday because of this.

Where would dog eat?
 I would set our their food in their bowl in the kitchen.

Where would dog sleep:
 I imagine they would sleep up in my room on a dog bed, or on the second level on a dog bed, or downstairs in their crate at first. I think it will depend on the dog!

Play & exercise:
 I don't have a fenced-in yard, so I would plan to walk the dog through the neighborhood after work and on weekends. There's a nature trail close by, so I would love to take longer walks on that when the weather starts to get a little nicer. I would also plan to play with toys inside. I already have bought a bunch of toys in anticipation of getting a dog. 🙂

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:
 Own 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?

Lease allow dogs:

Landlord permission:

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

Breed/size restrictions?
 No

Description of yard:

 I have a small front yard at my condo. And there is plenty of grassy areas in the neighborhood, including past my patio. My patio is cement surrounded mostly by a privacy fence, a bush, and my condo wall.

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?
 Christine Siwicki, myself

Willing to train children?
 Yes, when I have a child

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?
 Yes

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}