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Applicant IL
State: {Applicant State:2} Date of Application: 02/06/2020 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:
 1 year – 3 years, 3 years – 5 years, 5 years – 10 years
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?

 Myself

Why do you want a Pembroke?
 Aside from the fact that they are adorable, and the perfect size for an apartment, from my research on the breed I have learned that they are very affectionate. While I have had several dogs in my life, this will be my first dog that I have on my own, and a companion as I leave college and enter the workforce. Another thing I like about the breed is that they tend to be very excited and have a lot of personality, which I personally enjoy and know I will look forward coming home to every day.

Activities planned with Pembroke:
 This depends on the dog and what they are already accustomed to. Walking is a must for me, but depending on how sociable the dog is I would consider hikes and going to dog meet ups and the local dog beach. This would entirely depend on their comfort with other dogs however, as I am perfectly fine with either options.

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: 		Mistakes are natural, especially with rescues. Using a firm voice and teaching the Pembroke the command “No,” I plan on providing it direction. I recognize that it is my job to train it, so it is important for me to stay on top of its behavior. I will also reward the Pembroke for good behavior, further reinforcing that training.

Discipline:
 I plan on using an angry voice and the cage to discipline the Pembroke for doing something wrong.

Where would Pembroke spend the majority of the time:
 The Pembroke would spend most of the day in my apartment. This will include being in a pen, which will have all of its toys, a bed, and water while I am gone for work.

Discipline:
 I plan on using an angry voice and the cage to discipline the Pembroke for doing something wrong.
Where would Pembroke spend the majority of the time: The Pembroke would spend most of the day in my apartment. This will include being in a pen, which will have all of its toys, a bed, and water while I am gone for work.

House dog or outside dog?

 House dog

People at home during the day?
 It depends on the day. I am going to school and working part time. Some days I am out 8-5 and others I am at the house all day or for half of the day. I plan on maintaining a standard eating and walking schedule with the Pembroke however to establish routine.

Where would dog eat?
 Inside. I would take it for a walk after eating.

Where would dog sleep:
 The corgi would sleep inside. Where inside depends on its preference. In order to crate train the Pembroke, it will initially sleep in the cage with its bed, but I am open to that being in the living room or my bedroom.

Play & exercise:
 Excessive will come from 2-3 walks per day. The length of those walks will depend on its energy level, but at least a minimum of 20 minutes. I will play with the Pembroke every day, and on the weekends (when weather permits) take it to an enclosed dog park so it can run around. I know that some adopted dogs are not as sociable, despite breed trends, so the time of day I take the dog out will depend on this.

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:
 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:

 N/A

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?
 Julia Shenkman

Willing to train children?
 N/A

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?
 N/A

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}