Untitled_3518

Applicant IL
State: {Applicant State:2} Date of Application: 12/23/2020 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, Very Active

Other preferences:

Previous dog owner?
 Yes
 
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'm looking for a companion dog overall! The Pembroke Welsh Corgi breed is a great fit for my needs and wants: small, energetic and tough enough to go for walks and hikes, and friendly enough to love everyone! I do not have specific experience with the breed, but I have done my research and believe my lifestyle and personality would be a good fit for a corgi's needs.

Activities planned with Pembroke:
 I would love to take my corgi on long walks, meet other dogs at the dog park, have dog playdates with friends' dogs, and go for hikes and adventures! I am pretty open to adjusting my lifestyle to the kind of care and activity that my Pembroke needs.

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 would correct the behavior if immediately if possible, but if I notice the misbehavior after the incident, there is no point in trying to correct it. For example, if my dog barks when I don't want it to bark, I would immediately correct it by telling it to sit and give it a treat when it performs the desired behavior.

Discipline:
 I will utilize positive reinforcement training, as alluded to above. If a dog misbehaves, I will ask it to do the expected behavior, like don't jump when you meet someone, then give it a treat.

Where would Pembroke spend the majority of the time:
 I am gone about 4 hours of the day for work, so it will be with me wherever I am when I'm not working. It will be an indoor dog.

Discipline:
 I will utilize positive reinforcement training, as alluded to above. If a dog misbehaves, I will ask it to do the expected behavior, like don't jump when you meet someone, then give it a treat.
Where would Pembroke spend the majority of the time: I am gone about 4 hours of the day for work, so it will be with me wherever I am when I'm not working. It will be an indoor dog.

House dog or outside dog?

 House dog

People at home during the day?
 When I'm not at work, yes. I live alone.

Where would dog eat?
 They would eat on the floor out of a dog bowl. I have fed dogs Taste of the Wild in the past.

Where would dog sleep:
 They would sleep wherever they want to inside my apartment. That could be on a dog bed, in my bed, on the couch or wherever they prefer.

Play & exercise:
 I don't have a fenced yard, so I would take my Pembroke on a walk several times a day to expel energy. I would also like to take my Pembroke to the dog park to exercise and socialize if they are good with other dogs. I intend to socialize them to get them to a point to be good around at least most dogs hopefully.

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:

 I do not live in a house, but I have a three bedroom apartment that has a yard in front of the building.

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, Sophie Cieslicki

Willing to train children?
 I do not have children, but if I do, yes.

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, I am committed to keeping my potential Pembroke.

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}