Date & Referral Source | |||||||
State: | {Applicant State:2} | Date of Application: | 03/13/2021 | Referred by: | Website | ||
Contact Information | |||||||
First name: | {First Name:98} | Last name: | {Last Name:97} | First name 2: | {First Name 2:94} | Last name 2: | {Last Name 2:93} |
Address | |||||||
Street: | {Street Address:3} | ||||||
City: | {City:4} | State: | {State:5} | Zip: | {Zip:6} | ||
Type of Dog Wanted | |||||||
Ages interested in: |
0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years | Gender preferred: |
Male | Color preferred: |
Red & White | Activity level: |
Couch Potato, Outgoing, Quiet, Playful, Energetic, Very Active |
Other preferences: |
I love being outside and walking for miles and I would love to have a corgi to do that with, but I understand every dog is unique so I’m happy with just keeping a little couch potato healthy too. | ||||||
Dog Ownership History | |||||||
Previous dog owner? |
Yes | ||||||
Dog 1 |
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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} | ||||||
Questions Regarding Motivation for Adopting and Intentions | |||||||
Who is this dog for? |
I am looking to adopt a corgi for myself. I am a single 26 year old living in a studio apartment. I have had two dogs in my life that sadly, eventually past away from old age. I had a small Yorkie to a 150 Lbs Newfoundland so I understand the importance of training and keeping a dog active for their safety, the safety of others, and their overall health. | ||||||
Why do you want a Pembroke? |
I have done research on the breed and understand their active and “barkative” nature. From the research I’ve done I feel like a corgi would be a good match to my own personality.
I have the time and resources to dedicate myself to the corgis training. I enjoy projects and would very much like to use my time for training. In addition, my lifestyle would be conducive for a Corgi. I enjoy being active and healthy as opposed to going out at night. For this reason I would be able to take a Corgi with me on most outings. I’ve had experience with different size and temperament in dogs. I know the importance of training and have had experience leash training dogs as well. For these reasons (in addition to their cuteness) I know I would be able to love and give attention deserved to this bread. |
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Activities planned with Pembroke: |
I enjoy walking a lot and being outside as much as possible. I’m a firm believer that giving your dog proper exercise everyday will extend the life of a dog. Thankfully I work from home full time so multiple walks a day is possible. Occasionally I enjoy hiking, but the level of difficultly would affect if the dog would go.
From the research I’ve done, I’ve learned that Corgis are food motivated and can be trained using training treats. I like to fill up my day avoiding screen time and using my time for fun training and agility with a pup would be great (depending on the dog’s willingness). |
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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 |
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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: |
If I catch a dog making a mistake I try to either distract them with something else or use a firm, but not screaming noise that associates them with a bad behavior. | ||||||
Discipline: |
I use positive and negative associated words and sounds. Good behavior can be rewarded with a training treat or a positive word association. Mistakes or bad behavior would be a lower toned negatively associated word. | ||||||
Where would Pembroke spend the majority of the time: |
Most of the Corgi’s time would be spent either in my apartment or outside when possible. Winter weather would require proper gear for the dog, but those activities outside would not change so long as it’s safe for the dog.
I occasionally take road trips to see my parents. It would depend on the dog’s comfort level to either ride in the car with me or stay with a sitter. |
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Discipline: |
I use positive and negative associated words and sounds. Good behavior can be rewarded with a training treat or a positive word association. Mistakes or bad behavior would be a lower toned negatively associated word. Where would Pembroke spend the majority of the time: Most of the Corgi’s time would be spent either in my apartment or outside when possible. Winter weather would require proper gear for the dog, but those activities outside would not change so long as it’s safe for the dog. I occasionally take road trips to see my parents. It would depend on the dog’s comfort level to either ride in the car with me or stay with a sitter. |
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House dog or outside dog? |
House dog | ||||||
People at home during the day? |
No but now work from home (even after Covid). | ||||||
Where would dog eat? |
The corgi would eat in the apartment. Most likely near the kitchen. | ||||||
Where would dog sleep: |
The corgi would sleep in the apartment. I ideally would like to crate train, but if that’s not possible then I’m happy for the dog to sleep on the floor with a dog bed (I understand they shed). | ||||||
Play & exercise: |
I really would like to take the Corgi on a long walk in the morning and evening, with an afternoon walk in between. I live right next to Lincoln park so there are plenty of places for us to go.
I also enjoy the project of training or giving the Corgi opportunities to get out energy with training. From previous pets I’ve had I have found great toys and products designed to get energy out of dogs when they play. |
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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? |
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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? |
No, you may not 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? |
No | ||||||
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? |
Giselle Rodriguez | ||||||
Willing to train children? |
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? |
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} |