Untitled_4164

Applicant IL
State: {Applicant State:2} Date of Application: 03/30/2022 Referred by: Other
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
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Other (Please describe in the box below.)

Other preferences:
 I am willing to adopt any activity level, or any type of corgi as long as they are good around people and other dogs!

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?

 Me

Why do you want a Pembroke?
 I would love to adopt a Pembroke Welsh Corgi because they are very intelligent, and generally great around people. I am currently working towards my CPDT, and I am in search of a dog that would be able to graduate college with me as a therapy dog. I believe that this breed is a wonderful fit for me, and I think that they would make great therapy dogs. I have researched them in my Canine Genetics class in college.

Activities planned with Pembroke:
 I would train my corgi every day, bring him or her to new places, and take them on many walks. My corgi would attend my college classes with me and interact with other students, and their dogs each day.

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?

 Yes

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 am going to school for positive reinforcement dog training, so there is never any punishment involved in training. If the Pembroke made a mistake, I would redirect him or her, and set them up for success to ensure it would not happen again.

Discipline:
 I do not use any methods of discipline with dogs. If there is a problem, I would take it away from the dog and ensure that they are set up to be successful.

Where would Pembroke spend the majority of the time:
 My Pembroke would spend most of his or her time with me, either at classes or in my dorm room. We would be together very often, and I would do everything in my power to bring them with me everywhere I go that is dog-friendly.

Discipline:
 I do not use any methods of discipline with dogs. If there is a problem, I would take it away from the dog and ensure that they are set up to be successful.
Where would Pembroke spend the majority of the time: My Pembroke would spend most of his or her time with me, either at classes or in my dorm room. We would be together very often, and I would do everything in my power to bring them with me everywhere I go that is dog-friendly.

House dog or outside dog?

 House dog

People at home during the day?
 When I am at school, the dog would be alone, but when I am home my dad is unemployed and would spend all of his time with him or her.

Where would dog eat?
 In my dorm room outside of the cage.

Where would dog sleep:
 The corgi would sleep in a dog bed or in bed with me, always in my sight.

Play & exercise:
 My corgi would have numerous opportunities to exercise and play each day as I am in a program for dog training. All other students in my program have dogs as well, and the corgi would be able to interact with other dogs on a daily basis. As well as playing, I would take the corgi on a few walks each day and to stores and other places to train.

How will you exercise your dog?
 Both on leash and restrained to the yard

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?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 We have a large yard with pine trees and a garden. On campus, it is in the hills, and there are a variety of large open spaces as well as many dog parks in the area.

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?
 Kirsten Brotherwood

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?
 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}