Online Adoption Application
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Thank you for taking the time to complete this rather lengthy adoption application. Your answers will permit us to more effectively match your needs with a dog in our program.
If you would prefer that we send you this questionnaire via email, please
let us
know.
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Contact Information
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| Name
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| Address
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| City |
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| State |
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| Zip |
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| E-mail
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| Tel
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| FAX
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| Please include your area code.
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Employment History
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| Employer |
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| How Long? |
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| Phone |
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Please List 2 Personal References
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| Name |
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| Address |
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| Phone |
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| Name |
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| Address |
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| Phone |
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GSD Preferences
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| Sex |
Male Female
Either |
| Color? |
Black & Tan Black
& Silver Black
& Red
White Black
Sable No
Preference |
| Age? |
Under 1 Year 1-2
Years
2-4 Years No
Preference |
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Which dog are you interested in adopting? |
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Who is this German
Shepherd for? |
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Have you owned a German Shepherd or any other dog
before? No Yes
(If Yes, Please provide brief history)
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What is it about German Shepherd Dogs that has generated your interest in the breed?
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What other breeds have you considered?
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What are the three characteristics you find most appealing about
the GSD? |
| Most Appealing Trait
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Second Most Appealing Trait
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Third Most Appealing Trait
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To facilitate the bonding process we recommend every German Shepherd and
owner attend some obedience training. Would a formal obedience-training program be something you, as a new owner,
would be interested in participating in? Yes
No
(Please provide a brief explanation)
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What kind of work or behavior do you expect of this dog?
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What would be your response if he made a mistake?
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What amount of time & effort do you want to devote to training him?
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What is your definition of disciplining a dog?
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What is
your initial reaction to the idea of disciplining your dog?
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Which
of the following best describes your current residence? (Check one)
Own Home Rent/Lease
Home Rent/Lease
Apt Other *(PLEASE
NOTE: If you rent/lease your residence a copy of the lease will be
requested before the adoption is finalized and you must provide Name
& Phone number of the landlord) |
Do
you have a fence? No
Yes Type of Fencing
Fence Height
Type of Gates
Is fence solid & secure? No
Yes
Can children open gates? No
Yes |
What type of improvements are needed to make the yard secure?
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Are you willing to make the improvements?
No Yes
Not
Applicable
How long will it take?
If you have a pool, is it fenced? No
Yes Not
Applicable
If you have a dog run is it secure? No
Yes
Not
Applicable
If you do not have access to a fenced area, would you like your rescue representative to provide
recommendations on the safe confinement of your dog?
Yes
Not
Applicable No
I have made the following arrangements. (Please describe.)
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Have you checked the yard for dangerous articles, plants or anything that the dog could use to climb the
fence? Yes
No
Are there any distractions outside your yard that could plague the dog? (i.e., neighbors dogs,
loose dogs on the street, mischievous children)?Yes
No
Can children gain access to your yard? Yes
No |
Approximately how many hours a day will your new German Shepherd be alone?
3 hours or less 3-6
hours 6-12 hours 12-18
hours |
Please list the people
that currently live at your residence.
(Name, Relationship to you & Age)
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Who will have primary responsibility for the care of this German Shepherd?
Have you & your family discussed the pros & cons of owning a
GSD?Yes No
Is your life style such that friends, relatives and children gain admittance to your home, property and car
without your supervision? Yes
No
If you have children are you willing to teach them the proper way to handle a live animal?
Yes No
Are you willing to accept that the dog may not like all your children's friends?
YesNo
Does everyone in the family want a dog? Yes
No
What is your families overall reaction to owning a dog?
Which members are enthusiastic?
What members are unenthusiastic and why?
What complaints have been made?
Have you and your family considered that a dog lives for years? Yes
No
Are you willing to accept the commitment? Yes
No
Have you considered the financial cost of dog ownership? Yes
No
Are you financially prepared to give your dog the routine medical care it requires?
Yes No
Have you carefully considered how the dog will fit into your lifestyle?Yes
No
Do you intend to keep the dog primarily indoors or outdoors?
Please elaborate.
Where will the dog sleep at night?
What animals currently live in the household? (Please
list. Include the following info for each pet: Name of pet,
type of pet, sex/age, How long owned? Kept where?)
Have you had any complaints about your pets? Yes
No
If yes, please explain.
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Does anyone in the household have any known allergies to animals?Yes No
If yes, please explain.
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Do you have a veterinarian you have used before and plan to use with your new German Shepherd?
Yes No |
| Vet Name |
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| Vet Address |
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| Vet Phone |
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If you answered NO to the above question would you like your rescue representative to recommend a
veterinarian in your area that is especially knowledgeable about German Shepherds??
Yes No
Because
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How did you find out about our
organization? (Please be as specific as possible - Vet,
Shelter, Friend, Newspaper, Internet, Other)
Would you consider
volunteering for our organization Yes
Not
At This Time
If yes, which of the following areas interest you?
Foster
Care Personal
interviewing of adoption candidates Fundraising
Transportation
of animals Computer
Assistance Telephone
calling
Other
PLEASE SPECIFY |
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