Your first name
Your last
name:
Your
e-mail:
(We need this in order to confirm that we have received your application
and for further contact with you.)
Please double check to make sure you typed your correct
email address!
Evening
phone:
Cell phone
(if you have one):
City
and state you live in:
(this rescue is located in Urbana, Illinois. Please
do not apply for a dog if you are many states away.
We do adopt out of state, however, Florida, Georgia,
Colorado, or New York, etc are too far away. If you
live many states away from this rescue, please do not
fill out an application, but instead, visit Petfinder.com
for a rescue closer to your location.)
The
fees for adopting a dog through this rescue are a
total of $275 for adults
and $325 for puppies
I understand this.
Personal
references are not asked of you here, but will be requested
prior to adoption.
How
long have you been employed by your current employer?
If not currently employed, please explain.
Do
you have other pets?
choose one
yes
no
Who
is your current veterinarian?
Please give information
for your previous vet if you don't have a current vet
and have owned pets before.
Veterinarian's
phone:
IMPORTANT: If
you are not interested in a dog currently
available through this rescue, please do not fill
out an application today, but wait until you see a
dog you are interested in.
Do
you prefer a male dog or a female dog?
choose one
male
female
no preference
What color
preference you have for a German Shepherd? (we prefer
that you give the name of a specific
dog on our site
that you are
interested in)
What
age of dog would you prefer?
Note: Those considering
a senior citizen (dog over 7 years old) may qualify
for medical care financial aid, please ask if interested.
Although
we traditionally first contact you via e-mail, a rescue
volunteer may wish to call you about setting up an
appointment to visit with one of our adoptable dogs.
In general, which weeknight evenings are you available
to receive such a call? How late in the evening may
we call you?
Who is
this dog for?
Who
will have primary responsibility for the dog's care?
Does
anyone in your family have allergies to dogs?
choose one
yes
no
Have
you considered the long term commitment of time and
financial resources required for dog ownership?
choose one
yes
no
Are you committed
to the adoption adjustment time period any dog will
have, when going to a new home? (this time is at least
2 weeks)
choose one
yes
no
All of our dogs are crate trained
for their own safety and to allow for a smoother adjustment
in their new home. Are you committed to continuing
to use a crate through the adjustment period?
choose one
yes
no
Have you
and your family discussed the pros and cons of owning
a German Shepherd Dog?
choose one
yes
no
Is everyone
in your family or household (including roommates)
enthusiastic about getting a dog of this type?
choose one
yes
no
Have
you owned a German Shepherd or any dog before?
choose one
yes
no
If you
answered yes to the above question, please provide
a brief history
What is
it about a German Shepherd Dog (or a specific dog at
our rescue) that interests you?
What
other breeds have you considered?
What
are the most important characteristics that you would
like to see in a German Shepherd? (examples: active,
calm, playful, intelligent, loving, protective, dominant, submissive,
independent)
Note: Aggressive and severely
problematic behavior animals are not put up for adoption,
if they demonstrate any of these behaviors while in
our care.
To facilitate
the bonding process, obedience training is highly recommended.
Would you like to have lessons with your new dog?
choose one
yes
no
In order to keep your dog
well adjusted, you must continue to take him to
play dates, dog classes, a dog park, etc. Do not keep
him at home and then wonder why he becomes overly
protective.
How do
you plan to discipline the dog?
Which
best describes your current residence?
choose one
own a house
rent/lease house
own/lease townhouse
rent an apartment
own/lease mobile
home
Your
home is located in a:
choose one
large city
large town or
suburb
small town
rural area
Note: If you rent or lease
your residence, or live in a mobile home park, proof
of permission to have a large German Shepherd Dog will
be required
before an adoption is finalized.
Do you have a fenced yard and, if so, please explain
the type of fence, height, and number of gates it
has.
Can
children easily open the gate(s)?
choose one
yes
no
If
your yard is not fenced, do you have a secure dog run?
choose one
yes
no
What
improvements, if necessary, will you make to secure
your yard?
If
you do not have access to a fenced area at your home,
how do you plan to exercise your dog and allow your
dog to eliminate?
Have
you checked your yard for dangerous articles, plants,
or anything the dog could use to climb and/or jump
the fence (i.e.. Dog House, Picnic Table), or dig under
the fence?
choose one
yes
no
If
you have a pool, is it fenced?
no pool
yes
no
Do strangers
(Meter Readers, etc.) require access to the area your
dog will occupy?
choose one
yes
no
Do
friends, relatives, and children have access to your
home, property, and/or car without your supervision?
choose one
yes
no
Are
you willing to instruct your children and other people
who visit your home on the proper handling and care
of German Shepherd Dogs?
choose one
yes
no
If you
have children, you are aware that large dogs can accidentally
scratch or knock over a young child. German Shepherds
are very protective of their home and their home's
children. We will
only
adopt dogs proven
to behave well around children to families that have
children.
Are
there any distractions outside the yard that may disturb
and/or upset your dog? (Neighbor's dog, loose dogs
on the street, neighborhood children)
choose one
yes
no
Approximately
how many hours each day will your dog be alone?
choose one
rarely left alone
1-2 hours
3-4 hours
5-6 hours
7-8 hours
over 8 hours
Do
you travel out of town? If so, how will the dog be
cared for during your absence?
Are you
gone often?
choose one
yes
no
Would
you consider taking the dog with you?
choose one
yes
no
Will the
dog be kept primarily indoors or outdoors?
choose one
indoors
outdoors
Where
will the dog sleep at night?
How
many pets do you currently have?
choose one
none
1
2
3
4
over 4
What
kinds of pets to you have, how old are they, and what
is their gender?
Are
all your pets spayed/neutered?
choose one
yes
no
currently
without pets
Note: It is our policy not to adopt our pets to
homes where the other pets are not already spayed/neutered.
If you'd like to adopt, you may, but will be unable
to bring the new dog home until the other pets are
spayed/neutered.
Approximately 8-12 million companion
animals enter animal shelters nationwide every
year and approximately 5-9 million are euthanized
(60% of dogs and 70% of cats). — Annual
Shelter Statistics, ASPCA
The American Society for the Prevention
of Cruelty to Animals (ASPCA) answers the question Why
Spay or Neuter? (PDF—15K ). This
low-cost surgery keeps your animal healthier and
helps fight pet overpopulation.
If you show your current pet or are involved in
bona fide canine activities where the dog must remain
intact, proof must be supplied of active participation
in a breed club: registration and breeder references.
It is at the Central Illinois German Shepherd Dog
Rescue's discretion whether of not we choose to adopt
to the
given situation.
All of our dogs are spayed/neutered
before they are placed.
Where
did you get each of your pets and how long have you
had them?
Where
are your pets kept?
How many people live in your home?
choose one
1
2
3
4
5
6
7
8
9
How many
are children?
choose one
none
1
2
3
4
5
6+
Please
list the ages of the children.
How
did you hear about our organization?
Thank you for taking the time to complete this questionnaire.
Your answers will permit us to more effectively match
your needs with dogs in our program.
If you have any comments or concerns about adopting
a rescued German Shepherd Dog, about this program
and its mission, or any additional comments or questions
you might have, please tell us in the space below.
We are always interested and open to your viewpoint.
We do reserve the right to refuse any adoption.
CI GSD Rescue is a registered, incorporated, Not For Profit Organization
in the State of Illinois. All Donations are tax-deductible.
Note: After submitting
this form, you should be taken to a page that states "Thank
you for submitting your online form. " If
you are not taken to this page, your browser may
not support this online form. Contact us if this
is the case at