Foster/Adoption Application - Print, fill-out and mail-in or fax to address or fax number at bottom of form.

Date:__________________

German Shepherd Rescue, Inc.
FOSTER/ADOPTION APPLICATION

Your answers on this application will help us to match your needs with the German Shepherd Dogs in our program.

NAME: ______________________________________________________ AGE OF APPLICANT: _____________

ADDRESS: __________________________________________________________________________________

CITY: __________________________________________________ STATE: _____________ ZIP: ____________

PHONE:
DAY ________________ EVENING _________________ EMAIL ADDRESS: ______________________________

Employer______________________________________How Long ____________Phone ____________________

Employer_______________________________________How Long ____________Phone ____________________

Please list TWO references:

Name: ____________________________________________________ Phone ____________________________

Address: ___________________________________________ City: __________________________State: ______

Name: ___________________________________________________ Phone ______________________________

Address: ___________________________________________ City: __________________________State: ______

Do you have a preference?

4. WHAT IS YOUR PRIMARY INTEREST? ____ ADOPTION ____ FOSTER CARE ONLY
IF YOU CHOSE ADOPTION, WHO IS THIS GERMAN SHEPHERD FOR? ____________________________________

5. HAVE YOU OWNED A GERMAN SHEPHERD OR ANY DOG BEFORE? (IF YES, PLEASE PROVIDE A BRIEF HISTORY.)
___________________________________________________________________________________________

6. WHAT IS IT ABOUT GERMAN SHEPHERD DOGS THAT INTERESTS YOU? _______________________________
___________________________________________________________________________________________

7. WHAT OTHER BREEDS, IF ANY, HAVE YOU CONSIDERED? ___________________________________________
___________________________________________________________________________________________

8. WHAT ARE THE 3 MOST IMPORTANT CHARACTERISTICS THAT YOU WOULD LIKE TO SEE IN YOUR NEW GERMAN SHEPHERD?
______ ACTIVE ______ CALM ______ PLAYFUL ______ INTELLIGENT
______ LOVING ______ PROTECTIVE ______ AGGRESSIVE ______ DOMINANT
______ SUBMISSIVE ______ SHY ______ INDEPENDENT ______ OTHER:____________________

9. HOW DO YOU PLAN TO DISCIPLINE THE DOG? _____________________________________________________

10. TO FACILITATE THE BONDING PROCESS, WE RECOMMEND THAT EVERY NEW GERMAN SHEPHERD UNDERGO SOME INTRODUCTORY OBEDIENCE TRAINING.
WOULD A FORMAL OBEDIENCE-TRAINING PROGRAM INTEREST YOU AS A NEW DOG OWNER? ______ YES ______ NO

11. IT IS IMPORTANT FOR GERMAN SHEPHERD RESCUE DOGS TO BE WELL SOCIALIZED. ARE YOU WILLING TO CONTINUE TO PROPERLY KEEP THE DOG WELL
SOCIALIZED WITH PEOPLE AS WELL AS OTHER DOGS, AND TAKE THE DOG TO GROUP ACTIVITIES TO ENHANCE THEIR SOCIAL SKILLS? ______ YES ______ NO

12. WHICH OF THE FOLLOWING BEST DESCRIBES YOUR CURRENT RESIDENCE?
______ Own house ______ Own/Rent/Lease Townhouse or apartment
______ Rent/Lease House ______ Other: __________________________
(Note: If you rent or lease your residence, proof of permission to have large dogs will be required before the adoption is finalized.)

13. DO YOU HAVE A FENCED YARD? ______ YES (GO TO QUESTION 14) ______ NO (GO TO QUESTION 15)

14. IF YES TO QUESTION 13: TYPE OF FENCE: ____________________________ HEIGHT: ________________
CAN CHILDREN EASILY OPEN THE GATES? ______________ NUMBER OF GATES: _______________

15. IF NO TO QUESTION 13: DO YOU HAVE A SECURE DOG RUN? ______ YES ______ NO
A) WHAT IMPROVEMENTS, IF NECESSARY, WILL YOU MAKE TO SECURE YOUR YARD? _______________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

16. IF YOU DO NOT HAVE ACCESS TO A FENCED AREA AT YOUR HOME, HOW DO YOU PLAN TO EXERCISE YOUR DOG?
_________________________________________________________________________________________________
_________________________________________________________________________________________________

17. HAVE YOU CHECKED YOUR YARD FOR DANGEROUS ARTICLES, PLANTS OR ANYTHING THE DOG
COULD USE TO CLIMB THE FENCE? ______ YES ______NO

18. DO YOU HAVE A POOL? ______ YES ______NO
IF YES: IS THE POOL FENCED? ______ YES ______NO

19. DO STRANGERS (METER READERS, ETC.) REQUIRE ACCESS THE AREA YOUR DOG WILL OCCUPY? ______ YES ______NO

20. ARE THERE ANY DISTRACTIONS (NEIGHBORS' DOG, LOOSE DOGS ON THE STREET, NEIGHBORHOOD CHILDREN) OUTSIDE THE YARD THAT MAY UPSET THE DOG? ________________________________________________________________________
____________________________________________________________________________________________________

21. APPROXIMATELY HOW MANY HOURS EACH DAY WILL YOUR DOG BE ALONE? ____________________________________

22. HOW WILL YOUR DOG BE CONFINED WHEN LEFT HOME ALONE? _____________________________________________
____________________________________________________________________________________________________

23. WILL THE DOG BE KEPT PRIMARILY INDOORS OR OUTDOORS? _______________________________________________

24. WHERE WILL THE DOG SLEEP AT NIGHT? ________________________________________________________________

25. ARE YOU WILLING TO USE A CRATE FOR THE DOG IF IT IS NECESSARY? ______ YES ______ NO

26. PLEASE LIST ALL THE ANIMALS THAT CURRENTLY LIVE IN YOUR HOME.

27. PLEASE LIST ALL THE PEOPLE THAT CURRENTLY LIVE IN YOUR HOME.

28. WHO WILL HAVE PRIMARY RESPONSIBILITY TO CARE FOR THE DOG? ____________________________

29 DOES ANYONE IN YOUR FAMILY HAVE ALLERGIES TO DOGS? ______ YES ______NO

30. HAVE YOU AND YOUR FAMILY DISCUSSED THE PROS AND CONS OF OWNING A GERMAN SHEPHERD? ______ YES ______NO

31. IS EVERYONE IN YOUR FAMILY ENTHUSIASTIC ABOUT GETTING A GERMAN SHEPHERD? ______ YES ______NO

32. DO FRIENDS, RELATIVES AND CHILDREN HAVE ACCESS TO YOUR HOME, PROPERTY AND CAR
WITHOUT YOUR SUPERVISION? ______ YES ______NO

33. ARE YOU WILLING TO INSTRUCT YOUR CHILDREN AND OTHER PEOPLE THAT VISIT YOUR HOME
FREQUENTLY ON THE PROPER HANDLING AND CARE OF GERMAN SHEPHERD DOGS? ______ YES ______NO

34. HAVE YOU CONSIDERED THE LONG COMMITMENT OF TIME AND FINANCIAL RESOURCES FOR DOG
OWNERSHIP? ______ YES ______NO

35. IS THERE A VETERINARIAN THAT YOU USE NOW OR HAVE USED IN THE PAST? ______ YES ______NO
IF YES: VET'S NAME: _______________________________________ PHONE: _(______)____________________
ADDRESS: _________________________________________ CITY:________________________ STATE: _______

36. IF YOU DO NOT HAVE A VETERINARIAN, WOULD YOU LIKE A RESCUE REPRESENTATIVE TO RECOMMEND A VETERINARIAN IN YOUR AREA THAT IS ESPECIALLY KNOWLEDGEABLE ABOUT GERMAN SHEPHERD DOGS? ______ YES ______ NO

37. HOW DID YOU FIND OUT ABOUT OUR ORGANIZATION?

39. WOULD YOU CONSIDER VOLUNTEERING FOR OUR ORGANIZATION? ______ YES ______ NO
IF YES, IN WHICH OF THE FOLLOWING AREAS? ______ TEMPORARY FOSTER CARE AS NEEDED
______ TRANSPORTATION OF ANIMALS ______ TELEPHONE CALLING ______ COMPUTER ASSISTANCE
______ FUNDRAISING ______ INTERVIEWING ADOPTION CANDIDATES ______ OTHER: _____________________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION. 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 RESCUE GERMAN SHEPHERD DOG OR ABOUT THIS PROGRAM, PLEASE USE A SEPARATE SHEET TO SHARE THEM WITH US. WE ARE ALWAYS INTERESTED AND OPEN TO YOUR VIEWPOINT.

When you have completed this application, please
send it to the address below or fax number below:
German Shepherd Rescue, Inc.
P.O. Box 5092
Skokie, IL 60077
(847) 677-0562 - fax

For more information:
(847) 677-0561
GSRESCUE1@AOL.COM
www.gsdrescue1.org

Rev 5/2005