Adoption Application

Contact Information

Name *

First

Last

I am 21 years old, or older *

Yes
No

Address *

Address Line 1

Address Line 2

City

State

Zip Code

PLEASE NOTE: Applicants living outside Colorado should read our out-of-state adoption policy before completing this application. www.coloradoshibainurescue.org/out-of-state-adoptions

Cell Phone *

Email *

If I don't answer my phone: *

Leave a voicemail
Text me
Email me

Adoption Preferences

Thanks for choosing adoption first! Please tell us why you want to adopt a Shiba Inu. *

I am applying: *

for a specific available dog
to be added to the adoption waitlist
for any available dog the rescue feels is a good fit for me

Name of the dog you are applying for: *

Please tell us what you are looking for in terms of a dog's personality, temperament, energy level, etc. *

Do you have an age preference? *

Please choose all that apply

Do you have a gender prefrence? *

Male
Female
No preference

Is there a specific reason you prefer this gender? *

Are you open to adopting a Shiba mix? *

Yes
No
Depends on the dog

Are you open to adopting a special needs dog? *

Yes
Not at this time
Would depend on the need

"Special Needs" could include a chronic health condition, a super fearful/mill dog survivor, or special handling related to trauma or behavioral issues

Please describe what type of special needs you would be comfortable handling:

Do you have any planned life events/changes coming up in the next few months that could impact your ability to provide the stability that a newly adopted Shiba will need? *

Yes
No
Maybe

(i.e. travel plans, moving, getting married/divorced, having a baby, starting new job, applying to grad school, etc.)

Please describe the life events/changes that are planned: *

Family Information

Please list everyone that currently resides in your household, and their relationship to you. For children, please indicate their age: *

If you do not currently have children, do you plan on having children in the future? *

Yes
No
Undecided

Do you have children visiting the home regularly (i.e. grandchildren, nieces/nephews)? *

Yes, regularly
Yes, but not often
No, never

How old are the children, and how often do they visit? *

Are you, or your anyone living with you, allergic to dogs? *

No
Yes, but it's manageable with medication
Yes, I'm looking for a hypoallergenic dog
Unknown, I have not been exposed to dogs enough to know

Animal Background

I currently have the following pets living in my home: *

Choose all that apply

Please provide the breed, age, and gender of any dogs currently living in your home: *

My current dog(s) are spayed/neutered *

Yes, all dogs are spayed/neutered
No, one or more of my dogs are still intact

My current dog(s)/cat(s) have lived with dogs before *

Yes, successfully
Yes, but it was not successful
No, never
Some have, some have not

Please describe the personality of your current pet(s): *

In the past I have had the following dog breeds: *

Have you ever had to re-home, or give up a pet before? *

Yes
No

Please describe the circumstances that lead to your pet being rehomed: *

Your Environment/Lifestyle

Please indicate which type of home you currently live in: *

House
Townhouse
Apartment/Condo

Please note: If you rent, we will need confirmation from your landlord that dogs are allowed in your home.

Do you have a backyard? *

Yes, my yard is completely fenced in
Yes, my yard is partially fenced in
Yes, but there is no fence of any kind
No yard, but I have an enclosed balcony/patio/deck
No yard, but I have an open balcony/patio/deck
I don't have any outdoor space of my own

My fence material is: *

Choose all that apply if you have varying fence materials.

My fence height is: *

Over 6ft.
6 ft.
4-5 ft.
Less than 4 ft.

Choose all that apply if your fence has varying heights.

My balcony/patio/deck is *

On the ground floor
On the second floor
On the third floor or higher

I have a doggy door: *

Yes, and it locks
Yes, but it does not lock
No doggy door

Does anyone, other than you, have free access to your yard (i.e. meter readers, landscapers, etc.)? *

Yes
No

How many hours would your dog be left home alone on a typical work day? *

What is the longest your dog would likely be left home alone for any reason? *

Where would your dog spend it's time while home alone? *

Where would your dog sleep at night? *

Where would the crate be located? *

Where and how to you plan to confine your dog? *

Where/how would the dog be confined? *

My job requires that I travel *

I travel for pleasure *

Who would care for your dog when you travel for work or pleasure? *

How much exercise/stimulation do you plan to give your dog on a typical day? *

None, they have toys and/or siblings to play with, and/or a backyard to run around in
I play with them, or work on training exercises
We go to the dog park
I take my dog on walks
I take my dog running
I take my dog hiking
I take my dog to doggy daycare
Other

Choose all that apply

Describe the frequency and duration of your dog walks, runs, hikes *

Describe how you plan to keep your dog exercised/stimulated on a daily basis: *

My dog should be able to:

Go to work with me
Go to doggy day care and/or play dates regularly
Join me on social outings to friend's houses and public places that allow dogs
Join me on road trips and/or camping with me
Fly with me when I travel by plane
Join me on walks/hikes/runs where they will see other dogs
Be trusted off leash

Choose all that apply

Training & Behavior Background

I have experience dealing with the following training and/or behavioral issues: *

Choose all that apply

Describe your successes or failures in training and/or dealing with the behavioral issues you've experienced *

Which training methods do you plan to use with any dog you adopt: *

Choose all that apply

Describe the training method you plan to use: *

Have you used a crate before? *

Yes, and I would use one again
Yes, but I am opposed to using one again
No, but I am open to using one
No, and I am opposed to using one

Have you used a harness before? *

Yes, and I would use one again
Yes, but am opposed to using one again
No, but I am open to using one
No, and am opposed to using one

I would prefer a dog that: *

Is crated when I'm gone and/or at bedtime
Can be left loose in the house when I'm gone and/or at bedtime
Can be left outside or in the garage when I am gone and/or at bedtime
Can go out for walks/hikes/adventures off-leash

Choose all that apply

What is your experience with training and/or willingness to work with a trainer?

I've participated in professional training before, and would do it again
I've participated in professional training before, but don't plan to do it again
I prefer a dog that does not require any training
I prefer to train my dog myself, without any professional help
I am willing to follow the rescues suggestions when it comes to training/behavior

Choose all that apply

Please describe your experience with professional training: *

What would you do if your dog had an accident or destroyed something and you were not there to catch them in the act? *

What would you do if your dog was pulling on his walks? *

What would you do if your dog growled, or snapped at you while being handled or during grooming? *

If your Shiba runs away from you, how would you attempt to catch them, and what do you do when you get your Shiba back? *

Which issues are you uncomfortable or unwilling to deal with? *

Choose all that apply

What are you most likely to do if your dog begins to exhibit any problem behaviors? *

Consult with/have examined by vet to rule out any medical issues
Consult with the rescue
Consult with a trainer
Try to resolve myself with internet research

Choose all that apply

Under what circumstances might you consider rehoming your dog?

Choose all that apply

Please describe any circumstance that would cause you to rehome your dog: *

Nutrition

Which dog food are you currently feeding your dog(s), or plan to feed any dog you adopt? *

We recommend dog foods that have a 4-5 star rating on www.DogFoodAdvisor.com

Shiba Inu Knowledge

Please confirm you have read the “Shiba 101” page on our website: www.coloradoshibainurescue.org/shiba-101 *

Yes, and I don't have questions/concerns about the breed being a fit for me
Yes, but I would like to discuss with you before deciding if the Shiba is right for me

We ask that all adopters read this article, even those that have had a Shiba before. Every Shiba is different, and owners may not have experienced all of these challenges or common health issues with their Shiba, but should be aware of them.

Please list any questions/concerns you would like to discuss with us when we call to discuss your application. *

Please list any additional sources of information you have used to research the Shiba Inu breed

References

Please provide a vet reference (current or past), and any other references that are applicable to you. If you have never had a pet before, please provide a personal reference:

I currently use, or in the past have used the following vet clinic:

Vet clinic name & phone

I have adopted from or fostered for the following rescue/shelter:

Shelter/Rescue name & phone number

I currently use, or have in the past used the following groomer:

Groomer name & phone number

I have never had a pet before, but want to provide a personal reference:

Name, phone number, & relationship to you

Additional Questions

Please use this space to provide us with any additional information you want us to know when considering your application. You can also use it to ask any questions you might have about Shiba Inus, a specific dog, the adoption process, or our rescue.

Adoption Application

Contact Information

Adoption Preferences

Family Information

Animal Background

Your Environment/Lifestyle

Training & Behavior Background

Nutrition

Shiba Inu Knowledge

References

Additional Questions

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