Adoption Application

Please copy and paste the application below into an email, or document, to complete and return to us.  We recommend you keep a copy, with your responses, for your records.  Once you have submitted your application, you will get an email confirming that it has been received. These emails are usually sent within 72 hours, but at times may be slower when application volumes are high, or during busier times in rescue.  Your patience is appreciated!.  If you have any questions about the application, or have not received a confirmation in a timely manner, please email the Adoption Director.

CSIR Hearder

 ADOPTION APPLICATION

If you have adopted from us, fostered for us, or submitted an application in the past, please contact us at adopt@coloradoshibainurescue.org.  It may not be necessary for you to complete this application again.

General Information

Today’s Date:

Name:

Street Address:

City, State, Zip:

Cell Phone:

Work Phone:

Email address:

Are you 21 years of age or older?


Adoption Preferences

1. Which of our available dogs are you applying for?

2. What sparked your interest in adopting a Shiba Inu?

3. What type of dog are you looking for? (Mark all that apply)

  • Couch potato
  • Companion
  • Lap dog
  • Fetch/tug/play partner
  • Hiking buddy
  • Jogging pal
  • Guard/watch dog
  • Other (explain)

4. What type of energy level are you looking for in a dog?

  • Quiet/Easy going
  • Moderate Activity
  • High Energy
  • Any activity level is fine

5. Do you have an age preference? (Mark all that apply)

  • Young Puppy—8 weeks to 6 months
  • Adolescent Puppy—7 months to 1 year
  • Young Adult—1 year to 3 years
  • Older Adult—4 years to 6 years
  • Senior-7 years or older
  • Whatever the rescue feels is the best fit for my situation

6. Do you have a preference between males or females? If so, please explain why.

7. Would you be open to adopting a Shiba Inu mix?

8. Would you be open to adopting another breed should its personality be better suited to what you are looking for in a dog? (we work closely with other rescues that have various breeds)

9. Would you be open to adopting a dog with special needs?


Family Information

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

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

3. Do you have children visiting the home regularly (i.e. grandchildren, nieces/nephews)? If so, what ages?

4. Do you or your anyone living with you have allergies to pets?


Animal Background

1. Please list any pets (dogs, cats, etc.) currently living with you.  Include their age and breed:

2. If you currently have dogs, are they spayed/neutered?

3. Describe the personalities of your current dogs.

4. Describe the personalities of your cats.

5. If you do not presently have dogs, have you had dogs in the past? If so, what breeds?

6. What happened to those dogs?

7. Where have your present or previous pets come from? (Mark all that apply)

  • Adopted from animal shelters or rescue organizations
  • Breeders
  • Pet stores

8. Have you ever had to re-home,  or give up, of one of your animals? If so, why?


Your Environment/Lifestyle

1. Please indicate which type of home you currently live in. Please note: If you rent, we will need to have a signed agreement from your landlord stating that you are able to adopt a dog.

  • House
  • Apartment/Condo
  • Townhouse
  • Other (explain):

2. Do you have a fenced yard?

  • What type of Fencing?
  • What is the fence height?
  • Is the yard completely enclosed with fencing?
  • Is your yard attached to the house with an opening directly from the yard to the house?

3. Do you have a doggy door? Does it lock?

4. Do you have utility meters in your backyard? If so, does a utility person freely enter the yard to read the meters?

5. What is the longest your dog would be left home alone?

6. What is the average time your dog would be left home alone?

7. Where would your dog spend its time when left alone?

  • Crate (where would it be located?)
  • Confined to a room (which room?)
  • Loose in house
  • Backyard
  • Outdoor dog run
  • Garage

8. Where would your dog sleep at night?

  • Crate (where would it be located?)
  • Confined to a room (which room?)
  • Loose in house
  • Backyard
  • Outdoor dog run
  • Garage
  • In bed with owner
  • Dog bed on the floor

9. Have you ever used a crate before?

10. Are you open to crate training or do you prefer a dog that is already crate trained?

11. Describe the purpose of crate training and ways to make it successful:

12. Would you prefer a dog that can be left out loose in the house when you leave the house?

13. Would you prefer a dog that would be left outside all day or when you leave the house?

14. Have you ever used a harness before?

15. Are you open to using a harness while walking your dog?

16. Would you prefer a dog that can go out for walks/hikes/adventures off-leash?

17. How much exercise do you plan to give your Shiba Inu on a typical work day? (Mark all that apply)

  • No additional exercise, they have a backyard
  • Tug, fetch, play
  • Daily walks (How many? How long?)
  • Running/Jogging (How often? How far?)
  • Hikes (How long?)
  • Other (Explain)

18. How much exercise do you plan to give your Shiba Inu on your days off? (Mark all that apply)

  • No additional exercise, they have a backyard
  • Tug, fetch, play
  • Daily walks (How many? How long?)
  • Running/Jogging (How often? How far?)
  • Hikes (How long?)
  • Other (Explain)

19. Describe your typical day in detail with your ideal dog:


Training background

1. Have you ever had to work with any of your dogs on difficult behavior issues? (Mark all that apply)

  • Potty Training
  • Crate Training
  • Leash Pulling
  • Jumping on people/furniture
  • Separation anxiety
  • Dog reactivity and/or aggression
  • Excessive barking
  • People reactivity and/or aggression
  • Excessive digging
  • Food/toy possessiveness/aggression
  • Excessive chewing
  • Fearfulness of strangers/environment
  • Other (explain):

2. What did you do to try and resolve these behavior problems?

3. What types of training methods do you currently use with your dogs, or would you use with a Shiba adopted from our rescue? (Mark all that apply)

  • Treats
  • Clicker Training
  • Choke Chains
  • Scruff Shaking
  • Praise
  • Crate Training
  • Pinch/Prong Collars
  • Muzzling
  • Play
  • Leash Corrections
  • Shock Collars
  • Alpha Rolling
  • Other (explain)

4. Have you ever take any professional obedience courses with your current/previous dogs? If so, can you describe ?

5. If your dog has an accident or destroys something in your home and you were not around to catch your dog doing it…what do you do?

6. If your dog pulls on the walk how would you fix it?

7. If your Shiba runs away from you, how would you attempt to catch him/her and what do you do when you get your Shiba back?

8. What would you do if your Shiba struggled, mouthed or bit at you while attempting to handle or groom him/her?

9. Are you willing to follow the rescue’s suggestions when it comes to training your Shiba?

10. What amount of training are you planning to put in with your Shiba?

  • None, I’d prefer a dog that is already trained to do what I need
  • I will train the dog one-on-one in my home
  • I will participate in the group training class that is included in the adoption from Colorado Shiba Inu Rescue for all Shibas under the age of 7
  • I plan on continuing my dog’s education past its basic commands with additional professional training courses or private sessions, beyond the training that comes with the adoption

11. What behavior issues are you  comfortable working with that may come with or arise with owning a dog?(Mark all that apply)

  • Pottying in the house
  • Excessive barking/howling
  • Fear of sounds
  • Excessive chewing
  • Fear of people
  • Excessive digging
  • Dog reactivity/aggression
  • Bolting/running away
  • People reactivity/aggression
  • Does not get along with other animals
  • Food/toy aggression
  • Does not get along with children

12. What behavior issues are you  completely opposed to working with that may come with or arise with owning a dog? (Mark all that apply)

  • Pottying in the house
  • Excessive barking/howling
  • Fear of sounds
  • Excessive chewing
  • Fear of people
  • Excessive digging
  • Dog reactivity/aggression
  • Bolting/running away
  • People reactivity/aggression
  • Does not get along with other animals
  • Food/toy aggression
  • Does not get along with children
  • None, I am willing to work with my dog on any issues that may arise

13. If your Shiba begins to exhibit ANY type of behavioral issues, what are you most likely to do?

14. Under which of the following circumstances might you consider returning or rehoming your dog. (Mark all that apply)

  • Moving to an apartment/condo
  • Moving out of state/out of country
  • Excessive barking/howling
  • Digging
  • Jumping the fence/escaping
  • Chewing
  • Marry someone with allergies
  • Neighbors complain
  • Move where pets aren’t allowed
  • Dog bites children
  • Massive vet bills
  • Dog loses control of bladder
  • Dog is untrainable
  • Dog doesn’t get along with current pets
  • Chronic barking
  • Dog is not the kind of dog I thought it would be
  • Dog develops a chronic illness
  • Having a baby
  • Dog nips at strangers
  • Divorce/Separation
  • Other (explain)

Nutrition

1. What kind of food do you currently feed your dog(s), or have you fed your previous dog(s)?

2. Why do you choose to feed this food?

3. Colorado Shiba Inu Rescue recommends that all adopters feed an all natural, limited ingredient diet free of corn, wheat, by-products and unspecified animal fat. Please list 3 brands of food that would qualify.

4. What are some benefits of feeding a premium, natural food.

5. What do you expect to spend on food each month for your Shiba?


Shiba Inu Knowledge

1. Are you aware that Shiba Inus are “cat-like” in that they are very independent and aloof?

2. Are you aware that Shiba Inus are difficult to train and not recommended for first-time dog owners?

3. Are you aware that Shiba Inus, although relatively quiet, have what is called the “Shiba Scream” when they are either upset or excited?

4. Are you aware that Shiba Inus “blow” their coat off in heavy chunks as the seasons change each year (about 2-4 times) and will either need to be brushed regularly during this time or taken to a professional groomer?

5. Are you aware that Shiba Inus are bolters and runners and must NEVER BE OFF LEASH unless in a securely fenced area?

6. List any/all source(s) of information you have used to research the Shiba Inu breed:

7. Are you prepared to deal with medical issues that may arise as the dog ages such as, but not limited to, glaucoma, cataracts, arthritis, luxating patella, and/or incontinence (inability to control their bladder)?


References

1. Please list 2 personal references: (name/phone/relationship)

1.

2.

2. If you currently own pets, or have owned pets in the recent past, what vet did you use?

Vet name:

Vet phone:

3. If you currently, or in the recent past, have used a groomer on a regular basis, what groomer did you use?

Groomer name:

Groomer phone:


Additional Information and/or 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.

 


Submitting Your Application

Please send a completed copy of this application to: adopt@coloradoshibainurescue.org

Thank you for choosing adoption!