Adoption Application – Colorado Shiba Inu Rescue

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 *

Best way to reach me: *

Phone (I check my voicemail)
Phone (I don't check my voicemail)
Text me
Email me

A live phone screening is required for all applicants, but if you don't answer when we call, what's the best way to reach you?

Adoption Preferences

Thanks for choosing adoption first! Please tell us why you want to adopt a Shiba and specifically what you are looking for.

I want to adopt a Shiba because: *

I am applying for: *

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

Name of the dog you are applying for: *

In terms of a personality, temperament, energy level, I am looking for: *

My age preference is: *

Please choose all that apply

My gender preference is: *

Male
Female
No preference

Is there a specific reason you prefer this gender? *

I'm open to adopting a Shiba mix: *

Yes
No
Depends on the dog

I'm 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

Special needs I'm comfortable handling are:

I am looking to adopt: *

Choose all that apply

I have major life events or changes coming up in the next 6 months: *

Yes
No
Maybe

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

Please describe the planned events/changes: *

Family Information

Please tell us about all the humans, and animals, that currently reside in your home and will be a part of your new Shiba's life.

The following humans currently live with me: *

Please provide name, age & relationship to you

There are children living in my home: *

Yes
No, but probably someday
No, not planning on it
No, they're grown already

If 'Yes', be sure to list their ages in the previous field.

Children visit my home sometimes: *

Yes, regularly
Yes, but rarely
No, never

(i.e. grandchildren, nieces/nephews, friend's kids, your kids' friends)

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

Anyone in your home 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

Please tell us about all of the animals that currently live in your home and will be interacting with your new Shiba.

The following pets live in my home: *

Choose all that apply

Breed, age, and gender of the dogs in my house: *

My current dog(s) are spayed/neutered: *

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

My 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): *

I have lived with the following breeds: *

I have re-homed a pet before: *

Yes
No

Why did you have to rehome your pet? *

Your Environment/Lifestyle

Shibas are extremely sensitive to their environment and it's important to place them within the right environment. Please tell us about your home environment and lifestlye!

My home is a: *

House
Townhouse
Apartment/Condo

Renters must be able to provide evidence of landlord approval for pets.

My backyard? *

is completely fenced in
is partially fenced in
is not fenced
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: *

and it locks
it does not lock
No doggy door

Other people have access to my yard: *

Yes
No

(i.e. meter readers, landscapers, is accessible or shared by other units/tenants in my complex etc.)

# hours my dog is left home alone on a typical work day: *

The longest my dog would be left home alone for any reason: *

While home alone, my dog is: *

At night, my dog sleeps: *

Where would the crate be located? *

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? *

On a typical day, my dog gets exercise/stimulation when: *

Choose all that apply

Describe the frequency, duration, and distance of your walks/hikes/runs: *

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

We'd like to know more about any specific behavioral challenges that you have experienced with your current or past dogs, and your experience with and understanding of available training methods:

I have experience dealing with the following: *

Experience can be with current or past dogs. Choose all that apply.

Describe your successes, or failures, in addressing the behavioral issues you've experienced *

I plan to use the following training methods: *

Choose all that apply

Describe the training method you plan to use: *

I've used a crate before: *

Yes. I would use one again
Yes. I am opposed to using one again
No. I am open to using one
No. I am opposed to using one

I have used a harness before: *

Yes. I would use one again
Yes. I'm opposed to using one again
No. I am open to using one
No. I'm 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

My experience with / interest in professional training: *

I've participated in pro training before
I've never participated in pro training
I'm willing to participate in pro training
I'm not interested in pro training
I prefer a dog that does not require training
I am willing to follow the rescues suggestions when it comes to training/behavior
I am capable of training my dog and don't need further assistance

Choose all that apply

Please describe your experience with training: *

Tell us what you liked, didn't like, and what your biggest 'take away' from the experience.

What do you do if your dog has an accident or destroys something, but you don't catch them in the act? *

What do you do when your dog is pulling on leash? *

What do you do if your dog growls, or snaps at you while being handled for grooming? *

If your dog runs away from you, how would you catch them? What do you do when you finally get them back? *

I am uncomfortable, or unwilling to deal with: *

Choose all that apply

If my dog begins to exhibit problem behaviors, I will: *

Consult with and/or go to 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

I would consider rehoming my dog if he/she: *

Choose all that apply

I would consider rehoming my dog if I: *

No time for the dog anymore (had a baby, new job, want to travel)
Move somewhere that doesn't allow dogs
Move to apartment/condo with no yard
Divorce/separation
Move out of the country
Increased vet costs due to aging/chronic disease/surgical requirement
Marry/move in with someone with allergies or doesn't like dog
Other
None

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

Nutrition

Good food is essential to a Shiba's health. What you feed them matters. How does your dog's food rate? Look it up at www.dogfoodadvisor.com and see.

What are you feeding your dog? *

Shiba Inu Knowledge

What you read about Shibas is only half the story, and not necessarily accurate. It is important to place a Shiba in the right environment. They don't like change to begin with, but you add the wrong home to that, and nobody is happy. Considering the lifestyle of the human, and wether the breed is right for them, is just as important. PLEASE READ www.coloradoshibainurescue.org/shiba-101

I have read “Shiba 101” on your website: *

Yes, and I still believe the breed and I are a good fit
Yes, but I would love to talk to someone before deciding if we are a fit

Shiba experienced? Please read it anyway. Every Shiba is different, you may not have experienced all the Shibaness yet. 😉 We've been rescuing Shibas for over 10 yrs and they still teach us something new from time to time. :0

I have specific questions/concerns I'd like to discuss with a volunteer:

What are your sources of information about Shibas?

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. Out-of-state references are fine in all categories.

My vet is/was: *

Vet clinic name & phone. If you've never had a vet, enter 'n/a'.

Rescue/shelter I've adopted from:

Shelter/Rescue name & phone number.

My groomer is/was:

Groomer name & phone number

For a personal reference, contact:

Name, phone number, & relationship to you

Additional Questions

Share additional information, or ask questions here:

You should receive an email regarding the status of your application within 7 days of submitting. If you do not receive an email after 7 days, please send an email to our Placement Director at maryb@coloradshibainurescue.org