Personal Information:

*Name:

*Street:

*City:

*State:

Mailing Address (if different):

*Email Address:

*Home Phone:

*Cell or Work Phone:

*What is the best time for a volunteer to reach you?

*Are you married, single, have roomates?

Pet Information:

*What is your reason for wanting to adopt a rescued GSP?

*Have you applied to any other rescue groups, shelters or breeder in the last 6 months? If so, please list.

*Have you ever personally owned a dog before?
Yes   No

*Have you ever owned a GSP?
Yes   No

*Do you still own a GSP?
Yes   No

*If not, how did you lose your former pet?

*What other breeds have you owned?

*Are you looking for a specific gender, male or female? If so, why?

*What language would best describe what you are looking for in your new GSP. Are you looking for a primarily a pet or hunting companion? Do you have a specific age range in mind?

*What activity level are you looking for in your new GSP? (Very high, high, moderate, mellow)

*What specific traits are you looking for in a canine companion?

*Are you willing to attend obedience classes with your adopted dog? If not, please explain why.

*Do you intend to crate train your dog? If not, please explain why.

*Please list current animals in your household. Include all dogs, cats, birds, rodents, etc. Please include sex, age, etc. If there are no animals currently in the household, please enter "none".

*How far are you willing to travel to get your new dog?

*What is your timeline for searching for a dog? (weeks, a few months, up to 6 months, up to a year, no limit)

*Are your current pets spayed/neutered? If not, please explain why.

*Have you ever given a pet away, taken a pet to a shelter or returned one to a breeder? If so, please explain the circumstances.

*Will someone be home with the dog during the day?
Yes   No

*If not, how much time will the dog spend alone on a daily basis?

*Where will he/she spend that time? (crate, gated area, heated garage, etc)

*Will someone take time off when the dog first comes?
Yes   No

*Where will the dog sleep? (crate, dog bed, family member's bed, etc)

*Do you or have you ever routinely used a tie out or dog run to contain your dog(s)?
Yes   No

*What activities are you looking to do with your dog?

*Are you willing to give a new dog at least 6 months to adjust to you, your family and his/her new environment?
Yes   No

*Do you intend to be a single or multiple dog family?
Single   Multiple

*Please list the name of any specific dogs you are inquiring about. If you are not inquiring about a specific dog, please enter "none".

Household Information

*Who will be the dog's primary caretaker?

*How many adults are in the household and what are their ages?

*Are all the adults in the home supportive of the adoption of a GSP?
Yes   No

*Are there any children in the household and what are their ages? If there are no children, please enter "none".

*Does anyone living in the home suffer from allergies or asthma?
Yes   No

*Do you RENT or OWN your home, townhouse, condo, apartment, etc.?
Rent   Own

*If you rent, can you provide written permission from your landlord that you can have a large sized dog housed at your dwelling?
Yes   No

*Please provide landlord's name address and phone number.

*Who will take care of your pet when you go away on vacation?

*Are you planning on moving within the next year?
Yes   No

Fencing

*Do you have a fenced in yard?
Yes   No

*Describe the type of fencing you have (stockade, chainlink, invisible,etc).

*If traditional fencing, how high is the fence?

*What is the size of the fenced in area?

*Do the access gates lock for safety?
Yes   No

*If you do not have any fencing in place, would you be willing to install traditional or invisible fencing?
Yes   No

Veterinarian Information

*Do you have a regular veterinarian?
Yes   No

*How long have you been going to him/her?

*Name:

*Address:

*Phone:

*Are you aware of the annual cost of proper care for a HEALTHY dog in your area?

*Will you deal with health issues should the dog need special care later in life?
Yes   No

*What would you consider the dog's health limitations to be?

*For what reasons would you ever give up a dog?

*What behavior problems do you consider unacceptable and what would you do if your adopted dog developed them?

Is there anything else we should know in order to help us match you with the right GSP?

By completing and submitting this application I am giving authorization to GSPRescueNE to obtain any and all information from the veterinarian named above that they deem necessary to aide in the adoption process of a dog.