SHIBA SCOUT RESCUE ADOPTION APPLICATION

Please fill out and return back to us.  We reserve the right to turn down any application for any reason.  We recommend you keep a copy with your responses for your records.

A representative of Shiba Scout Rescue will contact you either by phone or email to go over your application.  Keep in mind the dog that you may want may not be the best fit for your family and lifestyle and we will do our very best to find your perfect match!

General Information

Today’s Date:

Name:

Street:

City, State, Zip

Phone at home:

Phone at work:

Email address:

Are you 21 years of age or older?

What type of dog are you looking for? Mark all that apply

            Couch potato           Companion               Lap dog

            Fetch/tug partner     Hiking buddy            Jogging pal

            Guard/watch dog     Other_____________________

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

            Quiet/Easy going     Moderate Activity      High Energy    

            Any activity level is fine

Family Information

How many people reside in the household?

In what relation are these people to you?

Do you have children?                   If so, what ages?

Do you have visiting grandchildren?

Do you or your family members have allergies to pets?

Animal Background

Do you presently have any pets (dog, cat, birds, horses, etc)?

If so, which and what ages?

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

Have any of your present or previous pets been adopted from animal shelters or rescue organizations?

Breeders?

Pet stores?

Have you ever had a Shiba Inu before?

Have you ever had a dog before?

What types of dogs have you owned in the past?

Describe the personalities of your other dogs 

What happened to those dogs?

Describe the personalities of your cats

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

Did you ever have to work with any of your previous 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______________________________________________________

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

What types of training methods do you currently use with your dogs or if you do not have a dog, what types 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________________________________________________________

Did you ever take any professional obedience courses with your previous dogs?  If so, where?

What types of training methods do you currently use with your dogs or if you do not have a dog, what types 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________________________________________________________

Whatever the rescue feels is best for the dog

Are you willing to follow Shiba Scout Rescue's suggestions when it comes to training your Shiba?

Are you willing to attend the 6 week group training session which is included with all dogs under the age of 7 years after you adopt your Shiba?

What amount of training are you planning to put in with your Shiba? Check one

            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 class included in the adoption 

            I plan on continuing my dog’s education past its basic commands

               with additional professional training courses or private sessions

What behavior issues are you comfortable working with that may come with or arise with owning a dog? Check 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

What behavior issues are you completely opposed to working with that may come with or arise with owning a dog? Check 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

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

Under which of the following circumstances might you consider returning or rehoming your dog.  Check all that apply.

            Moving to an apartment               Moving out of state/out of country

            Excessive barking/howling           Digging/Jumping/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

Shiba Inu Knowledge

Is there a specific Shiba currently available for adoption that you are interested in?

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

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

Would you be open to adopting a Shiba Inu mix?

Would you be open to adopting another breed should its personality fit everything that you are looking for in a dog? (sometimes Shiba Scout Rescue has additional breeds available or we work closely with other rescues that have various breeds)

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

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

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

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

List a source of information you have researched on the Shiba Inu breed:

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

Your Environment

House     Apartment     Condo     Other

If you rent, we will need to have a signed agreement from your landlord stating that you are able to foster/adopt a dog

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

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

Where would your dog spend its time when left alone?

            Crate             Bathroom                Loose in house       

            Backyard       Outdoor dog run       Garage          

Where would your dog sleep at night?

            Crate             Bathroom                Loose in house

            Backyard       In bed with owner       Dog bed on the floor 

Are you open to crate training?

Have you ever used a crate before?

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

Where would the crate be located?

Would you prefer or mind a dog that is already crate trained or would you prefer a dog that can be left out loose in the house when you leave the house?

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

Fenced Yard?    Type of Fencing?     Height?    Is the yard totally fenced?

Is your yard attached to the house with an opening directly from the yard to the house?

Do you have utility meters in your backyard? 

If so, does a utility person need to enter the yard to read the meters?

How much exercise do you plan to give you Shiba Inu per day? Check all that apply

            No additional exercise, they have a backyard

            Short walks averaging 10-15minutes per day

            At least one 30-45 minute walk per day

            Long walks over 1 mile long

           Jogging over 1 mile

How much exercise do you plan to give you Shiba Inu weekly? Check all that apply

            No additional exercise, they have a backyard

            Short walks averaging 10-15minutes per day

            At least one 30-45 minute walk per day

            Long walks over 1 mile long

           Jogging over 1 mile

           Hiking

           Camping

Nutrition

What kind of food have you fed your previous dog(s)?

Why do you choose to feed this food?

Have you ever read the ingredient label?  List some of the food’s ingredients.

Do you understand the ingredients and their definitions?

Shiba Scout Rescue requires that all adopters feed a diet free of corn, wheat, by-products and unspecified animal fat.  Please list 3 brands of food that would qualify.

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

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

What sparked your interest in adopting/fostering a Shiba Inu from Shiba Scout Rescue?

QUESTIONNAIRE

The questionnaire is simply for us to get an idea of the training background that a potential adopter may or may not have and the type of training methods that they are familiar with using on dogs.  It is by no means an area where we would disapprove an adoption application however, potential adopters should understand that any comments, concerns, or corrections that we have to their answers are only to give them the best understanding of how to have the best companion possible.

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

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

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?

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

Describe your typical day in detail with your ideal dog:

Submitting Your Application

Please send a completed copy of this application to

Beki Myers, Founder/Director of Shiba Scout Rescue

shibascout@yahoo.com