Name
Email Address
*Note: Most correspondance from SCNC
is sent via email so please be sure to include your email address and
monitor your spam folder as we have several individuals who may respond
to you.
Address
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Best Time to Call
Please Select an Answer
AM
PM
Occupation
Is everyone in your family agreeable to having a dog?
Please Select an Answer
Yes
No
Who will be primarily
responsible for the dog's care and training?
How long have
you lived at your current residence?
Other family members
living at home:
Spouse/Partner:
Please Select an Answer
Yes
No
Occupation of
Spouse/Partner
Ages of Children
Living at Home:
Child 1 Age:
Child 2 Age:
Child 3 Age:
Child 4 Age:
Any other Children
or individuals living in home:
Have you or anyone in your family been convicted of an animal cruelty
crime?
Please Select an Answer
Yes
No
Please describe your
home:
Is your home a:
Please
Select an Answer
Single
Family Home
Townhouse/Condominium/Apartment
Other
If your home is
other, please describe:
Do you Own/Rent?
Please Select an Answer
Own
Rent/Lease
If you rent, is
your landlord agreeable to your owning a dog?
Please Select an Answer
Yes
No
Are there any
covenants or restrictions on pets where you live?
Please Select an Answer
Yes
No
If yes, please
explain
Does fencing completely
enclose yard for a dog?
Please Select an Answer
Yes
No
If not, please
explain how and where you will exercise a dog and allow it to relieve
itself.
Expected Daily Routine:
In a 24 hour
period how many hours will the dog be left alone?
Please specify
normal daily routine.
Where will the
dog spend the day?
Please Select an Answer
Loose Indoors
Basement
Crate
Garage
Fenced Yard
Kennel Run
Loose Outdoors
Tied up Outside
Other
If other, please
explain:
Where will the
dog spend the night?
Do you travel
frequently?
Please Select an Answer
Yes
No
If yes, who will
take care of the dog while you are away?
Do you have time
to properly exercise a Newf?
Please Select an Answer
Yes
No
What constitutes
proper exercise for a large dog?
Other Pets in Your Home:
Do
you currently own one or more dogs?
Please Select an Answer
Yes
No
Number
of Current Dogs
Dog 1 Sex
Please Select an Answer
Male
Female
Dog 1 Spay/Neuter
Please Select an Answer
Yes
No
Dog 1 Breed
Dog 1 Age
Dog 1 How Long
Owned
Dog 2 Sex
Please Select an Answer
Male
Female
Dog 2 Spay/Neuter
Please Select an Answer
Yes
No
Dog 2 Breed
Dog 2 Age
Dog 2 How Long
Owned
Dog 3 Sex
Please Select an Answer
Male
Female
Dog 3 Spay/Neuter
Please Select an Answer
Yes
No
Dog 3 Breed
Dog 3 Age
Dog 3 How Long
Owned
Please list any
other Dogs you currently own:
Do you currently
own one or more cats?
Please Select an Answer
Yes
No
If yes, how Many
Cats?
Please list any
other pets you currently own:
Past Dog Experience:
Have you ever
trained one or more dogs?
Please Select an Answer
Yes
No
If yes, please
explain:
Have you ever
bred a dog?
Please Select an Answer
Yes
No
If yes, why?
If you have owned dogs in the past, please list them and explain what
happened to them:
Dog's Name
Breed
Age
How Long Owned?
What
happened to this dog?
Dog's Name
Breed
Age
How Long Owned?
What
happened to this dog?
Dog's Name
Breed
Age
How Long Owned?
What happened
to this dog?
Dog Ownership:
Of the dogs that
you own or have owned, what do you enjoy most about dog ownership?
What do you like
the least about dog ownership?
If you have never
owned a dog, what do you expect from owning a dog?
What do you think
you will like the least about dog ownership?
Please describe
the characteristics of the ideal dog for you and your family.
Newfs:
Have you owned
or personally met a Newfoundland Dog before?
Please Select an Answer
Owned
Met
Neither
If you owned a
Newfoundland Dog, where did you get your Newfoundland?
Please Select an Answer
Breeder
Pet Store
Rescue
Other
If other, please
explain:
Why do you want
a Newfoundland?
How did you learn
about the Newfoundland breed?
Please Select an Answer
Dog Show
Internet
Animal Planet
Breeder
Other
If other, please
explain:
What do you like
about the breed?
What don't you
like?
Please give some thought
to each of the questions below, rather than automatically answering yes.
The Newf is a high-maintenance dog, and while you may love the breed,
you may discover that you do not have the time or resources to devote
to its upkeep. But if you do, a Newf will more than repay you with a lifetime
of loyalty.
Are you prepared
to spend $200.00 or more a year on heartworm preventative, flea control
and annual vaccinations for a giant breed dog like the Newfoundland?
Please Select an Answer
Yes
No
Are you willing
to spend 15 minutes every other day for regular grooming and more time
during the spring and fall sheds or have the dog professionally groomed?
Please Select an Answer
Yes
No
Are you prepared
to deal with the cost, which often is more expensive due to the breed's
large size, of non- routine/emergency veterinary care, especially as the
dog gets older?
Please Select an Answer
Yes
No
Are you willing
to provide training to solve any behavior problems?
Please Select an Answer
Yes
No
We cover Indiana,
Parts of Ohio, Kentucky and Michigan. Are you willing to personally travel
to any of these locations to pick up an adoptive Newfoundland?
Please Select an Answer
Yes
No
What behavior
problems do you consider intolerable? (Biting, growling, barking, house
soiling, digging...)
References
Please provide three
names as references, including your veterinarian, if you have one, and
your landlord, if you rent your home. Other references may include a
neighbor, your employer, or a friend or relative who owns a Newf, or
another coated giant breed such as a Great Pyrenees or St. Bernard.
Veterinarian:
Name
Phone
How Long
Reference 1:
Name
Phone
Relationship
to Applicant
Reference 2:
Name
Phone
Relationship
to Applicant
Reference 3:
Name
Phone
Relationship
to Applicant
Please select any preferences
you have in a dog:
Gender
Select if you have a
preference
Male
Female
Age
Select if you have a
preference
Puppy
Adult
Purebred/Mix
Select if you have a
preference
Purebred
Newf Mix
Color
Select if you have a
preference
Black
Brown
Gray
Landseer
Are you willing
to accept a dog with special medical needs?
Please Select an Answer
Yes
No
An abused dog
that needs extra love and attention?
Please Select an Answer
Yes
No
A dog with behavior
problems that require special training?
Please Select an Answer
Yes
No
Any other preferences?
How long are you
willing to wait for a Newf?
Occasionally SCN
Rescue will be contacted by breeders who may have dogs to place. These
dogs are not screened by Rescue and technically are not part of the rescue
network. Would you object to being included on a list provided to these
breeders?
Please Select an Answer
Yes
No
How did you find
out about SCNC Rescue?
Please Select an Answer
Web Search
Club Function
Other Breed Rescue
Other Referral
If 'other referral',
please specify
Are you currently
in contact with any other Rescue/Breeder/Shelter for a Newfoundland?
Please Select an Answer
Yes
No
If Yes, please
provide name, as we do work with other Rescues:
Are you currently,
a member in good standing of any Dog Club? Such as The Newfoundland Club
of America or any Regional Newfoundland Club, All Breed Club, Obedience
Club or Kennel Club? Organizations similar to The American Kennel Club,
are dog registries, and not considered membership type of clubs.
Please Select an Answer
Yes
No
If Yes please
provide name:
By signing below I certify that the information I have given is true and
complete and that any misrepresentation of facts may result in my losing
my opportunity to adopt a Newf through SCNC Rescue.
Electronic Signature:
Date:
If you are selected
as a potential home for an SCNC rescue dog, you must agree to this
contract before adopting the dog. Please review the contract before
submitting your application.
Due
to an occasional error that occurs when sending our online application,
we highly recommend that you copy and save this page once it is filled
out, before sending. If you get an error after pressing 'send', please
attach the copied page, or paste it into the body of an email and send
it to scnrescue_apps@yahoo.com
Thank you for filling out our online application
The
SCNRescue Team