Applicant's Name: |
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Spouse: |
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Home Address: |
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City: |
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State: |
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Zip: |
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Home
Telephone: |
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Work Telephone: |
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Fax Number: |
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Email
Address: |
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ABOUT
TIBETAN MASTIFF RESCUE,
INC. FOSTER / ADOPTION
Fostering a Tibetan Mastiff means that you are willing to provide a TEMPORARY home for a TM in need. A foster home may request becoming a permanent adoption home. |
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Are you willing to foster a TM until a permanent
home can be found? |
yes
no |
Are you willing to adopt a TM as
a welcome and permanent member of your family? |
yes
no |
If you are experienced enough with this breed to confidently identify a TM, are you willing to travel to a human society or animal shelter (without reimbursement for your travel expenses) to investigate a report that a TM is being held for adoption in such a facility? |
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If so, to what states (or within what states) are you willing to travel to make such an investigation? |
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ABOUT
YOUR FAMILY/HOUSEHOLD |
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If
you are married or share your home with another adult,
does your spouse or partner
support adding a TM to
your home? Please
include their initials
affirming so here. |
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Do you work outside the home? |
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Your Occupation? |
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Your work hours? |
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Does your spouse or partner work outside the home? |
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Spouse Occupation? |
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Spouse work hours? |
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Do you have children? |
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How many? |
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Do they all live with you? |
yes
no |
Please list children's names and ages. |
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Do others live with you that will have contact with this TM? |
yes
no |
Who? |
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Other Comments: |
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ABOUT
YOUR HOUSE, YARD AND
NEIGHBORHOOD |
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Do you own your home? Or rent? |
own
rent |
How long have
your lived at this address? |
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If rental, does the lease allow pets? |
yes
no
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Your landlord's name/phone. |
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Is it a single-family home?
Condo? Mobile home? Apartment? |
Single Family Home
Condo
Mobile Home
Apartment
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Is the yard fenced? |
yes
no |
Invisible
fencing or traditional fencing? |
invisible
traditional |
How high is the fence? Is the fence
wood, chain link, etc. |
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What size is your fenced yard? |
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Do you live in a rural area?
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yes
no |
How close is your home to a busy
road? |
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Do you have a pool on your property?
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yes
no |
Is the pool independently fenced
from the rest of your yard? |
yes
no
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Does your town have a leash law? |
yes
no |
Does your town have a limit on the
number of dogs per household? |
yes
no |
Other
Comments: |
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ABOUT PRIOR PET OWNERSHIP |
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Have
you ever met a TM? |
yes
no |
If yes, whose? |
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Do
you currently own a TM? |
yes
no |
If yes, dog's full name: |
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Do
you currently own any other dog(s)? |
yes
no |
Please
describe your current dogs by breed, gender (neuter or spayed?)
and age: |
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Have
you owned a TM in the past? |
yes
no |
If yes, dog(s) full name(s): |
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Have
you owned any dog in the past? |
yes
no |
Please
described the cause of death for dogs you've owned in the past: |
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Do you own any cats? |
yes
no |
How many? |
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Are
they declawed? |
yes
no |
Are your cats socialized to dogs? |
yes
no |
Do
you have any other pets
in your home (guinea
pigs, birds, reptiles, ferrets, etc.)? Please
describe animal and its
containment. |
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Do
you have any livestock
on your property? |
yes
no |
Please
describe animal and its containment. |
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ABOUT
RESPONSIBILITY FOR
AN
ADOPTED / RESCUED
TIBETAN MASTIFF |
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Who
will be primarily responsible for this TM? |
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Where
will this TM sleep? |
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Where
will this TM spend time during the day? |
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How
will this TM be exercised? |
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Please
note - you MUST provide us
with a vet referral. |
Veterinarian
name? |
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Vet phone number? |
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Veterinarian
address? |
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Have
you ever obedience trained
a dog? |
yes
no |
Are
you willing to work on obedience with your TM? |
yes
no
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Do
you have access to training classes near your home? |
yes
no
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If
it is determined that the TM is in need of long term medial
care, are you willing to commit the resources to do so? |
yes
no |
Identify
the problems that you feel you are capable of handling in
a potential rescue dog |
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Why
do you want to rescue a TM (companion, guard dog, gift, to
breed, personal protection, playmate for current dot, for child,
replace previous dog, other)? |
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Have you contacted any TM breeders? |
yes
no |
If so, whom? |
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Have you ever surrendered a dog to
a shelter or rescue organization? |
yes
no |
If so, why? |
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If a TM were placed with you and
you could not keep the
dog, what would you do
with it? |
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How did you hear of Tibetan Mastiff
Rescue, Inc? |
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Are
you interested in a particular dog on our web site? |
yes
no |
If so,
which one? |
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ACKNOWLEDGEMENT |
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I
acknowledge that all of the information provided in this Application
is true and accurate |
Date: |
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Applicant's
Initials |
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Applicant's
Spouse/Partner's Initials |
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