APPLICANTS BACKGROUND

Date:

Applicant's Full Name:

Date of Birth:

Drivers License #

Address:

City:

State:

Zip:

Home Phone #

Work Phone #

Email Address:

LIFESTYLE & LIVING ARRANGEMENTS

Do you own your own home?   Yes     No

Do you rent?  Apartment   Condo   House

If you rent, will your landlord be willing to sign a statement allowing you to keep a dog in the apartment, condo or house? Yes    No

Please provide your landlords name and phone number.

Do you have a fenced in yard?  Yes   No

Would you be willing to allow a home visit from one of our friends in your area?  Yes    No

Do you have any children?  Yes     No

If so, what are their ages?

Have they been exposed to dogs in the past?

Were there ever any problems with your children & dogs?

Do you work full time? Yes    No

Are there any family members at home full time?  Yes   No

DOG

Why do you want a performance dog?

What's your "ideal" goal for the dog you are interested in?

What's your "realistic" goal for the dog?

What sort of working drive do you feel would mesh with your personality, i.e., hard, sharp, moderate, low? And why?

Please list any prior dog training experience, titles earned, breeds owned, and what happened to these dogs.

Are you a member of any breed or competition clubs regional, national, or international?

Have you ever held office for any of these clubs? If so, was this office voluntary or elected?

Have you ever crate-trained a puppy/adult dog?  Yes   No

What are your feelings on crate-training & the use of crates?

How much experience have you had with the breed you are considering?

PETS CURRENTLY OWNED

Please list any dogs you currently own.

Name: Breed: Sex: Age:

Name: Breed: Sex: Age:

Name: Breed: Sex: Age:

Name: Breed: Sex: Age:

Please provide the name, address, and telephone number of your veterinarian as a reference.

Please provide the name and telephone number of one person who can attest to your character.

LIVING ARRANGEMENTS FOR DOG

Where will your performance dog live?

How much time alone will your dog spend?

OTHER INFORMATION

If you can think of anything on a more personal note that you'd like to add to this, we'd love to hear it. The idea behind these questions is that knowing the dogs temperament and traits, we may see different things in them than you would as a stranger attempting to evaluate, and may be able to guide you towards a dog which realistically suits your experience, needs and goals.

THANK YOU!