Please Provide the Following Information:  Items with an " * " are required information.  The application will not go through if left blank. 

Rescue's Name:

 *Last Name   *First Name     Middle Initial

*Address *City   *State  *Zip

*Home Phone   Work Phone   Cell phone  E-Mail Address

*Good time to call if we need to reach you   AM PM ANY Please be advised that we will call collect if it is not a local call for us.  Often our first contact with you will be by email to set up a time to talk about  our rescues, so please make sure your email address is accurate and one that you check for emails often.

*Do you own rent lease other If other, please list here

If you rent, are pets allowed by the landlord?  Yes No

Landlord's Name Phone Number

*Do you live in a House Condo Apartment Other  If other, list here:   

Your Previous Address if less than two years at current address:

*Are you married or living with another adult? Yes No

If yes, does the other adult in your household approve of getting this dog?  yes no

*Your Age     Other Adult’s Age

 Number of Children        Children's Ages

Do you often have children that visit?  yes no If so, what are their ages and how often do they visit (i.e. your children’s friends, grandchildren, nieces, nephews, etc.)

Do you work outside the home? Yes No         If yes, where:     How Long?

 Your Occupation:   

Other Adult’s Occupation:   

How many hours a day do you work, including commute time both ways?

The other adult(s)?

How many hours per day would your dog be alone at home?

How many hours a day do you realistically view that you have to spend with your dog, excluding sleep?

If you work outside the home, how will the dog be cared for while you are at work? Please be honest.  If the dog will be alone, say so.  Do not say a neighbor will be in to check on the dog if that is not in your plan.  This helps us to better match a dog to your lifestyle. 

Will you allow the dog on the furniture?     no yes     Where will the dog sleep at night?

Others in the household who will have contact with the dog:

Often when a dog’s routine is disrupted or he/she is stressed, they may have accidents until a new routine can be established or re-established, as in cases of moving from foster care to a permanent home.  How will you handle this?

*Why are you interested in adopting a Rescued Dog? (Minimum of 10 characters)

*What are some traits you do NOT want to find in a Miniature Schnauzer?

Have you ever owned a Miniature Schnauzer before?  yes no

If “no” to the above, what investigation/research/experience do you have with this breed?

Are you committed to caring for this dog for its lifetime (10 to 15 years)? yes no  Please consider this carefully—often adopters find that they want to go back to school and suddenly don’t have time for the dog they adopted or they have children involved in multiple sports activities and organizations and the dog is left alone at home, or any host of lifestyle changes.  Please consider that dogs need human interaction on a daily basis and that a lifespan of 10-15 years means a commitment to this for a number of years. 

Miniature Schnauzers are a high maintenance breed when it comes to coat care.  Do you have the necessary time to groom the dog or the financial resources to have the dog professionally groomed every six weeks?  This entails brushing/combing of coat and dental care on a regular basis at home, not just the trip to the groomer.  You must be willing to commit to an hour or two a week yourself to brushing for coat maintenance and avoidance of mats beyond what your groomer does.

I have the necessary time to groom the dog myself I will have the dog professionally groomed

Routine Veterinary care (yearly shots, teeth cleaning and heart worm check/preventive) can cost up to $250 or more in some areas.  Can you afford the bills, routine and emergency? Yes No

*We strive to do our best in seeing that each Miniature Schnauzer  Rescue that is placed is in good health and disclose to all adopters any health problems the dog may have that we are aware of.  However,  chronic illnesses, such as diabetes, cushings, SARDS, pancreatitis, breast cancer, heart disease, or emergencies can strike at anytime.  Please tell us how you will handle a chronic illness should it strike your new family member? (Minimum of 20 characters )

What arrangements will be made for your Miniature Schnauzer when you go out of town?  Often people answer they will take the dog with them.  For many this is an option, but please consider your response—barking dogs alone in hotel rooms while on family vacation are not fun—if taking the dog with you is not feasible, please don’t answer such—there are no “right answers”.

We do not consider an invisible/underground fence appropriate fencing.  Miniature Schnauzers are terriers and have one track minds. Seldom will this type of fence stop them should they decide they need to go after something.  Invisible Fences do not keep other dogs/harmful elements out of your yard and your Miniature Schnauzer could be badly hurt.  It is for this reason that we cannot place a dog that requires a fence in a home that has one.  We will not consider a home that uses tie-outs as a form of restraint.

Do you have a fenced yard? Yes No Type of fence Chainlink 4 ft Chainlink 6 ft Wood Privacy Fence Other, please describe in box below

Is your yard completely/securely fenced on all four sides? yes no

Other type of fence, please explain in detail.

Are you willing to keep your dog on a leash when it is not confined in the house or yard? No Yes

*Under what conditions would you allow your dog off lead?   

Are you interested in No Preference Puppy Adult     Age Range No Preference Under 1 Year 1 to 3 Years 3 to 6 years 6 Years or older

Gender Male No Preference Female     Color Salt and Pepper Black Black and Silver No Preference

The average rescue dog is a male 5-7 years old.  Puppies are rare and there is usually a waiting list for one.  We also do have older dogs 8-10 years old that make wonderful additions to your home. 

If we receive a dog that fits your requirements in every aspect except gender should we call you?  No Yes

Dogs Currently in the home, age gender, and whether they are spayed or neutered.

Previously owned dogs and what happened to them.  Please include dogs that have died and what  they died from, etc.

Have you ever given away a dog or cat because you moved, got married, divorced, had a baby, etc.?  If so, please explain. 

Other Pets Currently Owned: 

Name of Vet:      Phone Number: 

May we use him/her as reference?  No Yes  

 If No, please explain why not in the area below.

Previous Vet if not currently seeing one:   

 Previous Vet's Phone

If you have not had a vet within the last 3 years,

Please list three personal references of people not related to you: 

Reference One:        Phone Number:   

Reference Two:      Phone Number:   

Reference Three:     Phone Number:   

Would you be willing to obedience train a dog that you adopted if it was recommended or required as being in the best interest of the dog? No Yes

Would you be willing to use a dog crate if it was recommended or required as being in the best interest of the dog?  Yes No

Would you be willing to allow a Louisville Schnauzer Rescue member to visit your home by appointment?  No Yes

Please add any other information you wish us to consider in placing one of our Miniature Schnauzers with you.  We would appreciate it if you would give us a little insight into the expectations you may have for this new addition to your family. 

Thank you again for completing our application.  All information gathered is confidential and used to aid us in better matching a dog to your home/lifestyle.   Unfortunately, due to a severe shortage of foster homes, this limits the number of dogs we are able to take into rescue and, therefore, adoptions are limited by those numbers.  If you are not selected for an adoption, it does not necessarily mean you are not a good home, but just that we select what we feel is the best home for a particular dog .    Please continue to check our website for others that may interest you.   Should your application follow down the path toward adoption after a phone interview, REFERENCES WILL BE CHECKED—both personal and veterinary.  All data is transmitting over a secure server and maintained on a secure server. 

By submitting this application  I/we certify that I/we are at least 21 years of age and that I/we will be the legal owner/owners and ultimately solely responsible for the caring for and well being of any dog I/we adopt.  Any misrepresentation of the true facts in this application will be grounds for rejection of the application .

Submission of this application electronically is acknowledgement of agreement to the above and is in lieu of a signature. 

(Please hit submit only once)