| 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?
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| Are you willing to adopt a TM as
a welcome and permanent member of your family? |
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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?
Your
Occupation? Your work
hours?
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| Does your spouse or partner work
outside the home? In what Occupation?
Work Hours? |
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Do you have children? How many?
Do they all live with you? Please list children's names and ages.
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| Do others live with you that will
have contact with this TM?
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? How long have
your lived at this address? |
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| If rental, does the lease allow pets?
Landlord's name/phone. |
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| Is it a single-family home?
Condo? Mobile home? Apartment? |
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| Is the yard fenced? Invisible
fencing or traditional fencing? |
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| 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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| 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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| Is the pool independently fenced
from the rest of your yard? |
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Does your town have a leash law?
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| Does your town have a limit on the
number of dogs per household? |
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| Other
Comments: |
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ABOUT
PRIOR PET OWNERSHIP
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| Have
you ever met a TM? If yes, whose? |
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| Do
you currently own a TM? If yes, dog's full name |
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| Do
you currently own any other dog(s)? |
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| 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?
If yes, dog's full name |
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| Have
you owned any dog in the past? |
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| Please
described the cause of death for dogs you've owned in the past: |
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| Do you own any cats? How many? Are
they declawed? |
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| Are your cats socialized to dogs? |
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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? 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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Veterinarian
name? Vet phone number? Veterinarian
address?
Please
note - you MUST provide us
with a vet referral.
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Have
you ever obedience trained
a dog?
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| Are
you willing to work on obedience with your TM? |
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| Do
you have access to training classes near your home? |
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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? |
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| 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?
If so, whom? |
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| Have you ever surrendered a dog to
a shelter or rescue organization? 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? 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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