Application SWAT Adoption (and Foster) Application Form For people interested in adopting or fostering an Airedale in Arizona, Nevada, New Mexico and Utah If you have problems with the on-line application, or prefer not to fill it out, Click here for a printable version of the application. Step 1 of 9 11% Applicant Name* First Last Applicant Primary Residence Street Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code We require your physical address for home visit purposes. If you use a post office box for mail, you may enter it below.Applicant Age* Applicant Mobile PhoneDoes applicant mobile phone accept text? Yes No No mobile phone Applicant Email* Enter Email Confirm Email Carefully check the email address you enter. A valid email address is required.Are you employed?* Yes No If employed, name and address of employerPrimary Telephone number*Home phone (or applicant cell phone)Does primary phone accept text? Yes No Not a mobile phone Spouse/Significant Other Name Name of spouse or significant other, if anySpouse/Significant Other Mobile PhoneDoes spouse/significant other mobile phone accept text? Yes No No mobile phone Spouse / Significant Other Email Enter Email Confirm Email Spouse / Significant Other Age Is spouse/significant other employed? Yes No If spouse/significant other is employed, name and address of employerMailing Address (if different from physical address) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you willing to have a rescue volunteer visit your residence by appointment both before and after adoption?* Yes Any other people living in the household?* Yes No Do you have other household members - children, grandchildren, parents, tenantsNames and Ages of other Humans who live with you full or part timePlease fill in the names and ages of other members of your householdDo you have frequent visitors?* Yes No Please list family members and friends who visit regularly, but do not live with you, along with their ages.Do you plan to add to your family in the next five years?* Yes No Do you currently own any dogs?* Yes No Breed, size, age, male or female, intact or neutered, how s/he gets along with other dogs, any medical conditionsPlease include anything that might affect a new dog.Do you own any indoor pets other than dogs?* Yes No Describe other current indoor pets*Please set out kind, age, male or female, intact or neutered, health conditions .. any other information you think might be pertinent to a successful placementAre you aware that some Airedales will kill cats and will never be able to live with a cat?* Yes No How often do dogs visit your home?* Often Infrequently Never Do you have any outdoor animals?* Yes No Describe your outdoor animalsAre your outdoor animals contained or would the Airedale have direct interaction with them? Yes, contained Airedale will have direct access Does anyone in your household have allergies to animals?* Yes No Describe allergies Why do you want an Airedale Terrier?*Why are you interested in adopting a RESCUED Airedale?*Do all family members want an Airedale Terrier?* Yes No If No, explain who does not and whyDescribe your family's typical day and how your dog(s) fit into that day.*(or how you anticipate your new dog fitting in if you don't currently have a dog)Is this your first Airedale?* Yes - First Airedale No - Currently own an Airedale No - Have previously owned an Airedale What do you know about Airedales? Include titles of books read and describe other sources of information.Are you aware of Airedale grooming needs and expenses?* Yes No In addition to regular brushing, Airedales need to have their hair cut and toe nails trimmed about every six weeks at an expense of $65 or more.Do you realize that Airedales are infamous for the water and mud they carry in their beards?* Yes No Describe your previous Airedale(s) and how long ago you owned one.Would this be your first dog as an adult?* Yes No Describe other dogs you have owned and how long ago you owned themBreed (or best guess), size, how long ago owned.Have any of the dogs you have owned as an adult had behavior problems? If so, please describe how you handled the issues. If you have not owned a dog as an adult, please state that. If none of the dogs you have owned as an adult have had any behavior problems, please state that.Examples would be shy or skittish, reactive towards other dogs when walked on leash, aggression towards animals or people, counter surfing, barking too much, attacking the door when people ring the bell, difficulty house breaking, separation anxiety, fear of loud noises, chewing unauthorized items.Describe the kind of temperament you are looking for in a dog (check all that apply)* Energetic Couch potato Watch dog Affectionate Independent Gets along with other dogs Gets along with cats Does well with children Loves all people Which gender do you prefer?* Male Female Either Would you consider the opposite sex, if one is more readily available?* Yes No Explain why you only want a male.Explain why you only want a female.Would you consider adopting a special needs dog, such as one with physical or sensory impairments or who requires medication for a permanent but controlled condition?* Yes No Any comments you would like to add about the dog you want.Age preference (check all that apply)* 8 weeks to 1 year 1 year to 2 years 2 years to 6 years 6 years or older Other Some Airedales are accustomed to being allowed on furniture, others are not. For placement information purposes, will your dog be allowed on the bed or other furniture?* Yes No Have you ever had to give up a pet?* Yes No Describe the CircumstancesWhy did you have to give up your pet?Have you ever had a pet run away, get lost, killed or stolen?* Yes No Describe the CircumstancesExplain what happened, or what you think happened, to your pet.Have you ever had a pet euthanized?* Yes No Describe the CircumstancesWhy did you have a pet euthanized? Who will be primarily responsible for the Airedale?*Daily work hours of primary caretaker* How many hours will the dog be alone on the average day?* 0-1 hours 1-2 hours 2-4 hours 4-6 hours 6-8 hours Where will the dog stay during the day when no one is home?*Where will your dog sleep at night?*Will the dog have the run of the house when you are home?* Yes No Please describe areas your dog will not have access to and reason for restriction:Are you familiar with crate training?* Yes No When would you use a crate?Where would you put a crate?Describe your plan to provide your dog with daily exercise.*(i.e., Playing in the yard, walking in the neighborhood, dog park) What activities will you share with your dog?* Walking Hiking Obedience Classes Agility Playing Catch Swimming Other Describe Other ActivitiesDo you have any experience with obedience training?* Yes No Describe your dog training experience. Housing Type* Single Family Home Apartment Condo/Townhouse/Duplex/Triplex Manufactured home (separate lot) Manufactured home (multi-residence complex) Guesthouse Farm or Ranch Do you own or rent your primary residence?* Own Rent Do you have written permission to have a dog over 50 lbs?* Yes, I have written permission No, I do not have written permission We will require written permission from your landlord prior to placing an Airedale with you.Does your homeowner's association have restrictions regarding pets?* Yes, there are pet restrictions. No, there are no pet restrictions. Some homeowners associations limit the size or breed of dog allowed.Landlord or Property Manager Name First Last The person who can confirm you have permission to own an AiredaleLandlord or Property Manager TelehoneLandlord or Property Manger Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived in this residence?* Less than one year More than one year If less than one year, address of prior residence.Do you have plans to change your residence (moving or vacation) in the next 90 days?* Yes No Do you have a yard?* Yes No Is your yard fenced?* Yes No Type of Fence Solid wall (example: wood, vinyl, aluminum, block) See through fence (example: chain link, wrought iron, post and rail) Invisible electric fence No fence Is the fenced yard directly attached to the house? Yes No What are the approximate dimensions of the fenced yard? How tall is your fence? Do you have a dog door already installed?* Yes No What are the dog door dimensions? Do you have a place in the yard where the dog would be allowed to dig?* Yes No Do you have a pool?* Yes No If you have a pool, is there a fence that would keep the dog out when no human is present? Yes No Would you allow your dog in the pool if s/he liked to swim? Yes No Do you have an additional residence?* Yes No Vacation home or summer/winter residence?Location and Description of other residences, including whether there is a fenced yard How often will you travel without your dog?* What arrangements will you make for your dog when you are traveling?* Name, Address and Telephone number of Veterinarian*Which of your pets have seen this vet and when was the most recent visit?Name, Address and Telephone number of Groomer*If you groom your dogs yourself, describe your experience with grooming dogs. The cost of owning a dog can be estimated at $700-3000 per year . Can you afford that expense?* Yes No Food, toys, dog beds, leash, collar, licenses, grooming, routine vet care, preventative medications and supplements, training classes, pet sitters, boarding.If your dog required emergency vet care, how would you pay for it?*I understand that rescues are spayed/neutered or have a spay/neuter contract.* Yes No I understand that if at any time an adopter cannot keep the animal, it must be returned to Airedale Rescue.* Yes No I understand that if an Airedale is placed with me, I will be asked to make a donation (suggested between $300 and $450)* Yes No Would you be interested in volunteering by fostering, transporting etc. Please indicate how you would like to help. Transporting Fostering Interviewing applicants Mentoring new owners Dog training Organizing dog play dates Correspondence Website Bookkeeping What is your anticipated time frame for adopting a dog? (We will not hold you to your reply; it is just to assist us in the planning and matching process.)* Immediately Near future (1-3 months) Within the year Whenever the right dog is available Is there any other information you would like us to consider?Confirm your humanity by checking box belowWe need to confirm you are a human by putting a check mark in the box. After you do this, you should see a page with all of your answers. You should also receive an automatic email with your answers. You might want to print those out just in case the internet black hole swallows the original. Thanks for making it all the way through! You obviously have Terrier Tenacity!HiddenApplicant Type Purple Orange Green Purple: Lots of love to give, but limited time or ability to exercise and train their new family member. Orange: Have time and ability to handle active dog. Will make the commitment for training and exercise. Green: Active lifestyle. Have experience with active dogs and enjoy constant daily training, exercise, and mental stimulation. Δ Like this:Like Loading...
