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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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?YesNoNo mobile phoneApplicant Email* Enter Email Confirm Email Carefully check the email address you enter. A valid email address is required.Are you employed?*YesNoIf employed, name and address of employerPrimary Telephone number*Home phone (or applicant cell phone)Does primary phone accept text?YesNoNot a mobile phoneSpouse/Significant Other NameName of spouse or significant other, if anySpouse/Significant Other Mobile PhoneDoes spouse/significant other mobile phone accept text?YesNoNo mobile phoneSpouse / Significant Other Email Enter Email Confirm Email Spouse / Significant Other AgeIs spouse/significant other employed?YesNoIf spouse/significant other is employed, name and address of employerMailing Address (if different from physical address) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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?*YesNoDo 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?*YesNoPlease 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?*YesNoDo you currently own any dogs?*YesNoBreed, 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?*YesNoDescribe 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?*YesNoHow often do dogs visit your home?*OftenInfrequentlyNeverDo you have any outdoor animals?*YesNoDescribe your outdoor animalsAre your outdoor animals contained or would the Airedale have direct interaction with them?Yes, containedAiredale will have direct accessDoes anyone in your household have allergies to animals?*YesNoDescribe 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?*YesNoIf 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?*YesNoIn 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?*YesNoDescribe your previous Airedale(s) and how long ago you owned one.Would this be your first dog as an adult?*YesNoDescribe 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?*MaleFemaleEitherWould you consider the opposite sex, if one is more readily available?*YesNoExplain 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?*YesNoAny 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?*YesNoHave you ever had to give up a pet?*YesNoDescribe the CircumstancesWhy did you have to give up your pet?Have you ever had a pet run away, get lost, killed or stolen?*YesNoDescribe the CircumstancesExplain what happened, or what you think happened, to your pet.Have you ever had a pet euthanized?*YesNoDescribe 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 hours1-2 hours2-4 hours4-6 hours6-8 hoursWhere 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?*YesNoPlease describe areas your dog will not have access to and reason for restriction:Are you familiar with crate training?*YesNoWhen 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?*YesNoDescribe your dog training experience. Housing Type*Single Family HomeApartmentCondo/Townhouse/Duplex/TriplexManufactured home (separate lot)Manufactured home (multi-residence complex)GuesthouseFarm or RanchDo you own or rent your primary residence?*OwnRentDo you have written permission to have a dog over 50 lbs?*Yes, I have written permissionNo, I do not have written permissionWe 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived in this residence?*Less than one yearMore than one yearIf less than one year, address of prior residence.Do you have plans to change your residence (moving or vacation) in the next 90 days?*YesNoDo you have a yard?*YesNoIs your yard fenced?*YesNoType 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?YesNoWhat are the approximate dimensions of the fenced yard?How tall is your fence?Do you have a dog door already installed?*YesNoWhat are the dog door dimensions?Do you have a place in the yard where the dog would be allowed to dig?*YesNoDo you have a pool?*YesNoIf you have a pool, is there a fence that would keep the dog out when no human is present?YesNoWould you allow your dog in the pool if s/he liked to swim?YesNoDo you have an additional residence?*YesNoVacation 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?*YesNoFood, 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.*YesNoI understand that if at any time an adopter cannot keep the animal, it must be returned to Airedale Rescue.*YesNoI understand that if an Airedale is placed with me, I will be asked to make a donation (suggested between $300 and $450)*YesNoWould 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!Applicant 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. Like this:Like Loading...
