E-mail Address: * First Name: * Last Name: Address1: * Address2: City: * State: * Zip Code: * Phone Number (cell): Phone Number (home): * Phone Number (work): Would you like to receive our newsletter? * Would you like to be included on our general mailing list? * Are you interested in adopting a specific dog from NJSRN? * If yes, please give the name of the dog and your reason: Do your share your residence with a spouse or partner? * S/P First Name: S/P Last Name: Do you have any roommates? * Roommate1 First Name: Roommate1 Last Name: Roommate2 First Name: Roommate2 Last Name: Do you have any children? * If yes, how many children? Please list ages: Do you have any grandchildren? * If yes, how many grandchildren? Please list ages: How often do your grandchildren visit? Are there any other household residents? * If yes, please explain: Are there other visiting children (under 10 years of age)? * Please list ages and frequency of visits: Your age (please note that you must be at least 18 years of age to apply): * Age of your spouse or partner: Age of roommate1: Age of roommate2: Do you rent or own? * Do you live an a/an ...? * Do you have or have daily access to a yard? * Is your yard completely fenced on all four sides? * Please describe, including type of fence and height: Approximately how often would your dog be alone? (Please indicate which days and include the average number of hours.) * Do you have any pets currently? * Dogs: List how many dogs, including their breed(s), sex(es), age(s), and spay/neuter status of each: Please describe the personality of your current dog(s): What do you feed your dog(s)? (Please include the brand name and whether the food is dry, canned, or a pouch.) Are there situations in which you allow your current dog(s) off-leash? If yes, please describe when, where, and under what circumstances: Do you ever use a tie out with your current dog? If yes, please describe the tie out and when and how it is used: Cats: List how many cats, including their sex(es), age(s), spay/neuter status of each, and whether or not they are declawed: Other pets (list number and type): Have you had other pets previously? (Do not include your current pets.) * What kind? Not including any current pets, have you ever owned a Schnauzer? * If yes, how many, when? What became of your Schnauzer(s)? Have you ever owned another breed of dog? If yes, please list breed(s): Died (how, when): Accident (what happened, when): Gave away (why, when): Other (explain): Gender preference: * Age preference: * Color preference: * Ear preference: * Tail preference: * Breed preference: * Are you flexible on gender? * Are you flexible on age? * Are you flexible on color? * Are you flexible on ear type? * Are you flexible on tail type? * Are you flexible on breed? * Some of the dogs in our rescue program have special needs. Examples include: * Occasionally we take in more than one Schnauzer from one home. They may be siblings, parent and child, or bonded pairs. Our goal is to keep them together, since that is what they have been used to their entire lives. * We do not operate a shelter. Our Schnauzers are housed temporarily in foster homes located throughout New Jersey, New York, and Pennsylvania. The Schnauzer who may be appropriately matched with your family could be several - or several hundred - miles from your home. Although NJSRN can usually help with some part(s) of the transportation, our policy dictates that a member or volunteer must be present to facilitate an adoption, and our closest person may be located in a different state or a significant distance from you. * Are you adopting this dog for yourself or for someone else? * If you are adopting for someone else, please explain: Are ALL members of your household aware of an in agreement with this potential adoption? * If no, please explain: Is anyone home during the day? * Are you currently employed? * Employer: Position (occupation): Employer Address1: Employer Address2: Employer City: Employer State: Employer Zip Code: Employer Phone Number: Are you employed ...? How many hours per week? Is your spouse or partner currently employed? S/P Employer: S/P Position (occupation): S/P Employer Address1: S/P Employer Address2: S/P Employer City: S/P Employer State: S/P Employer Zip Code: S/P Employer Phone Number: Is your spouse or partner employed ...? How many hours does your spouse/partner work each week? Is roommate1 currently employed? R1 Employer: R1 Position (occupation): R1 Employer Address1: R1 Employer Address2: R1 Employer City: R1 Employer State: R1 Employer Zip Code: R1 Employer Phone Number: Is roommate1 employed ...? How many hours does roommate1 work per week? Is roommate2 currently employed? R2 Employer: R2 Position (occupation): R2 Employer Address1: R2 Employer Address2: R2 Employer City: R2 Employer State: R2 Employer Zip Code: R2 Employer Phone Number: Is roommate2 employed ...? How many hours does roommate2 work per week? Is it likely that the employment status of any household member will change in the next 1 - 6 months? * Is it likely that the employment status of any household member will change in the next 6 - 12 months? * If yes, please explain: Who will have the main responsibility for daily care or training? * When you go on vacation, who will care for your dog? * Does anyone in your household have allergies? * If yes, to what? If you rent, does your landlord or leasing company allow pets? May we contact your landlord or leasing company? Name: Phone Number: If you live in a house, is it a single-family dwelling? If you live in a multi-unit complex or building, approximately how many units are there? Do you share the yard with another family, unit, or house? * If you have a fence, how is it secured (e.g., locks, latches, etc.)? Do you have a doggy door? * Do(es) your current pet(s) have continuous or limited access to the doggy door? Please explain: Do you plan the same for your next dog? * Do you plan to move within the next year? * If yes, when and where? Do you have an in-ground swimming pool? * If yes, is there a separate fence around it? Do you have an aboveground pool, Jacuzzi, or spa? * If yes, is there a cover, ladder, or deck around it? Do you have a current or recent veterinarian? * If yes, may we contact him or her? Veterinarian Name: Clinic: Clinic Address1: Clinic Address2: Clinic City: Clinic State: Clinic Zip Code: Clinic Phone Number: Are the records (vaccinations, tests, check-ups, etc.) for your pets on file here? Have you used an alternate or emergency veterinarian, clinic, or veterinary specialist? * If yes, may we contact them? Second Veterinarian Name: Second Veterinary Clinic: V2 Address1: V2 Address2: V2 City: V2 State: V2 Zip Code: V2 Phone Number: Are the records (vaccinations, tests, check-ups, etc.) for your pets on file here? Reference1 First Name (Groomer, pet-sitter, co-worker, friend, neighbor, etc. No relatives, roommates, or significant others, please.): * Reference1 Last Name: Reference1 Relationship: * Reference1 Phone Number: * Reference2 First Name (Groomer, pet-sitter, co-worker, friend, neighbor, etc. No relatives, roommates, or significant others, please.): * Reference2 Last Name: Reference2 Relationship: * Reference2 Phone Number: * If you have not included a veterinary reference, please provide a third personal reference. Reference3 Last Name: Reference3 Relationship: Reference3 Phone Number: Are you familiar with the temperament of a Schnauzer, its grooming requirements, etc.? * Where will your new dog spend most days (please be specific)? * Where will your new dog spend most nights (please be specific)? * Are there situations in which you will allow your rescued Schnauzer off-leash? * If yes, what are the circumstances (e.g., in back yard, on vacation, inclement weather, etc.)? * Is there ever a time when you will tie your rescued Schnauzer outside? * If yes, what type of tie out would you use? Do you plan to enroll your rescued Schnauzer in formal obedience training? * How do you plan to exercise your rescued Schnauzer? (Please be specific.) * Do you agree to keep your adopted Schnauzer as a house pet/inside dog? * What type of personality are you looking for (e.g., playful, active, quiet, cuddly, agile, mellow, etc.)? * Do you have any special requirements (e.g., housetrained, good with kids/dogs/cats/existing pets, non-shedding, etc.)? * Briefly explain why you would like a Miniature Schnauzer: * Have you applied to any other rescue groups? * If yes, to which groups? Are you financially prepared to provide care and upkeep for a dog at this time (at least $800+ per year)? * Have you ever been convicted of animal abuse or animal cruelty? * If yes, please explain fully: Would you be interested in volunteering with NJSRN (foster home, transport volunteer, other)? * If yes, what are you interested in doing? How did you learn about NJSRN? Questions/comments: New Jersey Schnauzer Rescue Network, Inc. (NJSRN) is an incorporated federally registered 501(c)(3) non-profit charitable organization. All donations go toward the care our dogs. Most of our rescues are middle-aged (5-9 years old) and are housetrained. We evaluate most of them in our homes; they live with us and our own dogs while waiting for their new families. All dogs are vet checked, spayed/neutered, vaccinated, de-wormed, tested for heartworms, groomed, evaluated for temperament, and have basic medical needs (such as dental cleaning) addressed prior to placement. Although we thoroughly evaluate our rescued dogs, we cannot guarantee health or temperament. Adoption fees are donations to NJSRN, not payment for value received, and are based primarily on the age and health of a particular dog and our expenses. The adoption donations for our younger and healthier rescues typically range from $50
- $550, with the rare puppy we get in requiring a slightly higher
donation of $600 - $700, and slightly lower adoption donations for our senior and special needs dogs. The adoption donation for all puppies ranges from $600
- $700. If a puppy is too young to be altered, an additional refundable spay/neuter deposit of $100 is required. (The spay/neuter deposit will be refunded after the adopting family provides veterinary documentation proving that the puppy was altered.) We also have a special “Senior for Seniors” program in which the adoption donation is waived for a senior citizen adopting a senior Schnauzer. Occasional dogs may have slightly higher than average adoption donations, depending on circumstances and our expenses. Adoption donations are mostly tax-deductible; please check with your tax advisor. Completion of the NJSRN Adoption Application does not guarantee approval. All dogs are subject to prior adoption. * Upon receipt, your application will be reviewed and shared with our members. You will be contacted by a particular dog’s advocate IF your home appears to be a potential match for that dog. We are advocates for the dogs in our care, and must select permanent homes based on their needs. This does not mean that your home is not a good one – it just may not be the right one for that dog. * Verification Code:
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