Dachshund Rescue, Education, Awareness, and Mentoring
Adoption Application

Contact Information

The first few questions are just general contact questions about you.

*First Name

*Last Name

*Email

*Street Address

Address Line 2:

*City, State, & Zip:

*Home Phone

Work Phone

Cell Phone

*When and how is the best time to contact you? Text, which phone, email?

*What is your occupation?

*What is your age?:

The Dog For You

The following questions will let us know the kind of dog that will work best for you.

*Are you applying to foster or adopt a dog from DREAM?

*Is there a specific dog you are interested in? If so, please list the name. If not, please just type "No."

*Why do you want to adopt a dachshund?

*Describe the personality of the ideal dog for your home.

*Dachshunds generally live to 14 - 16 years of age. What ages of dog are you willing to consider adopting?
Check all that apply

Under one year (rarely available)
1 - 3 years
3 - 5 years
5 - 8 years
Over 8 years

*Dachshunds come in 3 hair types: smooth (most common), longhair, and wirehair (not common in Georgia). Which hair types are you willing to consider?
Check all that apply

Smooth
Long
Wire

*Which gender are you willing to consider?

Male
Female
Either

*Purebred Dachshunds range from mini (as small as 5-7 pounds) to standard (as large as 35 pounds). Which sizes are you willing to consider?
Check all that apply

Mini (as small as 5-7 pounds)
Tweenie (13-24 pounds : Most common)
Standard (as large as 35 pounds)

*Are you willing to consider adopting a dog that is not a purebred dachshund, but a mix with primarily dachshund characteristics?

Yes, I am open to considering a mix
No, I only want a purebred

Which of the following situations are you NOT willing to consider?
Check all that apply

Dog that is 8 years of age or older (note that dachshunds generally live to age 14 - 16)
Dog that is not reliable with small children
Dog that is physically handicapped
Dog that requires ongoing medications (besides heartworm preventative)
Dog that needs housetraining
Dog that "marks" (separate from housetraining)
Dog that has chewing issues
Dog that is shy or fearful of strangers
Dog that does not get along with other dogs
Dog that does not get along with cats
Dog that has occasional defensive aggression issues
Dog that has occasional other aggression issues

*What other characteristics would you find undesirable in a dachshund?

*Many dogs react well to obedience training, and such training often solves other problems like chewing, housetraining, and marking. Are you willing to take your new dog for obedience training if needed?

Yes
No
Your Household

This section tells us about the other people in your home. Please tell us about all other people residing with you, including their name, their age, and their relationship to you.

*Are there others who live in your home?

Yes
No

Name

Age

Relationship to you

Name

Age

Relationship to you

Name

Age

Relationship to you

If there are additional people in your home, please list their names, ages, and relationships to you, in the box below.

*Does anyone in your home have animal allergies or asthma?

Yes
No

Please describe any other special considerations about any members of your household.

Your Other Pets

Please tell us about the other pets in your home.

*How many other dachshunds live in your home?

*How many other dogs live in your home?

*How many cats live in your home?

*How many other animals live in the home?

Please describe your existing dogs:

  • Name
  • Age
  • How long you have owned them
  • Male/Female
  • Lives Inside/Outside
  • Personality

*What kind of food do you feed your current dogs?

*How much do you feed your current dogs?

I measure the food
I free-feed the food

*How would you discipline a dog) that had a housetraining accident during the day while you are out?

*How would you discipline a dog that you saw "marking" in the house?

*How would you discipline a dog that would not come when you called him?

*How would you discipline a dog that played too roughly with you or a visitor?

*How would you discipline a dog that vomited in your home?

*How would you discipline a dog who had "poop" accidents in the house while you were out?

*How do you think your existing pets will react to a new dachshund into their home?

*If you have had previous other pets, what happened to those no longer living with you?

Is there anything else you want to tell us about your existing pets?

Your New Dog's Life

The next few questions give us an idea of what life will be like for a dog in your home.

*How will your dog spend its day?

*Who will have the primary responsibility for caring for your dachshund?

*Does everyone in the family agree that they want to add a dachshund to your home?

Yes
No

*Do you plan to let your dog roam freely outside a fenced area?

Yes
No

*Where will your dog sleep?

*How and where will you exercise your dog?

*How many hours per day are you and your family away from home - that is, how many hours will the dog spend alone without people on a typical work day?

Veterinary Care

These questions tell us about your pets and vet care.

*How often are your dogs tested for heartworm?

*When was the last time you gave your dog heartworm preventative?

*What type of heartworm preventative do you use?

*How often do you visit the vet for preventative / well-pet care?

Annually
Twice a year
Every two years
Other

*Are your dogs and cats current on their vaccinations?

*Are any of your pets NOT spayed or neutered?

If you answered Yes to the question above, please tell us about your unaltered pet, and why you decided not to spay / neuter.

*The cost of veterinary care can vary widely depending on where you live. How much are you willing to spend on standard, preventative veterinary care for your dog annually?

Less than $50
$50 - 100
$100 - 300
More than $300

*Heartworm preventative is an essential part of preventative care, especially in the Southeast. Heartworm disease is very prevalent here, and the treatment is costly, time-consuming, and painful. Are you willing to spend approximately $50 per year on monthly heartworm preventative, and make sure that you give it to your pet EVERY month?

*What would you do if your dachshund were to become paralyzed from a back injury?

*Part of loving a pet is saying goodbye. When you adopt a dog, you take responsibility for its care until it has lived out its life. All older dogs generally require medications and special care to make their last years comfortable. Are you prepared to take care of your dog until age has caused her quality of life to decline to the point that euthanization is the loving thing to do, and then to hold her while your vet puts her to sleep as your final act of love and care?

Yes
No

Is there anything else you'd like us to know in this section?

Your Home

These questions tell us about your home, so we can better tell which of our dogs will be a good match for your situation (if you are not applying for a specific dog).

*Type of Home

House
Apartment
Condo or Townhouse
MobileHome

*Do you own or rent your home?

Own
Rent

If you rent your home, please provide the landlord's name and phone number. You will be required to provide written proof that you have permission to have a pet and have paid any pet deposits.

*How would you describe your home's surroundings?

Urban
Urban neighborhood
Suburban
Rural
Other

*Are there stairs in your home?

yes
No

If there are stairs in your home, please describe them. (We ask this because purebred dachshunds are prone to back injuries. They should not be allowed to climb up or down stairs without assistance.)

*Do you have a fenced yard? (This is not required, but useful information because some dogs do better with a fenced yard, while other dogs do better by being leash walked.)

yes
No

If you do have a fenced yard, please describe the yard, including size of yard, type of fence, and height of fence.

If you do not have a fenced yard, please describe how you will take your dog outside for "potty time" and to be exercised.

*If your dog needed a fenced yard, would you be willing to fence it?

yes
No
Dachshunds and Children

Purebred dachshunds are sometimes wonderful with children, and sometimes will try to "discipline" them. However, they are often not the best choice for families with children under 5, because of the danger to injury for both the dog and the child.

*Is your family planning to add children to the home during your dachshund's lifetime?

yes
No

*Does your family have frequent visits from children under 5?

yes
No

*Does your family have frequent visits from children 6 - 10?

Yes
No

*If you do have children in your home, please describe how you will teach them to care for animals in general, and dachshunds in particular. (If you do not have children, just type "No kids."

Dachshunds and Visitors

These questions will give us the information we need to match a dog with a social personality similar to your home's lifestyle.

*Many dachshunds are shy of strangers at first, but warm up if given the opportunity to approach a stranger in their own time and on their own terms. Are you willing to be patient with a dachshund that is a little reluctant to meet new people right away?

Yes
No

*How often do you have visitors in your home?

*If you do have frequent visitors to your home, how will you separate your dog from the visitors if he/she becomes frightened or agitated?
Check all that apply

Baby gate
Crate or Kennel
Separate room
Fenced yard
I do not have a way to separate my dog in the home,
I do not have frequent visitors to my home
References

Please list 3 references.

If you currently own or have ever owned pets, one of the references must be your veterinarian. Please advise your vet that we will be calling, and give your permission for them to release information to us. If you have never had a veterinarian, please provide a personal reference not related to you in that space.

Only one of the other references can be related to you.

References who own pets themselves are preferred. Please let your references know that we will be calling.

*Veterinarian's Name
(**previous vet if you do not have a pet now but had one in the past)

*Years Known

*Vet's Phone

Vet's fax number

*Street Address:

*City, State, & Zip:

Email:

*Reference 2: Name

*Years Known

*Reference 2: Relationship to You

Veterinarian
Friend
Co-worker
Employer
Sister
Brother
Mother
Father
Other Family Member
Other

*Street Address:

*City, State, & Zip:

*Reference 2: Phone

Email:

*Reference 3: Name

*Years Known

*Reference 3: Relationship to You

Veterinarian
Friend
Co-worker
Employer
Sister
Brother
Mother
Father
Other Family Member
Other

*Street Address:

*City, State, & Zip:

*Reference 2: Phone

Email:

How did you hear about us?

You're all done!

Remember, questions with an asterisk * require an answer. Please take a quick scroll back up and check to ensure that you answered all required questions before submitting. If, for some reason, a required question does not apply to you please put NA in that spot.