First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone*

Completing this application is time consuming, so before you begin filling out this application, please be aware:
1. This application is too difficult to be filled out on an iphone or iPad. Please use a computer.
2. If any of your pets are not spayed or neutered - STOP HERE!
3. We ONLY adopt in these states: PA, NJ, DE, VA and MD. We sometimes adopt to parts of CT, and WESTERN NY - we DO NOT COVER New York City or Long Island area. If you live outside of these areas - STOP HERE!
4. If you have children under the age of 10. STOP HERE!
5. If no one is home for 6 hours a day or more - STOP HERE!
6. If you cannot or will not walk this dog everyday, weather permitting - STOP HERE!
7. Brushing your dogʼs teeth at home on a daily basis is required. If you cannot commit to brushing - STOP HERE!
We reserve the right to forego processing of your application in this situation and will return any processing fee that has been submitted. If you want to get experience, we recommend that you volunteer at your local shelter - walk the dogs, feed them, brush them, ask about their history and care. If you accumulate 30 hours of volunteering at a shelter, we will count that towards your application.

Are you applying to adopt, foster or volunteer? Please check all that apply. Please know you can begin as a foster family, and foster families often adopt their own foster dog.
Choose all that apply: Adoption Fostering Volunteering

Have you ever housetrained a dog successfully?*

The most important thing you can do for your pet is to spay or neuter it. Are all of your pets spayed or neutered? If not, please do not proceed.*

All of our dogs are currently being fostered with a family. Someone is fostering and loving the dog you want to adopt. We are always looking for good families to foster the next dog who needs to be rescued. We need you to foster just ONE dog for us to show that you believe in rescue and what we do. Will you foster and give a Yorkie a temporary home? *

Are you applying for a particular Yorkie on our website?
Choose an animal: A Harper A Jack B Nimble A Luna A McGuyver A Miki A Wynter

Please be aware: The youngest, prettiest Yorkies are highly desirable and may be adopted before your application is completed and approved. If the particular dog you are interested in is adopted before your application is completed, are you willing to consider other available dogs?

Please provide your spouse or partner's full name.

What is your age? And the age of your spouse/partner (if applicable)?*

What is your current employment status? If you are currently employed, please provide your employer's name. *

If you have children under the age of 10 -- please STOP HERE! Children under the age of 10 are the number one reason that Yorkies are surrendered to rescue. To keep your children safe, as well as to keep the dogs safe, we do not adopt to families with young children. Please list the names and ages of any children living in your home. Do you have children under the age of 10 in your home?*

How long have you lived at your current address?*

If you have been at your current address for less than two years, please list your previous address.

Do you own or rent your current home?*
Choose one: Rent Own

If you rent, please enter your landlord's name and phone number. We will contact your landlord to confirm you are eligible to have a pet living in the property.

Please choose the type of home that best describes your current home.*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Please choose the environment which best describes the community you live in.
Choose one: Suburban Rural Urban

How many floors are in your home? Many stairs could be difficult for a small dog to negotiate.

Does your current home have a yard?*
Choose one: Yes No

If yes, is your yard fenced? (Be aware that an electric fence is no fence at all: 1. Big dogs can walk over and kill the Yorkie. 2. A thief can walk over and steal the Yorkie. 3. If the Yorkie runs through the fence, he cannot come home because he will be shocked. An electric fence is no fence at all for a small dog.)
Choose one: Unfenced Yard Yard Completely Fenced

If your yard is fenced, please describe the type of fence and how tall the fence is.

If your home has an in-ground pool that is NOT fenced SEPARATELY from your yard -- STOP HERE! Yorkies do not naturally know how to swim and can drown just as easily as a toddler. If you have an in-ground pool that a dog would have access to while out in the yard, we are unable to process your application. Do you have a pool in your yard that is not fenced separately from your yard?*
Choose one: Yes No

To feed, vaccinate, license and provide medical care for this animal, what do you anticipate spending yearly?*
Choose one: $200 $300 $400 More

Consider the following costs:
One vet office visit = $50
Professional service (actually seeing the vet) = $35
annual shots = $20 each x 3 = $ 60.00
So just to walk in the office door for two vaccinations will be $125
Yorkies need an annual dental cleaning = $500.00 up to $700.00
plus food, toys, bed, grooming, medication, license, neutering/spaying, sick dog visit, = at least $1000 a year

Can you afford to care for a Yorkie? *
Choose one: Yes No

Are you willing and able to deal with potential medical problems and/or special needs for your dog should they arise in the future? How you will pay for this - we will be asking this when your phone chat is done. We encourage you to consider pet insurance.*
Choose one: Yes No

Which member(s) of your household will feed and care for your dog?*

Will someone be at home with the dog most of the day - stay at home mom, working from home, different shifts for spouses, grandparent in the home, etc.?*
Choose one: Yes No

When you are away from home for a few hours, where will the dog stay while you are gone?*

On average, how many hours a day will the dogl be alone? Be aware - Yorkies need to get out to potty at least every 3 to 4 hours. In addition, they need and crave human interaction. If the dog will be alone more than 6 hours a day, stop here. Do not proceed with the application. *

When you MUST leave home for a few days - for an emergency hospitalization, for example - What is your back-up plan? This is crucial to your approval and your own peace of mind. Who has or will be given a key to your home to come in and TAKE the dog into their home if you could not come home today? Please provide their name and phone number for verification. This is especially urgent for applicants who have no back up person in their home.*

Where in your home will your dog spend most of it's time?*

Where will your dog sleep at night?

If the Yorkie you adopt is under the age of 24 months, we require that you provide the dog with professional obedience training classes. Do you agree to do so? *
Choose one: Yes No

If NO, why not?

Have you ever owned a Yorkie?*
Choose one: Yes No

If Yes, where is that Yorkie now?

How will you discipline the dog? Tell us how you would deal with unwanted behavior such as chewing dangerous items, chasing cars, etc. *

How would you react if you came home to pee and/or poop in the house?*

Do you have a preference for a male or female dog?
It is important for you to be aware that 95% of all the Yorkies we take into rescue are males - who are usually the gentler, more loving of the sexes. Therefore you will most likely be getting a male Yorkie.
Choose one: Male Female Either

Please explain your preference for male or female.

The average age of Yorkies in rescue is 6 years or older. Yorkies are a very long lived breed -- 16 to 18 years is not unusual. Will you consider an adult dog?
Choose one: less than one year 1 to 3 years 3 to 8 years 8 or older doesn't matter

Do you have a size/weight preference for the dog you adopt?*
Choose one: 6 to 10 pounds 11 to 15 pounds doesn't matter

Yorkies are small dogs -- the standard is 7 pounds. Some, like people, are bigger or smaller. The usual range is 6 to 10 pounds. If you have difficulty accommodating a 10 pound Yorkie, please consider that you need not carry a dog with you. They have 4 good legs and like to use them.

Does anyone in your home smoke?
We do not adopt a dog to a home with smokers. *
Choose one: Yes No

Would you consider adopting more than one dog if there is a bonded pair available? *
Choose one: Yes No

Have you ever given a dog away or surrendered a pet of yours to a shelter?*
Choose one: Yes No

If you have given a pet away previously, please explain the circumstances.

Do you currently or have you ever owned a dog?
If not, we may not be able to help you. Our dogs have lost so much already, we are looking for people who know how to train, discipline and exercise a dog.
Choose one: Yes No

If Yes, list breed, age, sex and size of each. Please note if each pet currently lives with you or is deceased.

Do you currently own a cat(s)?
Be aware - Yorkies should never have access to cat food (they consider it delicious but it is poisonous to the dog.) Also, the litter box must be located where the dog can not get to it. Dogs will eat the contents of the litter box which can make them very sick.*
Choose one: Yes No

Are your current pets spayed or neutered? Have your previous pets been spayed or neutered? (The reason for this question is not because we are so concerned about puppies. Animals who are not spayed or neutered are much more prone to life threatening health issues like pyometra and mammary cancer in females or prostate cancer and peri-anal tumors in males. If someone does not spay or neuter their pet, it is cause for concern about their care and knowledge of a new dog.) *
Choose one: Yes No

How do dogs get heartworm?

If the dog receives heartworm preventative, what kind and when was it last given?

Does this dog have any serious health issues that we need to be aware of, such as allergies, broken bones, or diabetes?
Choose all that apply: Yes No Maybe

List all pets you have owned in the past three years and what happened to them.

How long would you allow an adopted dog to adjust to you, your home and your current pets (if you have any)? If the dog wasn't adjusting, what would you do?*

Will you and/or someone else in your family walk this dog every day, weather permitting, with a harness and leash outside of your yard?

Do you have any health issues that would impact your ability to care for a dog? If so, please briefly explain.

We contact the vet you have used in the past for your pets to complete a veterinarian reference; Please list your vet's name and address.
if you do not currently own a pet, you will need a vet. Please identify the vet you intend to use and let us know the vet's name and phone number. We will not contact this vet.*

Please provide your Veterinarian's Phone Number.*

Please provide the names of all YOUR animals currently under care at this vet's office, and the owner's name under which the animal's records are listed. *

Please provide the Name and Breed of All Previous Pets in your household and their associated vet's name and telephone number for the past 5 years. Also include, why pets are no longer with you?

Please provide the name and phone number of two personal references - not family members - who have been to your home and can give a knowledgeable reference on your ability to care for a dog :
1. Name Phone*

2. Name and Phone*

Describe your daily routine and how your pets fit into your routine.*

In what time frame are you looking to adopt? Please understand that it could take days, weeks or months for your perfect match to come along.*

How long are you willing to wait for your dog?*

We would love to have your help doing rescue work. Our rescue is totally dependent on the efforts of many volunteers. Of course, we always need foster homes. There are also many other opportunities to help that do not involve bringing a foster dog into your home. Making phone calls, transporting a dog, manning a table at pet events, sewing dog beds -- there is a spot for you here in our rescue. Tell us how you want to help to save a Yorkie. We are so happy to have you join us - list the ways you want to help. *

Have you applied to other rescues/shelters for a dog?*
Choose one: Yes No

Please understand that we, and all of the other rescues, will be doing the same time consuming work of processing your application. You will probably only be adopting from one rescue. But all of us will be conducting phone interviews, setting up home visits and contacting the same vet for your references. We understand that you are looking for the right dog for your family. But we have very limited time to process your application - we all work full time jobs and have just a few hours left to do our rescue work - so time is very precious to us. If you want to adopt a dog from another rescue, WONDERFUL! We are happy to see any dog find a home. Please choose one rescue and stay with them until you find the right dog for your family. Just let us know that you are applying elsewhere and we will put your application on hold until you tell us that you have adopted elsewhere or want to adopt from us. Thank you for your understanding.

As part of the adoption process, we at Save A Yorkie Rescue will make every effort to provide you with a full and honest evaluation of the temperament of every dog we have in rescue. Please realize that often times the complete history of the animal may not be known and you may encounter some behavioral or medical problems after adoption that we are not aware of.*
Choose one: Yes Not sure Need more info

Will you consider our experience and knowledge in suggesting the best dog for your home? *

Good nutrition is important for our dogs. Please provide the name of the brand of kibble or dog food that you are feeding or will feed your dog. Typically, dog food purchased at the grocery store is not considered quality food. If you need to find a quality dog food, we suggest you visit www.dogfoodadvisor.com to research the best dog food brands. *

Describe the research you have done about the Yorkshire Terrier breed? *

Have you read a book, researched on the Internet or talked to breeders about Yorkies? If yes, please explain what you learned.*

How big is a teacup Yorkie?*

Tell us what you know about a Yorkie's teeth and the cost of their care. If you haven't done some research, now is the time. Teeth are a BIG and expensive issue for this breed.*

What is the name of the professional groomer you use now or you will use once you adopt?*

I certify that all of the information provided on this form is true and correct. I certify that I am financially and physically able to care for the animal I adopt. I understand that proper food and veterinarian care may be costly, and I am willing and able to meet these requirements. Submitting this application denotes information provided is true and correct.

I understand that home checks are made on a random basis following or prior to adoption. If, upon inspection, we find that information contained in this application is false, Save A Yorkie Rescue retains the right to deny your request and/ or remove the animal from your premises without a refund of moneys paid. Submitting this application denotes acceptance of terms.
Please remember: We are NOT a pet store that can supply cheap puppies to people who want a Yorkie but think they cannot afford to buy one from a good breeder. We rescue Yorkies and Yorkie mixes of all ages, sizes and in all conditions. Those that we rescue are the dogs we have to offer to you; someone who is looking to help a Yorkie find a home and a family. Our concern,first and foremost, is for each Yorkie's needs. We hope you understand and are in agreement with these goals. If you are looking to help a needy Yorkie, then thank you for completing this application. If you are looking for a pretty little puppy, let us know and we will give you names of good breeders who will put you on their waiting lists. This will give you time to save for the puppy.
Please enter your full name and the date. *