Apply to Adopt a Doxie in the Midwest

Adoption Application

Before applying to adopt, please read the MWDR guidelines here

For the wellbeing of the dogs we rescue, ALL adopters must check the following:

I am 23+ years oldI reside in WI, IL, IN, MN, IA, MI or OHMy current pets are spayed/neutered Please confirm you are 23 or older
Please confirm you live in one of the indicated states
Please confirm your other pets are spayed or neutered. Check the box if you do not currently own pets.

NOTE: You must check all three eligibility requirements in order to proceed.

To preserve our commitment to providing the highest level of care for displaced Dachshunds, we are unable to make exceptions to these classifications.

Please complete the following applications in its entirety. Once we receive and process your application, we will be in touch shortly. Thanks in advance for your interest in adopting a dachshund!

Contact Information

Full Name(*)

Please enter your full name
Email Address(*)

Please enter a valid email address
Street Address(*)

Please enter a valid street address
City(*)

Please enter a valid city
State(*)

Please enter your state
Zip Code(*)

Please enter a valid zip code
Home Phone(*)

Please enter a valid phone number
Cell Phone

Please enter a valid phone number

Household & Family Dynamics

Type of Residence(*)

HouseCondoApartmentMobile HomeOtherPlease enter the type of residence
Do you own or rent?(*)

OwnRentOtherPlease enter whether you own or rent
Explain?(*)

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If you rent, is landlord agreeable to pets on the premises?

YesNoNot applicableInvalid Input
Do you have a yard?(*)

YesNoPlease enter whether you have a yard
Yard Size

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Is your yard completely fenced in?(*)

YesNoPlease indicate if your yard is completely fenced in
If no, what type of exercise program will you set for your dachshund?

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Are there stairs in your residence?(*)

YesNoPlease enter if there are stairs in your residence
Please list the names, ages and relationships of those residing with you (or "none").(*)

Please list the names, ages and relationships of those residing with you, or "none".
Do you often have other people visiting your home?(*)

YesNoPlease enter if you often have other people visiting your home
Grandchildren?(*)

YesNoPlease enter if there are grandchildren around
Other children?(*)

YesNoPlease enter if there are any other children around
Have your children (if applicable) been exposed to dachshunds?(*)

YesNoNot applicablePlease enter if your children (if applicable) have ever been exposed to dachshunds
How will you monitor young children around your dachshund?(*)

Please enter how will you monitor young children around your dachshund
Are you aware that dachshunds are not the best choice for families with very young children?(*)

YesNoPlease enter if you aware that dachshunds are not the best choice for families with very young children
Is everyone in the residence and family agreeable to adopting a dachshund?(*)

YesNoPlease enter if everyone in the residence and family is agreeable to fostering a dachshund and helping with its care

Pet Experience

Have you ever had a dog?(*)

YesNoPlease enter if you have ever had a dog
Have you ever had a dachshund?(*)

YesNoPlease enter if you have ever had a dachshund
What happened to any previous dogs no longer living with you?(*)

Please enter what happened to any previous dogs no longer living with you
Do you currently have any pets?(*)

YesNoPlease enter if you currently have any other pets
If yes, please provide name, species, breed and age of each:

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Are all your pets spayed or neutered?(*)

YesNoPlease enter if all your pets spayed or neutered
If not spayed/neutered, please explain why.(*)

Please enter if your dog is spayed or neutered.
Are all your pets up to date on annual vaccinations?(*)

YesNoPlease enter if all your pets up to date on annual vaccinations
If not up to date on vaccinations, please explain why.

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Are you familiar with the necessary shots (annual) as well as heartworm testing and prevention?(*)

YesNoPlease enter if you are familiar with the necessary shots (annual) as well as heartworm testing and prevention
Are you familiar with flea/tick treatment and prevention?(*)

YesNoPlease enter if you are familiar with flea/tick treatment and prevention
Are you familiar with proper dental care for dogs?(*)

YesNoPlease enter if you are familiar with proper dental care for dogs

Dachshund Breed

Are you familiar with the unique personality of a dachshund?(*)

YesNoPlease enter if you are familiar with the unique personality of a dachshund
Are you aware that dachshunds are susceptible to weight gain and house-training problems?(*)

YesNoPlease enter if you are aware that dachshunds are susceptible to weight gain and house-training problems
Would you be willing to take the dachshund for obedience training if needed?

YesNoInvalid Input
Please list some characteristics that the dachshund breed exhibits.(*)

Please list some characteristics that the dachshund breed exhibits.
Are you aware that dachshunds are susceptible to back injuries?

YesNoInvalid Input
Are you aware that treatment for back injuries may require surgery at a cost of $6,000 or more?

YesNoInvalid Input

Care of the Dachshund

Would you consider all options for a dachshund with back-related injuries (e.g., steroid treatment, surgery, acupuncture, cart) before euthanasia?

YesNoInvalid Input
How would you be willing to accommodate a dachshund with a back injury (e.g., ramps, carrying up stairs)?

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A dachshund's average life expectancy is 14 to 16 years. Are you fully committed to caring for the dog its entire life?

YesNoInvalid Input
Please give an estimate of the annual cost for routine care of a dachshund (food, vetting, preventative, etc.).

Invalid Input
Why do you want to adopt a rescued dachshund?(*)

Please enter why you want to foster a rescued dachshund
Who will be primarily responsible for the care of the dachshund?

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Sometimes rescue dachshunds have special needs and require patience and understanding. Please list some special needs that you think a rescue may have.(*)

Please list some special needs that you think a foster dachshund may have
How many hours a day will the dog be left alone?(*)

Please enter how many hours a day will the foster be left alone
If you work outside of the home, who will take care of the dog while you are away?

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Who will care for your dog when you travel?

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Where will the dog be kept during the day?(*)

Please enter where will the foster be kept during the day
Where will the dog sleep at night?(*)

Please enter where the foster will sleep at night.
Dachshunds can sometimes be difficult to housebreak. If needed, how will you housebreak your new doxie?(*)

Please enter, If needed, how will you housebreak your foster
What type of dog food do you intend to feed the dog? (e.g. brand name, wet, dry, etc.)

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Preferences

Are you willing to adopt a dachshund that is older?(*)

YesNoPlease enter if you are willing to foster a dachshund that is older
If yes, what age are you willing to consider?:(*)

8 to 10 years11 to 12 years 13 to 15 years16+ yearsPlease enter if you are willing to foster a dachshund that was abused
Are you willing to adopt a dachshund that was abused?(*)

YesNoPlease enter if you are willing to foster a dachshund that is not reliable with children
Is not reliable with children?

YesNoInvalid Input
Is physically handicapped?(*)

YesNoPlease enter if you are willing to foster a dachshund that is physically handicapped
Requires ongoing medication other than heartworm preventative?(*)

YesNoPlease enter if you are willing to foster a dachshund that requires ongoing medication other than heartworm preventative
Is recovering from medical treatment and may need foster care for up to 4 months?(*)

YesNoPlease enter if you are willing to foster a dachshund that is recovering from medical treatment and may need foster care for up to 4 months
Has previous back-related injuries?(*)

YesNoPlease enter if you are willing to foster a dachshund that has previous back-related injuries
Requires continued house training?(*)

YesNoPlease enter if you are willing to foster a dachshund that requires continued house training
Would you consider adopting a pair of dachshunds in the case of dogs that should not be separated and need to be placed together?

YesNoInvalid Input
Dachshunds come in a variety of colors, coat types, and sizes. Please select your preferences:
Color

Red
Black & Tan
Chocolate
Piebald
Dapple
Other
No Preference
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Coat

Smooth
Long
Wire
No Preference
Invalid Input
Size

Miniature (10 lbs or less)
Tweenie (11 - 18 lbs)
Standard (19 - 35 lbs)
No Preference
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Gender

MaleFemaleNo preferenceInvalid Input
Preferred age range in years

Under 1*1 - 78+Invalid Input
If you are applying to adopt a specific dachshund, please enter the name of the dog.

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Anything you would like to add that would help in determining the right dachshund for your living situation?

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References

Name, address and phone number of landlord (if applicable).

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Name, address, phone number, and fax number of veterinarian.(*)

Please enter the information for your veterinarian.
Name, address, email address, and phone number of three personal references:
Reference 1(*)

Please enter a reference
Reference 2(*)

Please enter your second reference
Reference 3

Please enter your third reference
If you are currently working with another MWDR Representative, please provide his/her name and e-mail address:

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By signing below, I give permission for a MidWest Dachshund Rescue, Inc., representative to contact my landlord, veterinarian and/or personal references. I acknowledge that I have completely read this adoption application, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with requirements of this application or the adoption contract can result in the forfeiture of any MidWest Dachshund Rescue dog adopted by me.
Enter Name(*)

Please enter your name for confirmation