Shenandoah Shepherd Rescue Inc

New Adoption Application

McLean, Ed
3/21/2020

Name: Ed McLean
Address: 7571 Falkland Drive Gainesville VA 20155
County: Prince William
Home Phone: 2078948716
Cell Phone: 2078948712
Email: sccadriver@gmail.com

Please provide your age:

52

What is your current occupation? How long has this been your occupation?
Analyst, 25 years

A co-applicant is responsible person of at least 18 years of age that resides at the same physical address
as the applicant. Both are expected to be fully committed to the lifetime responsibilities of an adopted
dog. All below questions are for both the applicant and a co-applicant.

Co-Applicant Full Name:

Shana McLean

Co-Applicant Age:
43

Co-Applicant Phone:
2078948712

Co-Adopter Email Address:

srbmclean@gmail.com

What is the co-applicant's current occupation and how long at this employment?
Analyst, 20 years

In what type of home do you live

Single Family

How long have you lived in your home?

1 year

Do you have any plans to move within the next six months? If yes, please provide the address in
the box below. If moving to a new rental home, please list the new landlord information as well.
no

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Do you rent or own (live with family) your home?

Own Home
If you rent, please provide your landlord's name and phone number. If your name is not on the
lease, please provide the name of the leaseholder.
(no answer)
If you rent, have you received the approval of your landlord to have a dog?
(no answer)

Does your home have a yard?

Yes

If yes, please describe the yard. Does it adjoin to another yard? Is it fenced (if so, how?)
Five acres, fully fenced with a wooden fence and a gated driveway

Please list the names and ages of all members of the household:
Ed, 52; Shana, 43; Gwendolyn, 7; Kathleen, 82

Does anyone in your home have known pet allergies? If yes, please describe:
no

Are there any other people or pets that do not live with you who will be in frequent contact with
the dog (i.e. significant other, children of the significant other, neighbors, children/pets in the
extended family?). If yes, please describe:
no

What does a typical day look like for current pets (if applicable). Who is the primary caretaker?
How much exercise do the pets get? If no current pets, please describe your expectations of a
typical day.
We usually work away from home. We leave around 7:30 AM and return around 5:00 PM. A dog walker
comes mid-day on weekdays. Sometimes we take walks in the evenings. Weekends are usually at home,
and our dog is with us and has the run of the yard when she wants.

Please describe your skills and experience with the breed.

Ed grew up raising and training GSDs. We currently have a GSD.

Why are you interested in adopting a dog into your family at this time? What are your
expectations and hopes for this new family member?
We understand that there are many dogs that need to be adopted, and we have wanted a companion for
our dog. We would prefer a younger dog so that our daughter can play with it and learn to train it.

In terms of age (a range is fine), size/weight, coloring, coat type or gender, what is your family
looking for?
Female, short-hair (long would be ok), puppy to 8 years old, all-black or mostly black

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The following acknowledgement is required by the Applicant and Co-Applicant, if there is one.
Application approval means that I/we will be approved to adopt from Shenandoah Shepherd
Rescue. I/we understand that a dog I/we are interested in may not be available or may not be a
good fit for the home. Upon approval, a caseworker will be assigned, and through the caseworker,
introductions will be made with fosters/dogs that are good matches for the home. Please enter the
applicant and co-applicant's names to indicate acceptance of this policy.
Ed McLean and Shana McLean

We cannot guarantee the adoption of a specific dog, but please indicate if there is a dog you are
interested in at this time.
Remi 1135

If applying for a specific dog and that dog is no longer available, will you be open to adoption of
another dog?
Yes, continue with the process, I am open to other dogs.

If you have applied to or been approved by another rescue within the last two years, please
provide the name and location of that rescue.
N/A

Have you, a co-applicant or anyone who will be residing in the same home with the dog been
charged with or convicted of animal abuse or neglect? If yes, please provide full details (Charge,
Date, City/State):
N/A

Have you/co-applicant ever rehomed, returned or given up a pet? If yes, please explain as much
detail as you can:
no

How much time will the animal spend alone during the day?
During a regular work day, about 8 hours, split 4 and 4, but it will be with our dog.

What provisions would you make for ongoing care of your dog if you or a co-applicant are no
longer able to support the physical or financial needs of the dog, or in the case of your death?
Our current dog is written into our wills to be cared for, and the new dog will have the same provisions.

Where will the dog will be kept when you are away from home for work, errands and other short
term absences:
Ideally, the dog will have the run of the house, unless it needs to be crated.

Will the dog be crated?

Crate will be available if the dog wants it

How would you handle undesirable behaviors that may present in an adopted dog or with any

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resident pets? What is the plan if the approach is unsuccessful?

It depends on the situation - normal correction, crating, separation. If necessary, we would talk to a vet
about ideas.

Please describe any reason (issues that would cause a breaking point) that would compel you to
return a dog to the rescue:
Severe depression of our current dog that persists after a week or more.

Have you researched professional training and factored that in as part of the budget in
conjunction with adopting a dog?
We feel we are equipped to train a new dog, but we could afford a trainer if necessary.

Where would you expect the dog to spend its time while you are home? Where do you expect the
dog to sleep?
With us, and it would probably sleep in our bedroom like our current dog.

Will the dog ever be outside alone for longer than a bathroom break?
Yes

If Yes to the above question, describe the circumstances. Fenced (e-fence or physical fence), a dog
run, a doghouse or tethered? Please fully describe the circumstances under which this would
occur.
We have a fully-fenced yard with a wooden fence. Our dog is permitted to patrol/wander for about 15
minutes at a time if she wants to. When we're outside, she is with us.

Provide contact information for three personal references who are not family members regardless of
where they live, nor a spouse/significant other, or anyone living in your home or financially dependent
on you.

Reference 1 Name:
Charles and Debra Becker

Reference 1's Relationship To You:

friends

Reference 1 Phone:
703-559-1396

Reference 1 Email Address:

dbell504@hotmail.com

Reference 2 Name:
Bob Lavallee

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Reference 2's Relationship To You:

friend

Reference 2 Phone:
207-233-6311

Reference 2 Email Address:

rlldads@gmail.com

Reference 3 Name:
Elizabeth and KC Pak

Reference 3's Relationship To You:

friends and neighbors

Reference 3 Phone:
703-200-4233

Reference 3 Email Address:

liz.pak@gmail.com

Have you/co-applicant ever had a pet that injured another animal or person? If yes, please
explain:
no

Are there any pets in the home not owned by the applicant/co-applicant?
No
If yes, for the protection of any resident animals as well as an SSR dog, we will need to ensure they
are up to date on vaccines. Please provide the owner's name and veterinary provider contact
information. Please ensure the provider is given permission to speak with us.
(no answer)

Below we will ask you about pets that you and your co-adopter (if applicable) have had full
responsibility for in the last five years. This means decision making responsibility, day to day care and
financial responsibility for medical care. It is the applicant's responsibility to ensure the veterinary
providers are given permission to speak with a representative of the rescue to verify vetting history.
We recommend that you contact your vet provider(s) to confirm they are aware of this request and to
validate that the records they have for your pet(s) are accurate. We will be asking for records under
the applicant or co-applicant's name. Please ensure the name on the records are up to date to avoid
delays or miscommunication. We will be asking about each of the items listed below. If the vet
cannot confirm that all pets are/were fully vetted per the list below or there is a medical reason
that something was not provided, your application will be in approval jeopardy.

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Canine (Required)
Spay/Neuter
Routine well visits
Vaccines against rabies and parvo/distemper/hepatitis (DHPP)
Routine heartworm testing in conjunction with year round heartworm and flea/tick preventatives
Optional (based on risk factor): Bordetella, Lyme, Leptospira

Feline (Required)
Vaccines against rabies

We do strongly recommend spay/neuter, and regular well visits for all cats whether they are indoor only
or indoor/outdoor. Many pets instinctively hide signs of illness. Without monitoring, by the time an
illness manifests itself, it is often too late to help, and the pet has been suffering. Please also consider
that if a cat spends anytime outside (intentionally or not), it is a best practice to provide vaccinations for
feline leukemia, distemper/panleukopenia, rhinotracheitis, calicvirus. We would like to know that your
feline family members are also protected from these terrible diseases.

Given the above instructions, have you been responsible in this way for any pets? If no, please skip
all vet questions and proceed to the end of the application.
Yes

Please list the names of any pets that you/co-applicant have had care-taking responsibility for in
the last five (5) years.
Pawnee

Please list the names of any deceased/rehomed pets that you/co-applicant have had care-taking
responsibility for in the last five (5) years.
N/A

Veterinarian/Practice Name:
Staples Mill Animal Hospital

What is your veterinarian's phone number?

703-897-0100

Veterinarian's Address:
5548 Staples Mill Plaza, Woodbridge, VA 22193
If different than the name on the application, provide the name the vet records are under:
(no answer)

If there have been other providers for routine veterinary care, please provide the contact
information here. You may also include other providers if you wish (specialists, ER, etc)
not in last four years

Heartworm Preventatives: Please supply the brand, where you purchase them from and how often

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you administer for each pet.

monthly Heartguard, purchased through vet's online pharmacy

Flea/Tick Preventatives: Please supply the brand, where you purchase them from and how often
you administer for each pet.
monthly Frontline, purchased at BJ's or Wegmans

Pet Name, Species, Age:

Pawnee, GSD, 10 years

How long have you been responsible for this pet?

9.5 years

Has this pet had a verifiable history of: (select all that apply)
Rabies Vaccine (as req'd by state), Spay/Neuter, Annual Heartworm Testing: Canine, Year-round
Heartworm Preventatives, Year-round Flea/Tick Preventatives, Annual Well Visits, Canine Parvo,
Distemper, Hepatitis (noted as DHPP/DHLpp/DH2PP), Lyme: Canine, Optional, Bordetella: Canine,
Optional, Leptospira: Canine, Optional
Pet Name, Species, Age:
(no answer)
How long have you been responsible for this pet?
(no answer)
Has this pet had a verifiable history of: (select all that apply)
(no answer)
Pet Name, Species, Age:
(no answer)
How long have you been responsible for this pet?
(no answer)
Has this pet had a verifiable history of: (select all that apply) :
(no answer)
Pet Name, Species, Age:
(no answer)
How long have you been responsible for this pet?
(no answer)
Has this pet had a verifiable history of: (select all that apply):
(no answer)
Pet Name, Species, Age
(no answer)
How long have you been responsible for this pet?
(no answer)
Has this pet had a verifiable history of (select all that apply):
(no answer)
If you have more pets to list, please provide the above information for each pet.
(no answer)

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If any of the pets you have been responsible for are missing any of the care as described, please
provide as much information as possible regarding the reason for this:
Currently due for fecal panel - will get done soon

How did you hear about us?

Internet Search

You must agree to the following terms and conditions for this application to be considered.
Submitting this form indicates agreement.

I certify that the information entered on this application is accurate and true to the best of my
knowledge.

I understand that providing false information is grounds for denial of my application.

I certify that I am providing consent to SSR to contact my Veterinarian and my References for further
information if needed.

I certify that I am not applying for someone else, i.e., I am applying in my own name.

I understand that as a requirement to adopt I must keep my dog on heartworm prevention and flea and
tick prevention at all times.

I understand the cost, time and physical demands that come with pet ownership.

I am willing to allow a Shenandoah Shepherd Rescue representative to come to my home and conduct a
home visit.

I understand that if I have listed a co-applicant, he/she must be fully informed and in agreement with the
application/adoption.

I understand that SSR does not support adoptions as “surprises” or “gifts.”

I understand that SSR does not support adoptions as working, support or service dogs. SSR dogs are
companion dogs only.

I understand that during the home visit all members of my household must be present.

I am 18 years or older and am legally allowed to adopt a pet.

I understand that submission of this form provides a signature.

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Do you agree to the terms and conditions listed above?

Yes

Additional Comments/Information:
We would be interested in one of several of the dogs listed in the recent Facebook post: Remi,
Zelda/Heidi, Elle, Marla, Violet/Perunia, Jenna, Skittles, Juno.

Please provide the name of individual as it appears on the credit card or PayPal account:
Shana McLean

Please Remember To:

Notify references that an SSR representative will be calling.

Notify your vet that an SSR representative will be calling.

Check your spam/junk mail folder if you do not hear from us within a week.

Please add apps@shenandoahrescue.org to your email contacts/address book. After this

application is submitted, you may see a message that states "This item is currently not available",
or something similar. It is not an error. It just means you have completed the application (it is one
time use). An email will generate from our online system that will confirm receipt of the
application. It may be in your Inbox, your junk folder or a spam folder. If you receive this email,
this is confirmation that we have received your application. If you don't receive the confirmation
email, please directly email apps@shenandoahrescue.org. We have had situations before where
applicants have entered an incorrect email address. Please acknowledge this statement by typing
your name.
(no answer)

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