Senior Doberman Information
(Note: if this information is already available in another format, then e-mail the information, with a picture of the Dobe, to seniors@doberman911.org.)

The Senior Doberman Project limits its listings to only purebred senior Dobermans. AKC or other kennel club registration is not a requirement, but we do ask that all participants use their best judgment in determining whether a potential candidate for listing in the SDP is a purebred before submitting a senior for inclusion in the project. 

1.  Current Location of Dobe (city and state):  

1a.  How urgent is the need to find a home for this Dobe?
____Extreme Urgency: Doberman is in a shelter; could be put to sleep within ____ days

____Other (please explain) 

1b. Please briefly explain the Dobe's current situation, including: whether in a foster home, shelter, or other; any time constraints for placement; or other pertinent information. 



1c.  Please briefly explain how the Dobe came to be in need of a home?  (e.g., the Dobe was found abandoned, the owner could no longer care for the Dobe, etc.)



1d. Geographic area within which your rescue will place the Dobe:


2. Contact Information (Please provide info you are comfortable making public)
Name of Contact: 

Name of Rescue Organization: 

Phone Number (s): 			and/or:

Website Address (if applicable): 

E-Mail Address: 

3.  Basic Description of Dobe (please e-mail a picture with this form - if you need assistance with making a digital picture, then contact us)

3a. Doberman's Name (if known):

3b. Doberman's sex: 

3c.  Doberman's age:  

If age is not known, please indicate approximate years: 

3d. Doberman's Colors: 

3e. Ears Cropped?
Yes ____No _____

3f. Tail Docked?
Yes _____No ____

3g. Spayed or Neutered?
Yes _____ No _____


4. Special Medical Needs (if any)
Please indicate if the Dobe has been diagnosed with any medical complications and indicate any special medical attention required.



5.  Dobe's Knowledge of Obedience, Personality/Temperament, Likes/Dislikes (if known)
Please explain, as best you can, whether the Dobe has experience with obedience, is housebroken, and include any special personality information, such as interaction with children, other animals, etc.