Home
About Us
Covid-19 Response
Adoption & Animals
Adoption Process
Adoption Form
All Dogs
Senior Dogs
Adult Dogs
Puppies
All Cats
How to Help
Donate
Memorial Donations
Foster
Volunteer
Our Events
Shop
Hats
T Shirts
Tank tops
Hoodies
Bottoms
Pet Stuff
Socks
Bags
Jewelry
Drinkware
Stickers
Towels
Phones
Account details
Contact Us
Adoption and Foster reference form
Home
/
Adoption and Foster reference form
Adoption and Foster Reference Form
Please enable JavaScript in your browser to complete this form.
1
Contact info
2
Google Searches
3
Applicant
4
References
Is this reference form for a Foster, or an Adoption applicant?
*
Adoption
Foster
Processor name (you)
*
First
Last
Applicant Name
*
First
Last
Applicant Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Applicant Phone
*
Applicant Email
Next
Google search results
Please Google the applicant name and town, and the applicant address - and note any red flags in the search results. We are looking for police reports, arrest warrants or similar articles.
Adult name and town
*
Note: Previous town results may appear if the Applicant has moved. Please include those, too.
Search Results (if none please put N/A)
*
Next
Applying to be:
*
Foster
Adopter
Dog name or type
Is this for a specific dog, or a specific kind of dog?
Previous
Next
Personal Reference #1
Name
*
First
Last
Phone
*
How do they know the applicant?
What is their relationship to the applicant, and length of that relationship?
Do they visit the home often and consider it suitable for an adoption/foster?
How would they describe the applicants demeanor around animals?
Would/have they left their own pets in the applicants care?
Would you care for their pets if they are away?
Do you feel the applicant has enough time, resources, willingness, energy, and patience to give a new pet adequate training, socialization, exercise, brushing, and playtime?
If applicable: Puppies are a lot of responsibility, often chew, and aren’t always initially housebroken. Do you feel that he/she would be capable of working with and training a young dog?
Additional Comments?
Personal Reference #2
Name
*
First
Last
Phone
*
How do they know the applicant?
What is their relationship to the applicant, and length of that relationship?
Do they visit the home often and consider it suitable for an adoption/foster?
How would they describe the applicants demeanor around animals?
Would/have they left their own pets in the applicants care?
Would you care for their pets if they are away?
Do you feel the applicant has enough time, resources, willingness, energy, and patience to give a new pet adequate training, socialization, exercise, brushing, and playtime?
If applicable: Puppies are a lot of responsibility, often chew, and aren’t always initially housebroken. Do you feel that he/she would be capable of working with and training a young dog?
Additional Comments?
*
Veterinary Reference
Office name
*
Name
First
Last
Phone
Have pets been seen at this office?
Yes
No
Unknown / nothing on file
Please list all pets that have been seen at this office
How long have they been clients?
Have pets been spayed / neutered? (Current and Past)
Yes
No
Unknown / not applicable
Have pets stayed up to date on vaccines?
Please list pets and vaccine status (Dogs-Rabies and DHPP) (Cats-Rabies)
Are pets on heartworm preventative? DOGS only
Yes
No
Unknown / Not applicable
Would the vet consider the applicant to be a responsible pet owner?
Yes
No
Unknown / Not applicable
Why not?
Additional Comments
Landlord Reference
Only applicable if the foster or adoptee rents. Please reference their application form for confirmation.
Name
First
Last
Phone
Is the tenant/applicant allowed to foster or adopt?
Yes
No
Please describe any restrictions (Breed/Size/Number of Pets)?
Breed, weight or quantity may be limitations of a rental contract.
Additional Comments?
Multiple Choice
First Choice
Second Choice
Third Choice
Single Line Text
Paragraph Text
Submit