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Carolina Poodle Rescue
Personal Reference Form

You have been listed as a Personal Reference for one of our Carolina Poodle Rescue applicants. Please answer the questions below.
If you prefer to speak on the phone, or complete this form via regular email (rather than a form), please email us at cprapplications@gmail.com
Thank you!
Carolina Poodle Adoption Committee

Personal Reference Questions
1. For whom are you completing this reference request? (Please enter name of applicant):

2. Your name:

3. Your home phone: (In case we need to contact you.)

4. Your Email Address: (In case we need to contact you.)

5. How long have you known the applicant(s)?

6. Is their home set up for dogs?

7. Do they have a fenced yard?

8. If the family has pets, how did they act with them? (If the family doesn't have pets, but you do, how did they act with your pets?)

9. Do they have young children or have them visiting frequently in their home?

10. How did their dog act when you visited?

11. Is their dog regularly vetted?

12. What sort of arrangements do they make for their dogs (or pets) when they go on vacation?

13. Would you leave your dog (or pet) with them?

14. Would you let them adopt a dog (or pet) of yours?

15. Is there any reason you know of why we shouldn't consider them for adoption?