Reference Check Report

Introductory Information

Date Reference Check Performed *

Your First Name *

Your Last Name *

Which dog is the adopter interested in? *

Adopter's First Name *

Adopter's Last Name *

Co-Applicant's First Name

Co-Applicant's Last Name

Reference First Name *

Reference Last Name *

Reference Phone Number *

How long have you known (applicant's name)? *

Have you been to (applicant's name) home? *

Do you know (applicant's name) current or past pets? *

How many dogs has (applicant's name) owned in the past, to your knowledge? *

Have you ever seen (applicant's name) mistreat any animal? *

How are the children with dogs (if any)? *

Do you feel like (applicant) is stable/responsible? *

If you had a dog, would you feel comfortable letting (applicant's name) keep your dog when you are away? *

How do you feel about (applicant's name) adopting a Doberman? *

Any additional comments from Reference? *

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