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About Us
Adoptables
Donate
Volunteer/Foster
Events
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FAQ
Contact

Submit Foster/Volunteer Reference Check Forms

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Submit Foster/Volunteer Reference Check Forms

Foster Home Reference form at top of page.

Volunteer Reference form at bottom of page.

FOSTER APP PERSONAL REFERENCE SCRIPTED TEXT:

Hi (Reference)! This is (Your Name) from Pawsitive Restorations Animal Rescue. (Applicants name) would like to be a foster pet parent for us and he/she listed you as a personal reference! Since you are such a close, personal friend of theirs, we have a few questions for you. Your answers to these questions WILL remain confidential.

What kind and how many animals does he/she currently have?
Would you be comfortable with him/her taking care of your animals?
Have you seen him/her interact with animals? What was your impression of that?
Are you aware of any history of animal abuse, neglect or surrender regarding him/her?
Are you aware of any criminal history/activity by the applicant?
Anything additional you’d like to add?

If you could please let me know your thoughts on these questions within 24 hours I would greatly appreciate it! We can’t complete their application without you. Please feel free to text me back or call me at this number. Thank you so much and have a great day!

Foster Home Reference Form

Foster Application Reference Check

Date Application Received *

Reference Form Complete or Incomplete *

APPLICANT INFORMATION

Applicant Name *

Applicant Name

First

First

Last

Last

Partner Name (if any)

Partner Name (if any)

First

First

Last

Last

Applicant Address *

Applicant Address

Applicant Address

Applicant Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Email *

Phone *

DOB / AGE *

Are Applicant or Housemates on DNA/DNF List? *

FOSTER EXPERIENCE / GOALS

Does Applicant Currently Foster for any Other Organizations? If yes, who? *

FOSTERING GOALS *

Let's save ALL the animals! Im a ride or die kinda person!

To find a potential adoption match for my household

To have some company/fun with a dog

To help with the pet overpopulation crisis

To help an animal recover from an injury or illness

To help train a dog to be more adoptable

To learn more about rescue work

Previous Foster Experience *

INTERESTED IN FOSTERING: *

Older Puppy (single)

Litter of puppies (2 or more) with no mom

Litter of puppies with mom

Pregnant

Female dog only

Male dog only

Small dogs under 15 lbs

Medium dogs up to 60 lbs

Large/Extra large dogs

Dogs who are under-socialized

Medical cases (recovery)

Seniors

Hospice

Cats / Kittens

HOME / YARD INFORMATION

Home Owner / Renter *

Home Owner - proof submitted

Renter - Landlord Approval Received

Home Is A: *

Detached Single Family

Apartment / Condo

Patio Home / Townhouse

YARD / FENCE *

Fully Fenced, Secure Yard

No Fence / Partial Fence

Fence Height *

3-4'

4-6'

Over 6'

Fence Material *

PARVO EXPOSURE? *

PEOPLE/ANIMALS IN THE HOME *

List Age/Sex of All People In The Home. List All Animals (Species/Breed/Age) In The Home

Additional Home Notes *

Google Maps Arial View / Other Notes

VETERINARY REFERENCE

Clinic Name *

Clinic Phone *

Name of Employee Spoken With *

Does This Clinic offer a complementary well check for newly adopted dogs? *

How many animals are "ACTIVE" on the applicant's veterinary account? *

Enter N/A if applicant has no vet history

Does Applicant follow vet instructions for care? *

Does the clinic feel that this client would be a good forever/foster home for a rescue dog? *

VET REFERENCE ANIMAL #1 *

VET REFERENCE ANIMAL #1 CONTINUED

Animal Number 1 is current on DAPPV or FVRCP and Rabies

Animal Number 1 is NOT current on DAPPV or FVRCP and Rabies

Animal Number 1 IS spay/neutered

Animal Number 1 is NOT spay/neutered

Animal Number 1 has a consistent vaccine history with this clinic

Animal Number 1 does NOT have a consistent vaccine history with this clinic

Check all that apply. Add any additional information / notes above in Vet Ref for Animal 1

VET REFERENCE ANIMAL #2 *

VET REFERENCE ANIMAL #2 CONTINUED

Animal Number 1 is current on DAPPV or FVRCP and Rabies

Animal Number 1 is NOT current on DAPPV or FVRCP and Rabies

Animal Number 1 IS spay/neutered

Animal Number 1 is NOT spay/neutered

Animal Number 1 has a consistent vaccine history with this clinic

Animal Number 1 does NOT have a consistent vaccine history with this clinic

Check all that apply. Add any additional information / notes above in Vet Ref for Animal 1

VET REFERENCE ANIMAL #3 *

VET REFERENCE ANIMAL #3 CONTINUED

Animal Number 1 is current on DAPPV or FVRCP and Rabies

Animal Number 1 is NOT current on DAPPV or FVRCP and Rabies

Animal Number 1 IS spay/neutered

Animal Number 1 is NOT spay/neutered

Animal Number 1 has a consistent vaccine history with this clinic

Animal Number 1 does NOT have a consistent vaccine history with this clinic

Check all that apply. Add any additional information / notes above in Vet Ref for Animal 1

Does the number of current animals on the application match with the number of animals on the veterinary account? *

If no, please note above WHICH animals were not listed on the application.

Any Additional Veterinary Notes? *

Are ALL Animals In The Home Current On Vaccines/Preventatives and Spay/Neutered?

PERSONAL REFERENCES - Remind References That Answers Are Confidential

REFERENCE #1 Name *

Phone *

Relationship *

How many and what kind of animals does the applicant currently have? *

Would reference be comfortable with applicant caring for their animals? *

Has reference seen applicant interact with animals? What were their impressions on animal handling? *

Is reference aware of any history of animal abuse, neglect, or surrender by the applicant? *

Is reference aware of any criminal history or activity by the applicant or anyone in the applicant's home? *

Does reference believe that applicant can provide a safe, calm, loving, patient, healthy, enriching environment for a foster animal? *

REFERENCE #2 Name *

Phone *

Relationship *

How many and what kind of animals does the applicant currently have? *

Would reference be comfortable with applicant caring for their animals? *

Has reference seen applicant interact with animals? What were their impressions on animal handling? *

Is reference aware of any history of animal abuse, neglect, or surrender by the applicant? *

Is reference aware of any criminal history or activity by the applicant or anyone in the applicant's home? *

Does reference believe that applicant can provide a safe, calm, loving, patient, healthy, enriching environment for a foster animal? *

Additional Reference Notes

ADDITIONAL NOTES / INFORMATION

Upload Any Files / Photos Here

Maximum file size: 516MB

Is this applicant approved to foster for PRAR? If no, why not? *

Date onboard/home visit is scheduled for

PRAR rep performing onboard

PRAR rep performing onboard

First

First

Last

Last

Name of PRAR Representative Completing Form *

Name of PRAR Representative Completing Form

First

First

Last

Last

If you are human, leave this field blank.

GO BACK TO VOLUNTEER PORTAL

VOLUNTEER APP PERSONAL REFERENCE SCRIPTED TEXT:

Hi (Reference)! This is (Your Name) from Pawsitive Restorations Animal Rescue. (Applicants name) would like to be a volunteer for our rescue, and he/she listed you as a personal reference! Since you are such a close, personal friend of theirs, we have a few questions for you. Your answers to these questions WILL remain confidential.

Would you be comfortable with him/her taking care of your animals?
Have you seen him/her interact with animals? What was your impression of that?
Are you aware of any history of animal abuse, neglect or surrender regarding him/her?
Are you aware of any criminal history/activity by the applicant?
Would you describe him/her as professional in their dealings with the public
Anything else you would like us to know?

If you could please let me know your thoughts on these questions within 24 hours I would greatly appreciate it! We can’t complete their application without you. Please feel free to text me back or call me at this number. Thank you so much and have a great day!

Volunteer Reference Form

Volunteer Reference Check

Date *

Name of Volunteer Applicant *

Name of Volunteer Applicant

First

First

Last

Last

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Cell Phone *

Email *

DOB *

AGE *

Employer Name *

Occupation *

Volunteer Experience / Interests

Previous Voluneer Experience (if any)

Areas of Interest for Volunteer Work *

Completing Home Visits (Virtually or in Person)

Grant Writing (please provide previous experience)

Transport (within CO)

Application Processing

Fundraising

Transport (within metro area)

Transport (interstate)

Graphic Design / Video Production

Helping At Events

social media magician

Legal

veterinarian or vet tech

Blanket/Toy making

Community Liaison

Personal References

Reference #1 Name *

Reference #1 Phone *

Reference #1 Relationshiop *

Would the reference be comfortable with the applicant caring for their animals? *

Has the reference seen the applicant interact with animals? What were the reference's impressions? *

Is the reference aware of any history of abuse, (human or animal) neglect, or animal surrender for this applicant? *

Is the reference aware of any criminal history/activity with the applicant? *

Would the reference describe the applicant as professional in their dealings with the public? *

Any addition Information they would like us to know?

Reference #2 Name *

Reference #2 Phone *

Reference #2 Relationshiop *

Would the reference be comfortable with the applicant caring for their animals? *

Has the reference seen the applicant interact with animals? What were the reference's impressions? *

Is the reference aware of any history of abuse, (human or animal) neglect, or animal surrender for this applicant? *

Is the reference aware of any criminal history/activity with the applicant? *

Would the reference describe the applicant as professional in their dealings with the public? *

Any addition Information they would like us to know?

Additional information / Red Flags

Name of PRAR volunteer processing this application *

Name of PRAR volunteer processing this application

First

First

Last

Last

If you are human, leave this field blank.

GO BACK TO VOLUNTEER PORTAL

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