REFERENCE CHECK FORM
You MUST complete this form as an addendum to an ADOPTION APPLICATION. Your application will not be processed unless this form is submitted. By submitting this form you give us permission to contact your references.
  • YOUR INFORMATION

  • - -
  • - -
  • - -
  • VETERINARY REFERENCE

    Please list contact information for your current (or most recent if you do not currently have pets) Veterinarian. BY PROVIDING THIS INFORMATION YOU AUTHORIZE IGCA RESCUE TO CONTACT YOUR VETERINARIAN AS A REFERENCE.
  • - -
  • PERSONAL REFERENCES

    Please list two personal references. We prefer that one reference be a neighbor. References MAY NOT be residents of the same household, spouses/significant others, or family members/relatives.
  • - -
  • - -
  • EMERGENCY CONTACT

    Please provide contact information for your nearest living relative or close friend, who would be able to reach you under any circumstances. Emergency contact may NOT be a person residing in the same household.
  • - -
  • THANK YOU for completing your Reference Check Form!

    Please remember that IGCA Rescue is staffed entirely with unpaid volunteers. Please be both patient and persistent as you go through an adoption process.
Powered byEMF Online HTML Form
Report Abuse