Applicant Reference Check Form

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APPLICANT REFERENCE CHECK FORM
Applicant(s): _____________________________
Date of Reference:______________
References Checked by:________________
Name of reference & phone number:_______________________________________
1. How long have you known this applicant?
a. What is your relationship to the applicant?
2. Have you ever been to their home?
a. Have you ever met the applicant's pets?
b. Do the pets seem friendly, healthy and well mannered?
c. Has the applicant spoken to you about adopting a Rottweiler?
3. Is the applicant's yard fenced in so that a dog or small child could not get in or out?
4. What type of fencing?
5. Do dog(s) run loose?
6. Do the applicants frequently take their dog with them on outings?
7. Have you ever heard anyone complain about his/her past or present pets?
8. Do the applicants vacation often, leaving the dog?
9. If they had to go out of town, what would they do with the dog?
10. Do you own a dog?
a. Would you feel comfortable leaving your pets in their care?
b. Would you feel comfortable taking care of applicant's current dog?
11. All of our dogs have been screened for temperament problems and most live with our
volunteers and their families. Some of our dogs may have some behavioral issued (e.g.
barking, housebreaking, possessiveness, etc.) and most need work in their obedience. Is it
your opinion that the applicant is capable of dealing with these issues and can handle
retraining exercises?
a. Have they ever trained a dog?
b. Did they train their dog on their own or did they attend an obedience
class?
12. Do you believe that applicant has sufficient time to invest in retraining a dog of
this nature?
a. Are you aware of any reason why the applicant may not have time in the future (e.g.--
Show circuit, job, foster children, pregnancy, etc.)?
13.Do you feel the applicant is financially cabable of caring for a large breed dog?
14. Once a Rottweiler has bonded to it's new owner, they can become naturally protective
of their family and home. Is the applicant capable of handling a dog that is naturally
protective?
16. Please give 2-3 descriptive words to describe the applicants personality…
17. Is there anything that you would like to add on the applicant's behalf?

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