Volunteer Adopt Foster Donate Volunteer Surrender Volunteer Application Screening Form Please complete the form below in its entirety. Once complete, make sure to click the submit button at the bottom of the form. Please enable JavaScript in your browser to complete this form. PAAW VET CHECK REFERENCE FORM Show details here Applicant Info Applicant's Name: *FirstLastApplicant's Phone Number:Applicant's Email: Vet Info Attending Veterinarian's Name: *FirstLastCity:State:Veterinarian's Phone Number:Veterinarian's Email: Are/Were the pets currently up-to-date on all shots?YesNoPlease indicate specific shots belowRabies:YesNoRabies - Date last done and expired if not current.Distemper:YesNoDistemper - Date last done and expired if not current.Heartworm Test:YesNoHeartworm - Date last done and expired if not current.Was Heartworm Preventative purchased?YesNoIf so, how long of a supply?When are they due to come in again?Are/Were the pets altered (spay/neutered)?YesNoIf not spayed/neutered, was it due to medical issues?Is/Was the cat up-to-date on FELV/FIV Test?YesNoAre/Were the cats declawed?YesNoIf the cats were declawed, was it done in your office?YesNoAre there any other pets listed at the vet office that were not listed on the application?YesNoPAAW Volunteer Name: *FirstLastDate Completed:Additional Comments / Notes: PERSONAL REFERENCE FORM Show details here Potential Adopter Name: *FirstLastPet applying for dog/cat name: Personal Reference #1 Show details here Reference #1 Name:FirstLast1) How do you know the potential adopter? 2) Have you ever seen them around cats or dogs before? 3) Are you aware of any prior pets the adopter may have had in the past? If so, please describe.4) How do you feel they would be as a pet owner?5) Do you feel they are able and willing to afford yearly routine and emergency vet care and vaccinations? 6) Would they be the kind of adopters to walk the dogs daily and take them to professional obedience training, or to a veterinarian to correct any type of behavioral issues that might arise? Skip 6 if applying for a cat7) Has the potential adopter ever discussed with you his/her feelings about cats being indoor only or indoor outdoor, or his/her feelings on de-clawing?Skip 7 if applying for a dog8) Are there any additional comments that the reference would like to add? Personal Reference #2 Show details here Reference #2 Name:FirstLast1) How do you know the potential adopter?2) Have you ever seen them around cats or dogs before? 3) Are you aware of any prior pets the adopter may have had in the past? If so, please describe. 4) How do you feel they would be as a pet owner?5) Do you feel they are able and willing to afford yearly routine and emergency vet care and vaccinations? 6) Would they be the kind of adopters to walk the dogs daily and take them to professional obedience training, or to a veterinarian to correct any type of behavioral issues that might arise? Skip 6 if applying for a dog7) Has the potential adopter ever discussed with you his/her feelings about cats being indoor only or indoor outdoor, or his/her feelings on de-clawing? Skip 7 if applying for a dog8) Are there any additional comments that the reference would like to add? Personal Reference #3 Show details here Reference #3 Name: FirstLast1) How do you know the potential adopter? 2) Have you ever seen them around cats or dogs before? 3) Are you aware of any prior pets the adopter may have had in the past? If so, please describe. 4) How do you feel they would be as a pet owner? 5) Do you feel they are able and willing to afford yearly routine and emergency vet care and vaccinations? 6) Would they be the kind of adopters to walk the dogs daily and take them to professional obedience training, or to a veterinarian to correct any type of behavioral issues that might arise? Skip 6 if applying for a dog7) Has the potential adopter ever discussed with you his/her feelings about cats being indoor only or indoor outdoor, or his/her feelings on de-clawing? Skip 7 if applying for a dog8) Will the pet be Indoor, Outdoor, or Both?IndoorOutdoorBoth9) For Cats - Declaw Check ResultWill DeclawMay DeclawWill Not DeclawAre there any additional comments that the reference would like to add? Paste Original Application Here. *WebsiteSubmit
