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Personal Reference
Your personal reference may not be an immediate family member
and it also may not be the same person who fills out any other reference form(s)
for you.
To be completed by adopter/foster applicant:
Name: _____________________________________________________
Address: ___________________________________________________
Phone: ____________________________________________________
To be completed by reference:
Name: _____________________________________________________
Address: ___________________________________________________
Phone: ____________________________________________________
How long have you know the applicant? ____________________________
Describe your impression of the care and condition of the animals the applicant
currently owns:
Do you think the applicant would make a good foster or adoptive home for an
equine from Indiana Horse Rescue?
Why or why not?
Signature
Date
Thank you for taking the time to complete this form!
Return to:
Indiana Horse Rescue South
6951 Highway 335 NE
P.O. Box 312
New Salisbury, IN 47161
812-366-4838
Fax: 812-366-4931
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