Reference Letter - Righteous Pups AustraliaRighteous Pups Australia

Full Name

First Last

Child Name

First Last

Reference Name

First Last

Phone Number

Address

Relationship to the Applicant

How long have you known the applicant?

How long have you known the child?

How does the disability affect the functional abilities of the child?

Can you tell us about the child? Do you think they would benefit from the use of an assistance dog? Do you think the parents/guardians have the ability to handle an assistance dog?

In your opinion, do you feel the child and/or parents have the ability to care for the dog? If not, do they have a support system in place that would be available on a daily/ weekly basis to assist in the care of the dog?

Have you observed the child/family with animals, how did they interact? If they have pets, are they well cared for? Do they live inside or outside?

Additional Comments

Signature

Date