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ADI Client Reference Form ENGLISH

The document is a reference form for assistance dog programs applying for candidate status with Assistance Dogs International. It requests information from a client of the applicant organization who has worked successfully with their assistance dog for at least one year, including details about their experience with the program's application process, training, follow-up support and an overall assessment of the program.

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39 views2 pages

ADI Client Reference Form ENGLISH

The document is a reference form for assistance dog programs applying for candidate status with Assistance Dogs International. It requests information from a client of the applicant organization who has worked successfully with their assistance dog for at least one year, including details about their experience with the program's application process, training, follow-up support and an overall assessment of the program.

Uploaded by

neuropsied
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ADI CANDIDATE APPLICATION

CLIENT REFERENCE FORM

The Board of Assistance Dogs International (ADI) requires all nonprofit programs applying for
Candidate Status with ADI to receive three (3) references from assistance dog clients who have
worked with their assistance dog successfully for a minimum of one (1) year. ADI wants to learn
as much about the program as possible so we know their strengths and where they may need
additional support during their Candidacy. Your reference will be kept confidential.

• Person completing the reference is required to be a current client of the applicant organization.
• Person completing the reference is required to have worked with their assistance dog
successfully for a minimum of one (1) year.

Please complete this form to the best of your ability based on your knowledge and experience with the
potential candidate program. Include a separate paper if needed referencing the question number.

NAME OF APPLICANT ORGANIZATION:

YOUR NAME:

YOUR PHONE NUMBER: __________________YOUR EMAIL:

1. How long have you known this program?


2. When did you receive your assistance dog?
3. What does your dog do to help you?

4. Describe your experience with the program’s application process and waitlist. Were eligibility
requirements clear? Were you informed of the application timeline? How often were you provided
with updates on your application status?

ADI Candidate Application Client Reference 2022 - 1


NAME OF APPLICANT ORGANIZATION:

5. Describe your experience with the training you received from the program. How long was your
training program? If you received a trained dog, how was the matching process for you? Do you
feel the education and hands-on training you received was adequate?

6. Describe your experience with follow up support after receiving your assistance dog. How
often has the program been in contact with you? Is the program available to help problem-solve
and answer questions? Do you know who to contact if you have an issue?

7. What does the program do particularly well? Is there anything the program could do to
improve?

8. Anything else you’d like to share about your experience with this program?

Signature Date

Thank you for taking the time to provide a reference for this potential Candidate Program!

Please return this form directly to Alex Ivic, Education and Membership Programs Coordinator:
[email protected]

In Europe, please return this form directly to Steph Atkin, ADEu Development Coordinator:
[email protected]

ADI Candidate Application Client Reference 2022 - 2

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