Reference Letter

Your Details

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Applicants Details

Name *

First

Last

Name

First

Last

Your Relationship to Applicant: *

Instructions:

The applicants named above have applied to become adoptive parent(s) of a child. A Giving Tree Adoptions seeks to promote and defent what is in the best interest of the child(ren). We need your help to meet our requirements in studying and approving healthy, stable, and loving families for the purpose of adoption. If there are any serious concerns, it would benefit the applicants and any future children to address these concerns before an adoption. We appreciate your candid responses, please know this form will remain confidential.

Please describe in detail your impression of the adoptive parent(s). Tell about theirpersonality, strengths, weaknesses, ability to handle stress and individual interests: *

What are your impressions of this marriage and/or their personal relationships? How do they make decisions and settle disagreements? What are their strengths and what are their weaknesses? *

Have you observed this couple and/or individual around children? If so, what age of children and in what situations? How do they react to children? (Their ability to talk with children, to set limits, type of discipline used, etc.) *

Are you aware of any substance abuse/involvement? If so, what were the circumstances, how long ago, etc.? *

Do you feel comfortable recommending this couple and/or individual to care for a child in their family? How might an adopted child affect their marriage/relationships and family life? *

What are your impressions of their home and their physical surroundings? *

Any additional information:

In signing this document, you agree to the release of this information for the purpose of providing information for a home study report.

If you have any questions please feel free to reach out to Amelia via email (amelia@agivingtreeadoptions.org) or call/text to (208)789-7245. If there

is any additional information you would like to discuss privately, please feel free to reach out.

Thank you for your time to answer these questions and for your sincerity in helping us get to know this family. You are very much appreciated

Signature *

Date *