Therapy Animal Team Scholarship | Dogs On Call, Inc.

Full Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Have you reserved a workshop date?(Required)

Yes

Phone(Required)

Email(Required)

*Applicant's Age Category(Required)

10 - 17

18+

Pet's Name(Required)

*Age(Required)

*Species/Breed(Required)

*How long has your pet lived with you?(Required)

*Is your pet current on their rabies vaccination (if species required)?(Required)

Yes

*Is your pet on medications that would prohibit them from visiting?(Required)

Yes

*Is your pet currently on a raw food diet?(Required)

Yes

1) What inspired your interest in animal-assisted therapy?(Required)

2) Why do you believe you and your pet would make a good therapy animal team?(Required)

3) What impact do you hope to make and what types of facilities or locations would you like to visit with your pet?(Required)

4) Is there anything else you'd like us to know?

I understand that animal-assisted therapy work requires professionalism, empathy, and respect for all individuals.
I commit to prioritizing my animal's physical and emotional well-being.
I am willing to complete the required testing and evaluation to be a visiting animal-assisted therapy animal team with my pet.
I agree to volunteer as a therapy animal team after becoming registered with Pet Partners and a member of Dogs In Call, Inc.

Signature of Applicant (If under 18, signature of parent or guardian)(Required)

Date(Required)