Professional Therapy Dog Application

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Thank you for visiting our site and showing interest in our organization! Please answer all the questions below adequately and honestly and we will contact you as soon as possible to discuss your application!

Name *

First and last name

Date of Birth

YYYY

Home Address
*

Phone number *

Email *

Information for the primary facility where the team will be working:

Please include the following information:

-Name of Facility

-Facility Address

-Facility Phone Number

-Job Title of Applicant

-Type of Facility (please provide detailed description)

-Size of Facility

-Length of Employment

Information for the secondary facility (if applicable) where the team will be working:

Please include the following information:

-Name of Facility

-Facility Address

-Facility Phone Number

-Job Title of Applicant

-Type of Facility (please provide detailed description)

-Size of Facility

-Length of Employment

Please explain what therapy-related duties & interactions the dog will be asked to perform:

Please describe why and how a therapy dog would benefit you in your work:

Please list other persons and their ages that live in your home:

If there are other animals living in your home please list them below:
*

Do you have a fenced in exercise area? If no, how do you plan on supervising your dog?

Have you or anyone in your family had a negative experience with a breed of dog?

If yes, please specify the breed and explain:

CARES commonly used breeds for Professional Therapy Work:

-Golden Retrievers

-Retrievers(Black and Yellow)

NOTE: CARES does its best to place the breed preference with the individual that is requested. Please note that CARES matches the team together accordingly and you may not receive the breed of your preference. Also, the more breed specific you are, the wait time can fluctuate.

Please list any comments or concerns below:

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