Laura Mundy Assistance Dogs - New team application
Form for new clients to apply for registration as an assistance dog in training team with Laura Mundy Assistance Dogs. 

Thank you for your interest in training with us towards achieving assistance dog status with your dog. The form below will provide us with a brief introduction to you, your dog and your goals for including your dog in the role of working with you as an assistance dog in the community. This information enables us to ensure we are assisting you and your dog in the best way possible. Through this information we are able to ascertain your needs, your current situation and supports as well learn all about your dog you’re hoping to have as your assistance dog (or your child's or other person you support) so that we can determine they will be a good match to your needs in an assistance dog. Before completing and submitting the below form, please read our

Please fill out the information below to the best of your knowledge. This application process will also include an in-person assessment of suitability for training as an assistance dog and handler team. Undertaking this assessment process does not in any way guarantee that you will be suitable to begin the training process following the assessment or commit you to continuing with us. If it is agreed that your dog is suitable to commence training as an assistance dog and you agree to undertake training with us, you will be required to sign our terms and conditions which will be provided at booking of our initial assessment appointment. 

Please also note that all of the information provided in this form is kept private and confidential. No information will be shared with any external parties without your permission and only will be shared with your permission if it is essential in providing you the required service and support. Any information gathered is only in order to provide you with the best and necessary service to achieve your goals of your dog becoming your assistance dog.

Once you commit to undertaking training with us you will be required to provide a copy of a letter from your treating clinician or medical professional describing the diagnoses relevant and the expressed need for an assistance dog to help improve your functioning and access to community as per legislative requirements. A medical clearance letter is also required to be attached from your treating veterinarian ensuring that your dog is physically healthy enough to work as an assistance dog for you. These forms must be provided prior to being able to be accepted into any training in public places. Once we receive your application you will also be forwarded our terms and conditions of service document, a link to our privacy and complaints policies (these can be found on our website) and a guidelines for handlers (also available via our website). The terms and conditions of service must be signed and returned prior to our in-person assessment. 

The cost of the assessment of suitability for trainee assistance dog status is $250 and is non-refundable should the assessment deem you're not a suitable team for assistance dog training by Laura Mundy Assistance Dogs. 

Please note that we do not accept applications for dogs aged over 7 years at the time of application and that  we recommend a maximum working age of 11 years of age. Exceptional circumstances may allow some flexibility in this criteria but it is not standard practice 
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Email *
Date of application *
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Your name (First name and surname) *
Address *
Phone number (mobile) *
Email address *
Is the dog to be trained as an assistance dog for you?   *
If the assistance dog is not for you, who are they to be an assistance dog for? Please note if the assistance dog is not for you then please answer the remaining questions for the individual you're completing this form for. 
If the assistance dog is to be for a child, who will be the secondary handler for the dog? (Leave blank if not applicable)
Date of birth of the person who the dog is for.  *
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Gender of the handler:
Clear selection
Are you/the handler employed?
Clear selection
Emergency contact information (please provide the name, mobile number and suburb/city of at least one emergency contact). This information will be used if we need to reach someone to support you in an emergency or if we are unable to reach you regarding your status with us.  *
Your dog's name *
Your dog's breed *
Your dog's date of birth (if known) or approximate age *
Dog's height at withers (shoulders)
Your dogs approximate weight
Where did you get your dog from? 
Clear selection
How old was your dog when you brought them home?
Has your dog lived with you the entire time since you brought them home?
Is your dog desexed? Please note to do your Public Access Test they must be desexed. *
How old was your dog when they were desexed?
Is your dog registered with council? Which council?
Microchip number of your dog.  *
Will you be using funding support to pay for training and certification? If so, who through? *
Where does your dog sleep? *
Has your dog had a recent veterinary check and is in good health? Note you will require a vet assessment before being accepted into training. 
Clear selection
Please list any other pets that you have at your home. 
What type of assistance dog are you applying for your dog to be? E.g. psychiatric, mobility, seizure alert, other medical alert etc. 
Please list who else lives in your home and their relationship to you. Also mention age if comfortable to.  
Who will look after your dog in an emergency?
Are there any physical impairments that you are seeking support tasks from the dog with? Please list possible tasks you feel your dog could support with these. 
Are there psychological impairments you envisage the dog being a support with? Please list possible tasks. 
Do you have seizures or diabetes? 
Have you previously had another assistance dog? *
Please describe all previous training your dog has had. List where the training was undertaken, for how long and what your dog was taught. 
Please list all of the training skills your dog is fluent in. 
Is your dog a breed that is restricted in Australia (e.g. American Pit Bull Terrier).  *
Has your dog ever been declared a dangerous or menacing dog?  *
Can your dog travel calmly in the car? *
Is your dog comfortable with things such as lifts, stairs, automatic doors, slippery floors, loud noises, the wind etc. Please discuss below any events or triggers for concern in your dog or write 'none known'. 
Please describe how your dog behaves around other dogs when they are on lead. 
Please describe how your dog behaviours around other dogs when they are off lead. 
Please describe how your dog behaves around unfamiliar people (describe adults and children). 
Is your dog reactive to bikes, skateboards or scooters. 
Clear selection
Does your dog bark inappropriately at anything such as cars or to seek attention?
Is your dog able to toilet on cue when asked? *
What reinforcement do you use with your dog? (e.g. food, praise, play). 
What do you use on your dog to walk them? Flat collar, harness, halti?)
Do you accept that we are a force-free assistance dog organisation and do now allow any aversive tools such as correction chains or the use of force or other aversives at any time? You will be required to sign a terms and conditions of service document as a part of your acceptance of becoming a trainee team with us. *
Are you aware that training an assistance dog up to Public Access Test standard takes significant time and commitment. There will be no cases of doing Public Access Tests without training with us for a period of 6 months. Trainee teams must undertake a PAT within two years of training.  *
Are there any other comments you would like to make about you or your dog?
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