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F1B - Nepean Therapy Dog Volunteer Application Form (With Dog)
This application is for a dog-handler team volunteer position at Nepean Therapy Dogs.

Once this form is completed, we will send you an email in response to your inquiry shortly.

If your application is successful, you will be invited to a Pre-requisite Suitability Test, where you and your dog are assessed in various aspects of behaviour which are significant in our program. These tests occur on Saturdays, so you will have the opportunity to organise a date with our volunteer intake assessor.

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Email *
Name: *
Nepean Therapy Dogs is mostly active in the Penrith and Western Sydney region. If you live more than 30km away from the Penrith area, please consider the effects of long car rides for your dog. Address: *
Best number to reach you
DOB:17/02/2023 *
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Are you currently working? *
Nepean Therapy Dogs is normally busiest during weekdays. Which days would be best for you? You need to be available on at least 1 week day. Select all that apply: *
Required
How often are you looking to volunteer with your dog? *
Do you have any previous experience or qualifications in dog training? *
Dog's name: *
Dog's breed (Note: our insurance will not allow us to accept the following breeds of dog - Staffordshire Terrior, Pitbull Terrier or any individual dog which may be deemed as a dangerous dog, etc.):   *
Did you adopt your dog in the last 6 months?
Clear selection
Dog's DOB (or estimated age if birth date unknown): We cannot accept/start training therapy dogs over the age of nine. *
What is the dogs weight?
Dog's gender: *
Is your dog de-sexed? Important - all male therapy dogs must be de-sexed (This is only for male dogs) *
Age when your dog was de-sexed?
Is your dog wormed on a 3-montly basis? *
Is your dog vaccinated? You will need to bring proof (a Vaccination Certificate) on the day of assessment.   *
Does your dog regularly take any medication? (If no, please write no and move on).
What is your dog's current obedience status? Please select all that apply. *
Required
If your dog responds to any other cues (commands), please list them here:  
Have you or your dog had any training, such as puppy training or service training? *
Is your dog capable of jumping onto a chair? *
Is your dog confident on a lead? Does their tail wag, indicating a positive experience? *
Does the dog respond well to being restrained/contained whilst transporting in a car? *
Is your dog comfortable in the presence of the following? Select all that apply: *
Required
Is your dog comfortable and confident around other animals, such as other dogs, cats and birds? *
Does your dog regularly socialise with other dogs, for example, at the dog park or at cafés during social gatherings? *
Has your dog ever been attacked by another dog?   *
Has Council given Notice on your dog regarding a dog attack or complaint? *
Has your dog ever been mistreated by humans, such as being abused or neglected? *
Does your dog have any dislikes or fears, like loud noises? *
Is your dog well-mannered when around food?  Your dog shouldn't drool, beg, growl or snatch.                                                                     *
Is there any other important information you would like us to know about you and your dog?
How did you find out about us?
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