Paws for People Application
Thank you for your interest in the Paws for People Animal Assisted Wellness Program. Please complete and submit this questionnaire and you will be contacted by the Animal Assisted Wellness coordinator to set up an interview.
Email address *
Handler Name *
Your answer
Handler Phone Number *
Your answer
Handler Cell Phone Number *
Your answer
Handler Email Address *
Your answer
Handler Home/Mailing Address *
Your answer
Handler Occupation *
Your answer
Why are you interested in becoming involved with animal assisted wellness? *
Your answer
What populations are you interested in working with?
What is your availability?
How often are you interested in visiting every month? *
Are you interested in commiting to participate in a specific program or visiting a specific facility on the same day/time on a regular basis? *
Animal's Name *
Your answer
Animal's Species *
Your answer
Animal's Breed *
Your answer
Animal's Age *
Your answer
Animal's Sex *
Animal's Veterinarian *
Your answer
You will need to submit proof of a current Rabies vaccine, negative fecal or proof of de-worming, and clean bill of health from your veterinarian annually.
Are you currently registered with a therapy animal organization ? If so, which one? *
How long have you had the animal? *
Your answer
Has your animal ever show aggression towards people? *
Your answer
Which basic commands does your dog know?
Will your cat allow you to cary it and allow other to hold and pet him or her? *
Will your animal permit a stranger to touch/handle him without becoming offensive? *
Your animal will be evaluated on the above skills as well as general demeanor and temperament in the initial interview. If you feel you need to work on any of these beforehand and would like a trainer referral or information on how to practice/teach the above skills/exercises at home please let us know. We want you to be successful and would love to help!
Please note; No training/corrective equipment will be allowed during the interview, evaluations, or while visiting. This includes shock collars, pinch/prong,/or choke chains.
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