Therapy Dog Brigade Volunteer Application
Welcome! This is the first step towards becoming a certified, registered, and insured therapy dog team. Before starting, please note the following criteria: 
1. All applicants (handlers) must be at least 18 years old. 
2. Dogs must be at least one year old.
3. Dogs should be the applicant's pet and have lived with the applicant for a minimum of four months, preferably six months.
4. Dogs must be up to date on vaccinations (including rabies).
5. Dogs must have basic obedience skills such as Sit, Down, Stay, Come, Leave It, and loose leash walking on flat buckle collar (preferred) or harness.
6. Dogs should be calm, affectionate, and not jump, bark, or lick excessively. They should also not be mouthy.
7. Applicants must be compassionate and interested in bringing comfort and stress relief to those in their communities.
8. To be certified and visit, dogs must be spayed or neutered.
9. Dogs may not be on a raw diet.

We are currently accepting applications from those living in Westchester and Rockland Counties in NY and Fairfield County in CT.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Mobile Phone Number (XXX-XXX-XXXX) *
Email *
Street Address *
City *
State *
ZIP Code (XXXXX) *
Dog's Name *
Dog's Breed *
Dog's Sex *
Dog's Birthdate *
MM
/
DD
/
YYYY
Veterinarian's Name, Practice Name, Phone Number
Is your dog spayed or neutered? *
Is your dog up-to-date on vaccines including rabies? *
How long has your dog lived with you? *
Have you and/or your dog ever completed therapy dog training or are you currently certified with another organization? If yes, please provide name of organization and dates of training/certification. *
Has your dog ever bitten anyone or another dog? If so, please describe the incident.
How does your dog react if a human takes away food, treats, or toys? *
How does your dog react when meeting other dogs? *
How does your dog react when other dogs play with his/her toys or try to take a treat, food, or toys? *
Does your dog have a favorite spot he/she likes to be petted? *
Are there any spots your dog doesn't like to be petted/touched? If touched in those areas, how does he/she react? *
What is your dog's grooming regimen? Is he/she comfortable being groomed? *
Does your dog have any fears or dislikes? If so, please describe. *
What daily activities do you do with your dog? *
Please describe how your dog behaves around children. *
How does your dog behave when meeting a stranger?
Has your dog ever been around people using assistance equipment such as wheelchairs, walkers, crutches, or canes? If so, how does he/she react? *
What type of training/classes have you done with your dog?
Do you or have you or any trainers ever used the following? *
Required
Tell us a little about your dog's obedience skills, which commands he/she knows and does easily, and which need a little more work (e.g., Sit, Down, Stay, Come, Leave It, Loose Leash Walking).
Does your dog have any health conditions and if so, is he/she being treated for the condition? *
Please list and describe any previous volunteer work you have done including what you did and did not enjoy about it.
Why are you interested in therapy dog team volunteering? *
Do you have any ideas on the type of places you would like to visit or any place in particular (e.g., Medical/Hospital, Behavioral Health Facilities, Schools, Senior Residence Facilities, etc.)
How did you hear about Therapy Dog Brigade (Please be as specific as possible)?  *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Therapy Dog Brigade.

Does this form look suspicious? Report