K9 Handler Volunteer Application
Please provide as many details as possible. Our office staff will reach out to you with more information on next steps.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Are you a member of a church? If so, where?
Your answers to the following questions will help our office determine which visits are best suited for your comfort level. Our teams visit a variety of facilities and are deployed to various tragedies. Check the box or boxes below of areas you may be comfortable assisting when needed, or add your own under "other" for areas where you would like to serve.
Assisted Living Facility/Nursing Homes
Individuals with Alzheimers disease or dementia
Individuals who have had a stroke
A person in hospice care
Someone in the hospital
VA Hospital/Clinic (Danville IL)
Disaster Area Deployment
School Tragedy
Library Reading Program
Grade School
High School
College Campus
Outdoor Community Events
Other
The commitment to train a K9 and volunteer handler to serve in the community is extensive. PawPrint Ministries holds weekly training opportunities for you to attend with your dog. Would you be willing and able to regularly attend training sessions to prepare your dog to serve in the community? Currently our training sessions are generally held in Decatur, IL on Wednesday evenings and Saturday mornings.
What days work best for you to Volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
When do you see yourself serving with your dog? (i.e. I am usually available Monday, Wednesday, and Friday mornings. My schedule varies. I would love to serve at the library program in the evenings. I would be available for deployment to disasters. I would love to serve at the VA hospitals...)
Would you be comfortable asking if you may pray for a person either now or later?
Yes
No
Are you willing to learn and uphold the PawPrint Ministries mission statement? OUR MISSION: PawPrint Ministries is a not-for-profit organization dedicated to honoring God in all we do and bring comfort to our community and beyond. Our goal is to achieve this by being available to those in need of love, warmth, and compassion. This goal will be accomplished by sharing registered therapy/comfort dogs with individuals in health care facilities, schools, and senior homes, and deployed to areas in need during times of crisis.
Yes
No
My hope in joining PawPrint Ministries is to:
Dogs Name
Breed
Birthdate
Age
What age was your dog when you first got him/her?
Do you and your dog go for car rides regularly?
Yes
No
My dog does not like car rides
When taking your dog to the vet for his regular examinations, do you always check to see who is in the waiting room before you enter?
Yes
No
Sometimes
Which of the following are the most common activities your dog engages in? (check all that apply)
Tug of War
Throw Toys
Chasing Games
Learning Tricks
Roughhousing
Play Retrieve
Play Fighting
Take Walks
He/She has little to no interest in toys
Dogge Daycare
Dog Training Classes
Mostly plays with our other dogs/our friends and families pets
Swimming
Is your dog used for/trained in any other unique ways?
Registered emotional support animal for you or a family member
Registered service dog for you or a family member
Agility training
Confomration/show dog
Hunting
Shutzhund
None of the above
As your dog has aged, which of the following issues, if any, became more of a problem? (check all that apply)
Won't come when called
Plays keep away
Takes objects and will not bring them back
Jumps on people when excited
Grabs with mouth too much
Sometimes urinates out of excitement when meeting new people
Barks at certain things/people/animals
Nervous or fearful of certain things like fireworks/thunder/wind/storms
None of the above
Other
Are there certain objects or places your dog is afraid of or becomes shy?
What other humans and pets make up your household?
Is there any additional information that would be helpful for us to know about your dog?
What personality traits does your dog have that you think will make him/her and excellent comfort dog?
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