Ottawa Therapy Dogs New Facility Application

IMPORTANT You will need to re-submit this form if, after one year from your first submission, we have not yet found a team for you. This will keep our waitlist current and we will know that you still wish to have a therapy dog program at your facility. This also ensures we have the most up-to-date contact information in the case of staffing changes.
New Facility Application

Please complete this form if you are a facility looking for OTD to provide therapy dog visits at your site on a regular basis. Please understand, due to high demand for animal-assisted activities and therapy programs, it can take quite some time (if at all) to start a program. Your application is also subject to a site assessment to determine your site's suitability for therapy dog visits and to mitigate any risks to the safety and well-being of our volunteers and their dogs.
Are you a school or library looking for OTD to provide the Reading Education Assistance Dogs® (R.E.A.D.) Program? If yes, please do not complete this form. Instead, please complete our application form for the R.E.A.D. program.
Name of facility:
Address of facility:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a school or library looking for OTD to provide Reading Education Assistance Dogs® (R.E.A.D.)? If yes, please do not submit this form. Return to our website and complete our application form for the R.E.A.D. program. Thank you!
Name of facility contact (please note this should be the individual coordinating the therapy dog visits at the facility):

First NameLast Name
Role of facility contact:
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Are ALL staff that will be involved with a visiting therapy dog team in favour of integrating a therapy dog into your program? This is very important!

YesNo
Extension:
Approximately how many people access the facility or program on a regular basis?
Describe the demographic of patients/clients of the facility. Please ensure that you include details on the age ranges of all visitors.
Describe the facility space where our therapy dogs would be providing visits (size/square footage of area, indoor/outdoor, and any other considerations).
Please let us know if you have any other visiting therapy animals coming to your facility or program. Additionally, please indicate if any other animals may be present during our visits (including dogs from another therapy dog organization, service dogs or family or staff pets).
Is food served at the facility? If so, please describe where food would be located in relation to our visiting space.
Is there anything else we should know about the facility or clients/patients? (i.e. accessibility requirements)
Is the area we will be providing visits accessed by the general public or limited to clients/patients/staff?
What is the frequency of visits you would like OTD to ideally attend (i.e. weekly, bi-weekly)? While we may be unable to provide the requested frequency at this time, this helps us for future planning purposes.
Please indicate the ideal days/times of visits:
Please provide alternative days/times of visits:
Are evening and/or weekend visits a possibility? Please indicate yes/no and if yes, when?
Is there free parking available on-site, and if not will parking be reimbursed for the volunteer teams?
Do you have a current policy and procedure in place for animals?
Do you have a current policy and procedure in place for visitors/volunteers?
Do you have resident animals?
Have you worked with animals in the past with your patients/clients?
Do you have permission for registered therapy dogs to be in the building?
Do you have a volunteer application that our therapy dog teams would need to complete?
Do you have a volunteer orientation that our teams would need to attend?
Do you require any vaccinations (COVID-19, TB Test, Flu)? If yes, please list requirements.
How did you hear about Ottawa Therapy Dogs?
What are your goals for our visits and how do you envision the visits with your patients/clients?
Should be Empty: