Request for Reading Education Assistance Dogs® Program
Please complete this form if you are a school or library looking for OTD to provide Reading Education Assistance Dogs® (R.E.A.D.) 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 school's suitability for therapy dog visits and to mitigate any risks to the safety and well-being of our volunteers and their dogs. NOTE: 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 school or library.
Name of school/library:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of person who will be the primary contact:
First Name
Last Name
Role of contact:
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Approximately how many children would you like to access the R.E.A.D. program on a regular basis?
Please describe why you feel children would benefit from R.E.A.D. visits.
Describe the quiet and designated space where our therapy dogs would be providing visits.
Please indicate if any other animals may be present during our visits (including service animals, family pets, visiting pets, and/or staff pets).
Have you obtained permission from the Principal (if applying on behalf of a school) or Branch Head (if applying on behalf of a public library) to host our therapy dogs?
Have you garnered interest from teachers (if applying on behalf of a school) or librarians (if applying on behalf of a public library) to have our therapy dogs provide regular visits?
What is your selection process for readers to participate in the program?
As the main facility contact, would you be available to assist OTD with getting required documentation completed by staff, students, and parents (where applicable)? If there is an alternate contact for this, please provide those details below.
Please indicate the ideal days/times of visits:
Please provide alternative days/times of visits:
Libraries only: 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?
Are there elevators on-site?
Have you worked with animals in the past at your facility?
How did you hear about Ottawa Therapy Dogs?
What are your goals for implementing the Reading Education Assistance Dogs Program in your school.
Submit
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