Expression of Interest – Therapy Dog Programme

Welcome, and thank you for your interest in the Mobility Dogs Therapy Dog Programme. This is a simple starting point to help us understand a little about you and your work, and whether our Therapy Dog programme could be the right fit for your setting.

Before you go any further, it's important to know: our Therapy Dog programme is not for individuals seeking an emotional support dog for themselves. Therapy Dogs are partnered with qualified professionals - such as counsellors, therapists, social workers, or teachers - who use the dog as a tool within their work, in an organisational setting such as a school, private practice, or courthouse.

Therapy Dogs do not have public access rights which means their jacket can only be worn when the dog is working and only in the approved working environment.

If you're a professional working in this kind of role, we'd love to hear from you. Please share as much as you feel comfortable with - there are no right or wrong answers here.

Before you complete this form, please visit our website to read about the Therapy Dog Programme - it may answer some of your questions before you begin.

Is there anything from the website you’d like to ask more about?

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Area CodePhone Number

Best time and way to contact you

Town/City and Region

What is your professional role?

For example: counsellor, therapist, social worker, teacher, victim support worker.

What type of setting do you work in?

Who do you primarily work with?

What is the name of your organisation or employer?

Do you have the support of your organisation's management to explore having a Therapy Dog?

Please describe how you envisage using a Therapy Dog in your work.

You can share as much or as little detail as you feel comfortable with. For example: the types of sessions the dog would be present in, the role the dog would play, or the clients you feel would benefit and how.

Do yo have any other pets?

What pets do you have?

Do you have previous experience with dogs?

Is there anything else you'd like us to know about your work context or organisation?

Is there anything else you feel is important for us to know?

Before you go, we'd love to know… how did you come across the Mobility Dogs Therapy Dog programme?

Please tell us how you heard about us

Thank you for sharing this information with us. Our team will take the time to review the information you’ve shared and will be in touch once we’ve had a chance to determine whether we are able to support you. If your needs align with our programme, you may be invited to complete a full application. If we’re unable to assist, we will let you know.

Ngā mihi & thank you,

The Mobility Dog Team 🐾

How can we help? Let’s get started