VetPets of SWPA: Wellness Therapy Dog Team Application

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Thank you for your interest!

Our mission is to bring comfort, healing, and joy to veterans, individuals in recovery, and members of our community in need. Therapy dog teams play a crucial role in providing emotional support in hospitals, recovery centers, and outreach programs.

This application helps us get to know you and your dog to ensure a great fit for our program. Once submitted, we will contact you to discuss next steps, including an evaluation and training.

We appreciate your desire to give back and look forward to welcoming you to our team!

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Name* This field is required.

First Name

Last Name

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Phone Number* This field is required.

Area Code

Phone Number

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Email* This field is required.

example@example.com

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Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Date of Birth* This field is required.

Date

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Are you a veteran or first responder?* This field is required.

YESNO

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Emergency Contact* This field is required.

First Name

Last Name

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Emergency Contact Phone* This field is required.

Area Code

Phone Number

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Dog Name: Name * Breed: Breed *

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Dog Age: Age * Weeks Years Dog Weight: Weight (lbs) *

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Spayed/Neutered* This field is required.

YESNO

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Up-to-date on vaccinations?* This field is required.

YESNO

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Current on flea/tick/heartworm prevention?* This field is required.

YESNO

15

Has your dog ever bitten or shown aggression toward a person or another dog?* This field is required.

YESNO

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Please explain the circumstances

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Why are you interested in becoming a therapy dog team?* This field is required.

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Have you or your dog completed any prior training or certifications?* This field is required.(Check all that apply)

Puppy Manners

Adult Basics

Intermediate Learning

Advanced Learning

AKC Canine Good Citizen

AKC Advanced

Urban Canine Good Citizen

Therapy Dog Certification (if any)

Other

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Please describe training/certification

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Have you or your dog ever participated in therapy visits before?* This field is required.

YESNO

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Are you willing to commit to a minimum of 6 months of volunteer service? * This field is required.

YESNO

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How often would you like to volunteer?* This field is required.

Weekly

Bi-Weekly

Monthly

Occasionally

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Are you comfortable having your dog evaluated for suitability in therapy work?* This field is required.

YESNO

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Are you open to additional training if needed?* This field is required.

YESNO

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I understand that participating in VetPets of SWPA Therapy Dog Program is a volunteer activity. I agree to abide by all program guidelines and ensure the safety and well-being of my dog and the individuals we serve. I release VetPets of SWPA, its staff, and affiliated organizations from any liability related to participation in this program.* This field is required.

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NEXT STEPS

📌 Once we review your application, we will contact you to schedule an interview and evaluation.

📌 Approved teams will complete a training program before starting therapy visits.

💙 Thank you for your desire to give back through the power of therapy dogs!