Animal-Assisted Therapy Volunteer Application Form
Personal Information
First Name
Last Name
Date of Birth
Phone Number
Email Address
Address
Availability
Days and Times Available
Animal Experience
Please describe your experience with animals
Do you have your own animal(s) you wish to volunteer with?
Yes
No
If yes, please provide details (species, breed, age, training, etc.)
Motivation
Why are you interested in volunteering for animal-assisted therapy?
References
Reference Name
Reference Contact Information
Additional Information
Is there anything else you'd like us to know?