Facility Form | Pets and Friends

Today's Date*

Facility Name*

Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Facility Contact*

Please input the contact that Pets and Friends will be in communication with regarding all Pet Therapy Volunteer Team placements and other related administrative info.

First Last

Position/Title*

Primary Phone*

Email*

Enter Email Confirm Email

Type of Facility*

Please describe your Facility.*

Please note this is to share with prospective Pet Therapy Volunteer Teams. Examples: Organizations' mission statement, current priorities, number of beds, etc.

How frequently would you prefer pet therapy visits?*

Please note that we require our Pet Therapy Volunteer Teams to visit on a consistent schedule. Teams vary on their respective monthly visit commitment and a Team that matches with you may express a need for a different visit frequency than inputted here.

Time(s) available for pet therapy visits.*

Please select all that apply. Generally speaking: Morning = 8am-12pm, Afternoon = 12pm-5pm, Evening = 5pm-9pm. Your Facilities' primary contact and our Pet Therapy Volunteer will connect directly to arrange a visitation schedule.

Is there a preference for weekday or weekend visits?*

What areas will the Pet Therapy Volunteer Team be visiting?*

Individual room
Common areas where the residents/patients meet during the visit
Specific unit or floor only
Other

Do residents, guests, and/or staff have or bring pets to your Facility?*

Please select yes even if staff or guests only occasionally bring their pet.

If yes to the question above, are these pets allowed off leash?*

Please note that all Pet and Friends Pet Volunteers must be leashed at all times during their visits. We also require that all other pets in the same vicinity are leashed.

Number of Pet Therapy Volunteer Teams requested:*

Describe in order, the required onboarding steps for a Pet Therapy Volunteer Team at your Facility.*

Once a Pet Therapy Volunteer Team has been referred to you, what steps will they need to take before they can begin volunteering? For example, an application, additional Criminal Record Check, interview, references, orientation, online training, site tour, buddy visit or shadow shift, etc. If there are no steps beyond those of Pets and Friends, please specify that.

Describe, in detail, any costs associated with becoming a Pet Therapy Volunteer Team at your Facility.*

Is there a training fee? Do you require additional testing for the pet (ex. a negative TB test)? What are the respective approximate amounts? If none, please specify that.

Description of Pet Therapy Opportunity:*

COVID-19 Protocol for Volunteers:*

Please describe in detail any COVID-19 Vaccination requirements or Facility protocols as they would pertain to a Pet Therapy Volunteer.

Please describe available parking for Volunteers.*

Examples: Is there a parking fee? If so, is it reimbursed? Is there a parking lot on site? Is it street parking only?

Does your site require dogs to have passed the Canine Good Neighbour program?*

Do you currently have a Pets and Friends Pet Therapy Volunteer Team?*

If yes, please provide the First and Last Name of the Human Volunteer.

Do you currently have pet therapy visits from organizations other than Pets and Friends?*

Is there any additional information we should know?

How did you hear about Pets and Friends?

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Email

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