PFLUSA will keep your entire application confidential.
A facility dog is a specially trained dog that works with a professional in a variety of work locations, schools, professional offices etc. The dog must be trained to do specific, skilled tasks in a variety of different situations within the facility environment with multiple clients; the dog must be more than just a presence within the facility.
OUR FACILITY DOGS CAN HELP VULNERABLE POPULATIONS IN THE FOLLOWING TYPES OF FACILITIES:
• Schools/classrooms for special needs children, handled generally by a special needs teacher or school psychologist.
• Victim advocate centers & court houses helping victims of crime through the painful and challenging experience of a criminal trial.
• Hospitals & Physical Therapy Centers helping patients through their rehabilitation, the dogs are often handled by the physical therapists, psychologists or psychiatrists.
• Residential centers for individual with disabilities. Helping through difficult times that can include in-patient treatment or end of life care.
MINIMUM CRITERIA TO APPLY FOR A FACILITY DOG:
• Applicant must have appropriate authorization from the facility and/or corporation, district, etc. to receive a facility dog.
• Applicant is employed or a full- time volunteer at the facility.
• Applicant is the primary handler that provides goal directed interventions which promote improvement of physical, social, emotional and cognitive abilities.
• Be able to independently complete a hands-on training course and participate in refresher courses.
• Be prepared to share detailed information that pertains to their ability to meet requirements to receive a facility dog including personal history and references.
• Ability to provide a safe, loving, healthy and stable home for a facility dog.
• Ability to provide for the dog’s physical, psychological and financial needs
Please review the application instructions before completing this form. Your application will be reviewed and an interview scheduled when all information has been received.
General Information, Facility, Facility Population, Conditions, Use, Care, General, Handler
*What type of building(s) is the Facility located in?
*Is there a dog relief area?
*Is there a fenced in area for the dog to play/exercise?
*Will the dog be on leash or off leash in the facility?
*Is there an area for the facility dog to rest during the workday?
*Do you have a breed or gender in mind?
*Are you willing and able to take responsibility for this dog for the next 10 plus years?
*Do you consent to a home visit?
*Are there other animals in your home?
Proof of health and vaccinations from a veterinarian will be required.
*Facility Population that will interact with the dog, please check all that apply.
*Facility Population Behavioral or Medical Conditions, please check all that apply.
*Will the Facility Dog be interactive with clients / residents/ residents unsupervised with clients?
*Is there a possibility that the Facility Dog could be injured by a client / resident / resident outburst /child /
or are there any other threats that the dog could encounter?
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Letters of Recommendation
Please list the name and contact information of two people who will provide letters of recommendation for you.
1) Personal (not a relative),
2) professional (therapist, doctor).
Please send letters of recommendation to:
Paws For Life USA
P.O. Box 72016
Marietta GA 30007-2016
Fax 770-579-8289
Admin@pawsforlifeusa.org