Volunteer Form

Full Name:

Date:

Spouse/Partner Name (if applicable):

Address:

State:

City:

Zip Code:

Phone (preferred):

Phone (secondary):

Email:

Birthday:

Employer/Occupation:

Education/Background:

Please describe any personal experiences that you feel would be helpful in working with HIP:

Community Affiliations/Other Volunteerism:


Volunteer Availability:

Number of Hours per week:

Preferred Time of Day (Check all that apply):

Morning
Afternoon
Evening

Preferred Day(s) (Check all that apply):

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday


Please tell us about the pet who is applying to be a therapy pet:

Pet Name:

Species:

Breed:

Age:

Gender:

Date of pet's last exam:

Rescue?

Veterinarian Name / Clinic Name:

How long have you had your pet?

How old was your pet when you got him/her?

Describe the socialization history of your pet, including situations inside and outside the home, crowds, and other animals:

Has your animal been around children?

If yes, were the kids in your household?

Was your animal raised with children?


Therapy pets visit with populations that might be unpredictable (i.e. children). Has your dog already had experience with unpredictable behavior (by children or otherwise)?

If yes, please also describe your pet's reaction below.

Fingers/hands in face/eye/mouth area:

Tail pulled:

Ears pulled:

Tail stepped on:

Petted roughly:

Hugged:


Has your pet ever been around noisy, exuberant people (including children)?

If yes, describe your pet's reaction:

Has your pet bitten, growled or acted aggressive toward people or animals?

If yes, please explain:


Date of basic group obedience training completion (dogs only):

*Completion of basic group obedience class required prior to entering the HIP training program*

School and Trainer Name:

To which commands does your dog respond?

List things that upset or make your pet uncomfortable (i.e. thunder, other animals, crowds):

Therapy pets generally work in groups, with other pets. Often times the environments they visit are within limited spaces. Describe your pet's behavior while in close proximity to other animals:


Why do you and your pet want to be a part of Hand in Paw?

How did you hear about Hand in Paw?

Facebook
News/Media
I attended Mutt Strut
I attended Picasso Pets
Word of Mouth
Community Event:
Friend/Family:


Hand in Paw's Code of Conduct
Hand in Paw is committed to the highest ethical standards in all its activities and for all volunteers and employees. This commitment extends to the manner in which we treat each other and in the services we provide.

I understand the special nature of Hand in Paw requires a loving, well-disciplined relationship between companion animals and their guardians. As a Hand in Paw volunteer, I agree to strive for excellence, fulfilling all my duties with a high level of dedication and professionalism. I certify that all the above information is correct to the best of my knowledge. If accepted into the program, I will adhere to the requirements and standards specified by Hand in Paw.

Every volunteer and staff member agrees to abide by the following code of conduct in order to assure the highest operating principles in all interactions with volunteers, staff, board members, advisory council members, those we serve and the public:

  1. I will not attempt to exercise individual authority over the organization.
  2. I will respect the dignity, values and opinions of each Hand in Paw staff member, fellow volunteer and of those within the facilities we serve.
  3. I am committed to positive and constructive forms of interaction.
  4. I recognize that differing viewpoints are healthy in the decision-making process and make for a well-rounded organization. However, I will accept as final those decisions made by the HIP board/staff.
  5. I will not create barriers to carrying out the mission of Hand in Paw.
  6. I will do nothing to violate the trust of those with whom we work and serve.
  7. I will represent the interests of all people served by Hand in Paw and not favor special interests inside or outside Hand in Paw.
  8. I will not disclose confidential information about Hand in Paw nor about the patients/clients within the facilities the organization serves.

Hand in Paw's Mission
The mission of Hand in Paw is to improve human health and well-being through Animal-Assisted Therapy.

If accepted as a HIP volunteer, I pledge to uphold the principles set forth in this code of conduct.