OSF Saint Anthony Medical Center

Rockford, Illinois

Paws 4 Healing

ANIMAL ASSISTED THERAPY VOLUNTEER APPLICATION

* indicates a required field.

General Information

Dog Information

Volunteer Availability

Volunteers will be required to work at least twice per month. Please (x) your preferred shifts.

2 times a month required
Please write a short paragraph on why you would like to participate in this program.

Health Requirements

This volunteer position requires a moderate to high amount of walking and standing. If you have a small dog it will also require a moderate to high amount of lifting your dog onto the patient’s bed.

Conviction Records

TRAINING COMMITMENT

Select qualified applicants will be invited to have their dog’s temperament tested. You will be notified of the next scheduled temperament testing. The cost for this testing is $20.00 made payable to the OSF Saint Anthony Foundation. Handlers and dogs chosen for this program must attend a mandatory 2 day intensive training. As a result, your services will be contracted exclusively to OSF Saint Anthony Medical Center. Following the successful completion of your training, handlers will submit paperwork to register their dog as a therapy dog.

CAREFULLY READ THIS SECTION PRIOR TO SUBMITTING THIS FORM

I hereby affirm that the information on this application is true and complete. I understand that any false or misleading representations or omissions made on the application or during the hiring process may disqualify me from further consideration for a volunteer position and may result in discharge even if discovered at a later date. I understand that as part of the application process, that a criminal background check may be conducted. I understand that OSF Saint Anthony Medical Center is not obligated to provide placement, nor are you obligated to accept a position if one is offered. Opportunities for volunteers are provided without regard to religion, creed, race, national origin, age, or sex.

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