Paws’itive Teams
Voice:(858) 279-7297
Fax:(858) 279-7296
paws@pawsteams.org
San Diego, CA

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Personal Paws Team Manager Application

Thank you for your interest in becoming a Personal Paws Team Manager!

The role of a Personal Paws Team Manager is varied and rewarding. A Team Manager accompanies a team (therapy dog and handler) on visits to clients. The manager is responsible for:

Observing the team at work
Providing handler support by communicating with the client
Assisting the handler in conducting a safe, orderly, and compassionate visit
Ensuring that pre and post visit reports are returned completed to the Personal Paws administrator

Liability Restrictions
A Personal Paws Team Manager is certified solely to be involved in activities and programs that are sponsored by Personal Paws and Paws'itive Teams. Personal Paws and Paws'itive Teams liability insurance will cover a manager only during these activities and will not apply when working as a member of any other therapy-related program or activities.

*Preliminary Information*
I have read the information at the top of this form and understand that liability insurance related to Paws'itive Teams certified therapy dog teams only covers sponsored activities of this organization.

Yes No

Applicant Information
First Name:

Last Name:

Street Address:

City and Zip:

Home Telephone:

Mobile Telephone:

E-Mail Address:

Verify E-Mail Address:

Emergency Contact:

Emergency contact phone:

Employment: Enter your past 2 years of employment history information starting with your current/most recent job. Include a description of your duties and length of time with that employer/position:

References: Please list names of two personal or business contacts who can act as references on your behalf (no family members). Include person's name, daytime number and relationship.

Reference #1 Name:

Phone:

Relationship:

Reference #2 Name:

Phone:

Relationship:

List the days and times you are available to volunteer.

Do you speak Spanish?

Yes No

Dog Handling Experience Do you have a dog?

Yes No

If yes, how long have you had the dog?

If you have a dog, what training has it had:

If you have a dog, do you train with Operant Conditioning methods (i.e. positive reinforcement & clicker training)?

Yes No

If you don't have a dog have you ever handled a dog?

Yes No

If yes, describe your experience.

There are several signs of stress that a dog might exhibit. List signs that you would recognize.

Volunteer Experience
What organizations do you currently volunteer with or have volunteered for in the past?

Are you or your dog certified with any therapy dog organizations?

Yes No

If yes, list the name of the program with which you/your dog is certified, and details of the certification (such as restrictions, amount of insurance, etc.)

If yes, are you working now?

Yes No

Thank You for your interest in our program!

DECLARATION: To the best of my knowledge and belief, all the statements made above are true and complete. I understand that submitting this form will serve as my electronic signature.

Please retype this code below :

Words and Music for: "Together We're Better" © 2006 Marilyn Davis. All rights reserved.
Unauthorized duplication is a violation of applicable laws.
Website © 2006 San Diego Photographer, Pawsitive Teams.