Phone #

Complete Mailing Address

E-mail Address

Best time to call you

Applicant's age if under 18

Dog's Name

Dog's Age

Breed of Dog

Gender Male Female

1. How did you hear about Bark Avenue?

2. Why you think your dog would make a good therapy dog?

3. What do you like best about your dog?

4. What do you like least about your dog?

5. Describe dog training experience you or your dog have.

6. List places and situations your dog has been exposed to away from home.

7. Describe how your dog acts in new places or situations.

8. Describe how your dog acts when meeting new people.

9. Describe how your dog acts when meeting new dogs.

10. Please share any other volunteer work you have been involved in.

11. How often would you participate if you were a member of Bark Avenue?

Thanks for your effort! We will call you and explain the steps to membership.