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If you’re interested in applying for a Therapy Dog for a facility please fill out this form.
To apply for the Therapy Dog program with Guide Dogs Queensland, you will need to meet our organisational and legal requirements.
Do you agree to participate in an interview and complete an induction program?* YesNo
Are you willing to undertake a criminal history check if required?* YesNo
Facility information
Name of facility*
Please provide a description of your facility. Please include the number of people, their age range, primary health concerns and why a Therapy Dog would benefit you facility.
Is the facility prepared to fundraise $10,000 to offset the cost of a Therapy Dog?* YesNo
Is the facility located within 90 minutes of the Guide Dogs Queensland Bald Hills site?* YesNo
Is the facility able to financially support a dog now and into the future?* YesNo
Is the facility willing to give permission for GDQ to use and distribute images, interviews and clips across social media, media and the website?* YesNo
Are there two people at your facility who could take on the roles primary and secondary carers for the dog?* YesNo
Primary Carer for a Therapy Dog
Name*
Address*
Phone number*
Email*
Can you provide a safe and secure home environment for the dog? This includes allowing the dog to sleep inside, ensuring that your fence is dog-proof and any gates are lockable and secure?* YesNo
Are you willing to exercise the dog primarily outside of the home for at least 1 hour per day? If not, is there someone who can?* YesNo
Are you willing to commit time and attention to growing a partnership with a dog?* YesNo
Secondary Carer for a Therapy Dog
How did you hear about the Therapy Dogs program with Guide Dogs?* —Please choose an option—Social mediaTelevisionNewspaperOnlineThrough a friendOther
Other - Please specify
Would you like to receive further communication about the latest updates at Guide Dogs Queensland?* YesNo
I declare that the information contained in this form is true and correct
By proceeding, I agree to my personal information being handled in accordance with Guide Dogs Queensland’s Privacy Policy.
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