Name of Handler:
Firstname
Lastname
Additional handler to be tested: (all handlers must be 14 or older and only one additional handler may be certified at the same time)
Street Address:
City:
State:
Zip Code:
Phone:
E-mail:
Dog's Name: (Please fill out a separate form for each individual dog being tested)
Dog's Age: (Dogs must be at least 1 year-old)
Breed of Dog:
Is your dog currently on a raw meat diet of any kind? : Yes No (therapy dogs must not be on a raw meat diet per TDV guidelines)
Where would you like to volunteer once you and your dog become a TDV-certified team? If you do not know of a specific facility, what would you like to do with your certification?
All certified teams are expected to become active volunteers with TDV (i.e., TDV does not certify dogs solely for community/school projects or short-term community service requirements.)
Why you do want to become involved with Therapy Dogs of Vermont?
* All questions must be answered for an application to be considered complete.
** The testing fee must be paid via PayPal within SEVEN CALENDAR DAYS of submitting this application, or your application will be deleted (you may reapply).
*** You must be tested and evaluated by an approved TDV tester/evaluator.
