clock
location
phone
check_box_outline_blank
check_box
chevron-down
chevron-left
chevron-right
chevron-up
facebook
instagram
google plus
pinterest
radio_button_checked
radio_button_unchecked
twitter
youtube
linkedin
arrow-up
send
play
search
close
cc-mastercard
cc-discover
cc-visa
cc-amex
letter
Search for:
Home
Become a Therapy Team
Steps to Become a Therapy Animal Team
FAQ’s
Upcoming Handlers Worshops
Members
Membership Form
Governing Bylaws
Download Photo Release Form
Visiting Programs
Logo for Clothing
Members Only
Evaluations
Evaluation Guidelines and Process
Recently Evaluated Teams
Evaluation Registration
Calendar of Events
Contact
Donate
Toggle navigation
« All Events
This event has passed.
November Evaluation
November 18, 2017 @ 8:00 am
-
3:00 pm
«
November Handler Course
December Evaluation
»
Your appointment time will be sent to you prior to the evaluation date.
Add to calendar
Google Calendar
iCalendar
Outlook 365
Outlook Live
Details
Date:
November 18, 2017
Time:
8:00 am - 3:00 pm
Event Category:
Evaluations
Contact
Name
*
Email
*
Primary Phone
*
Secondary Phone:
*
What are you interested in?
*
Select One
Becoming a Therapy Animal Team
Therapy Animal Visits at My Organization
Name of Organization:
Name of Your Event:
Description of Your Event:
Day(s) of the Week, Date, and Beginning/End Time of Your Event:
What species would you like to have participate in your event?
Rats
Cats
Mini Horses
Dogs (they will need a grassy area to relieve themselves- handlers will dispose of waste.)
Approximately how many people will be attending your event?
Total number of teams you would like for your event:
Address and name of building for your event:
What is the approximate size of the space where the animal teams will be visiting with the clients/patients/residents?
Day of contact person and phone number:
Parking Information (will parking be provided, where should teams park, will they need parking passes, etc.):
Comment/Message:
Comment/Message:
Type of Facility:
*
Select One
Healthcare (eg; hospital, rehab/skilled nursing, hospice)
Education (eg; school, library)
Residential (eg; group home, senior living)
Justice System
Other
Age of Clients (check all that apply):
*
Children
Adults
Seniors
Staff Involvement:
*
High (eg; accompany, supervise)
Low (eg; provide a visit list)
Activity Level of Facility:
*
Active (eg; many distractions, routinely unanticipated interactions, potentially volatile)
Moderate (eg; some distractions, occasional unanticipated interaction)
Quiet (eg; routine interactions, predictable setting)
Client Participation:
Individual (eg; one on one)
Small group (eg; less than 5)
Medium group (eg; 5-15)
Large group (eg; more than 15)
Name
This field is for validation purposes and should be left unchanged.
Δ
