Volunteer Application

THE DELTA THERAPY DOGS PROGRAM

Delta Society Australia, helping animals to help people achieve better health and wellbeing.

For a hardcopy of this application click here.

Name

Title:

First name: *

Surname: *

Address

Postal Address:

Suburb: *

Postcode: *

Contact Details

After hours phone no.:

Daytime Phone no.:

Fax no.:

Mobile phone no.:

E-mail address: *

Delta Program

Where did you hear about the Delta Therapy Dogs Program?: *

Please give details:

Previous Experience

Have you or your dog visited hospitals hospital, aged facilities and similar environments before?: *

Yes

What places have either of you visited?:

Attachment	Size
Volunteer application - web.pdf	74.68 KB