Application – TAO – National Association of Therapy Animal Organizations

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Therapy Animal Organization Application

1Requester Information

2Organization Information

3Organization Details

4Services Provided

5Final Questions

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This field is for validation purposes and should be left unchanged.

Let’s get started by learning about you.

Requester Name(Required)

First Last

Requester Title

Email Address(Required)

Requester Phone Number(Required)

Requester Phone Type

Password(Required)

Enter Password Confirm Password

Strength indicator

Forum Nickname(Required)

Your nickname is the name that will appear in community forums and discussions. It can be different from your real name.

Next, let’s learn about your organization.

Organization Name(Required)

Street Address(Required)

Address Line 2

City(Required)

State(Required)

Zip Code(Required)

Business Phone

Website Address

Mission Statement and Purpose(Required)

Organizational Structure

Other Organizational Structure

First Year of Operation

Check all the states where the organization operates (Check all that apply)

Annual Budget

How many active therapy teams participate in your programs?(Required)

Which of the following identifying items are therapy teams required to wear when participating in programs or events? Check all that apply:

If other, please specify other required apparel

What is the onboarding process for therapy teams? Please check all that apply:

Orientation

Observations

Mentorships

Internships

Specialized Training

Other

If other, please specify other onboarding processes

What, if any, continuing educational opportunities are available to therapy teams?

Do you have written visitation and program guidelines?

Yes

Are therapy teams tested by your organization?

Yes

Are therapy teams re-tested?

Yes

Frequency of re-testing

How does the organization certify therapy teams?

If other, provide certification details

Does the organization carry liability insurance for therapy teams?(Required)

Yes

Please upload a copy of your Certificate of Insurance(Required)

Accepted file types: jpg, pdf, Max. file size: 10 MB.

Are background checks performed on your members?

Yes

Are Vet/Health requirements necessary for animal participation?

Yes

Do you verify that your members’ registered animals compliant with state laws and vaccination requirements for all states in which you operate?

Yes

Therapy programs provided (check all that apply):(Required)

Animal Assisted Activity (Visitation)

Animal Assisted Therapy (AAT)

Other

Please specify other programs

Types of facilities visited (Select all that apply)

Specialized or other facilities:

Types of programs offered (Select all that apply)

Please specify other programs

Type of therapy animals permitted (Select all that apply)

Please specify other animals

Can we post your logo on the NATAO website and marketing materials site as a member?(Required)

Yes

Please upload a copy of your organization's logo

Accepted file types: jpg, gif, png, eps, Max. file size: 100 MB.

By signing below, I attest to the following:(Required)

I am authorized to apply on behalf of my Therapy Animal Organization

The Therapy Animal Organization agrees to adhere to NATAO's Code of Ethics and Membership Agreement(Required)

I agree to adhere to NATAO’s Code of Ethics and Membership Agreement

I assert all answers are true to the best of my knowledge.(Required)

I assert all information on this form is true to the best of my knowledge

Signature(Required)

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Application Date

MM slash DD slash YYYY

Please review your information below. Click “Proceed to Checkout” if all information is correct or “Previous” to edit.

Signature

NATAO

info@natao.community

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A 501(c)(3) nonprofit organization. Tax ID Number: 99-1933984

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