PAWS Facility Application OCSPCA PAWS FACILITY APPLICATION - MONTHLY VISITSThank you for your interest in the OCSPCA's award winning pet therapy program, PAWS. Due to high demand for our program, we are not able to fulfill all requests for services. Please submit an application to provide us with your information. Availability depends on a variety of factors including location, schedule and facility type. The program is run using volunteer teams and visits are dependent on their availability.Facility Name:*Applicant Name:* First Last Position/Title:*Email address:* Enter Email Confirm Email Facility Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please note that we are generally unable to fulfill visit requests outside of Orange County, CAFacility Phone Number:*Cell Phone/Alternate Phone Number:Facility Type:* Assisted Senior Living Memory Care, Alzheimer's, Lockdown Hospital - Recovery, general care Hospital - Rehabilitation Adult Day Care Mental Health Facility Recovery, Addiction, or therapy (outpatient or inpatient) Children's facility, foster home or shelter Children's after school program, wrap services, etc. School, Educational SDC - Grade K-8 School, Educational SDC - High School School, Other Other, Not Listed Type of Business:* Private Government/ Public School Non-Profit Other Facility Description:*Please describe facility, type of services provided and number of rooms, beds or clients.Preferred Visit Day(s)* Sunday Monday Tuesday Wednesday Thursday Friday Saturday Program visits typically are scheduled for once per month, for a period of 60 to 90 minutes maximum. Please indicate which days you would be able to make available for our teams.Time of Day:* Morning (between 9:00AM and noon) Afternoon (between noon and 3:00PM Evening (after 3:00 PM) Contribution:* Yes - Monetary Donations Yes - In-Kind Donations Yes, other support No, not able to donate or provide support at this time The OCSPCA is a program based, non-profit animal welfare organization. We do not charge fees for our pet-therapy clients, our organization is supported entirely by volunteers and the generosity of the public for donations. Is your facility able to make in-kind or monetary contributions to support the organization and programs? (Note this is not a requirement for program consideration.)Comments:How did you hear about us:
