Important COVID-19 Information Read More
Madonna Rehabilitation Hospitals

Angel Dogs Program

Volunteer:Angel Dog Program

Past Employment

About Your Dog

References

Please provide complete addresses for all references listed.

Please list one (1) personal and one (1) business or volunteer-related character reference not related to you whome we may contact:

Background Information

Please answer the question below as completely as possible.

General Questions

About your Interest in the Angel Dogs volunteer visitor

Please read and submit the form

The information I have provided in this application is true and complete to the best of my knowledge. I will support Madonna's mission and core values, and all rules governing the Angel Dogs program during my volunteer service at Madonna. I will hold as absolutely confidential all information that I may obtain directly or indirectly concerning patients, residents or staff. My services and those of my certified therapy dog will be donated to Madonna Rehabilitation Hospitals without contemplation of compensation or future employment and are given for humanitarian and charitable reasons.