A Program of the Central Pennsylvania Animal Alliance
	Application for Participation (to be completed by a rescue group or shelter only) Date of Application_________________________________________________________________ Name of Rescue/Shelter _____________________________________________________________ Member of Central Pennsylvania Animal Alliance?  (Please circle one)    Yes             No Contact Person___________________________________________________________________ Telephone______________________________  Email ___________________________________ Name of dog _____________________________________________________________________ Age __________   Breed ______________________  Gender ___________   Weight ____________ All dogs enrolled in the HOPE Dogs Program are crated for a period of time each day while the inmates are at work.  Is the dog comfortable in a crate?  (Please circle one)     Yes        No Please list below your observations of the dog, behaviors that you would like addressed, emotional/social concerns and any other information you think would be helpful in evaluating the dog for the HOPE Dogs Program. (Please attach additional sheets if necessary.) ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Thank you for your interest in the HOPE Dogs Program.  Upon receipt of your application, please allow two weeks for review.  A representative from the HOPE Dogs Program will contact you to let you know the status of the application.  Click here to return to the previous page.
	Hounds of Prison Education A Program of the Central Pennsylvania Animal Alliance