Service Dog Training application

Tell us about you

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

What is your birthday?(Required)

Month

Day

Year

Do you have children at home?(Required)

Yes

How did you hear about our Service Dog Training program?(Required)

What are the ages?(Required)

Tell us about your service

Service history(Required)

Air Force

Army

Coast Guard

Marines

Navy

Service status(Required)

Active

Reserve

Veteran

Service status document(Required)

Accepted file types: jpg, pdf, png, Max. file size: 5 MB.

Upload a copy of your Active Duty ID card, Reservist ID card, or your DD-214

Are you a combat veteran?(Required)

Yes

How many years did/have you serve(d)?(Required)

Tell us about what’s going on now

Describe how your disability impacts you.(Required)

Are you physically able to participate in the hands-on training of your dog?(Required)

(Training requires alot of bending, stooping, reaching, kneeling, standing, walking, sitting as well as other strenuous activity.)

Yes, I think I’m up for it.

No, that seems beyond my abilities.

Our program is designed to empower veterans to train their own dogs with the guidance of our team. This process involves active participation in exercises such as walking, handling, and consistent follow-through with training routines. If you are currently unable to meet the physical demands of training, the best option is to adopt one of our fully trained service dogs.

Are you currently a student at a college or university?

Yes

Have you ever been convicted of a felony?

Yes

What college or university, and at what campus?(Required)

Please explain the felony.(Required)

Are you currently employed or volunteering?(Required)

Yes, I’m employed.

Yes, I’m volunteering.

No, I’m not.

How many hours per week?(Required)

Where are you employed?(Required)

Where are you currently volunteering?(Required)

How does your employer or volunteer organization feel about you having a service dog?(Required)

How does your primary care feel about you having a service dog?(Required)

Are you currently in therapy with a licensed mental care provider?(Required)

Yes

How does your therapist feel about you having a service dog?(Required)

Tell us about your dog

What's your dog's name?(Required)

What's your dog's breed?(Required)

What's your dog's age?(Required)

How much does your dog weigh? (Pounds)(Required)

Is your dog spayed or neutered?(Required)

Yes

How long have you owned your dog? (Years)(Required)

How does your dog react to dogs he/she does not know?(Required)

How does your dog react to cats?(Required)

How does your dog react to children?(Required)

Have you ever heard your dog growl at a person?(Required)

Yes

Has your dog ever bitten anyone?(Required)

Yes

Has your dog ever been injured by another dog?(Required)

Yes

Is your dog reactive to (hiding from or barking at) loud noises like the doorbell, fireworks, etc?(Required)

Yes

Please describe the cause and reaction.(Required)

What's the name of your veterinarian?(Required)

What's your veterinarian's phone #?(Required)

Is there additional information you would like to share for this application?(Required)

Yes

What should we know?(Required)

I understand and agree that submitting this application form does not automatically guarantee my acceptance into the Service Dog Training Program. By submitting this form, I attest that the information I have provided on the form is true and accurate.

Start your independence journey

Tell us about you

Tell us about your service

Tell us about what’s going on now

Tell us about your dog

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