Apply

APPLY FOR YOUR FUREVER FRIEND

We do a thorough application and vetting process to assure the right fit of veteran per each dog. Dogs are selected on a basis such that they are the best fit for the handler and may evaluate 8-10 dogs to make certain of the right fit.

Being Veteran and First Responder based we do have some opportunities for some funding as needed but not always a guarantee. Please complete the form below to begin the application process.

Name *

First

Last

Email *

Phone *

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

What brand of service did you serve? *

• Military
• EMT
• Fire and Rescue
• Police
• Correctional Officer

Years of Service *

How did you hear about this program? *Friend or Family MemberSocial MediaGoogleOther

If other, please specify. *

Do you have a fenced yard? *

• Yes
• No

How will you accommodate the dog without a fence? *

What is your housing situation? *

How long have you resided at your current address? *

Have you contacted a doctor or a counselor for a prescription to have a service dog? This is a KEY part for you to have service dog to take to work, etc.

• Yes
• No

Will this be your first service animal? *

• Yes
• No

Preferred sex of dog? *

• Female
• Male
• No Preference

Will you use a crate? *

• Yes
• No
• Unsure

Do you have a crate? *

• Yes
• No

What activities will you do with the service dog? (i.e. How much exercise would your dog get daily?) *

Where will you keep the dog during the day? *

Where will the dog be when left alone at home? *

Maximum hours away from the house a day? *

How much time will you spend with your service dog daily? *

Where will the dog go while you're on vacation? *

What will you do with the service dog if you move? *

Have you ever surrendered to a rescue/shelter? *

• Yes
• No

Have you ever sold/given away a pet or service dog? *

• Yes
• No

Does anyone in the household have allergies? *

• Yes
• No

Primary Reference Name *

First

Last

Second Reference Name *

First

Last

Primary Reference Phone *

Second Reference Phone *

What pets/service dogs do you have now? (Please list all.) *

Please list the names and ages of all household members. *

Please share a few sentences about yourself and your family life. *

What are you hoping a service animal will provide for you? *

Upload a DD-214 *

Drag & Drop Files, Choose Files to Upload

First Responders must have a letter of reference from their employer.

Are you able to financially support the care of a service dog over the course of their lifetime? (We estimate the cost of a service dog to be approximately $1,500/year – food, veterinarian, etc.) *

• Yes
• No

Have you been diagnosed with service-related PTSD and/or TBI by a healthcare professional? *

• Yes
• No

Are you currently receiving mental health treatment for PTSD/TBI? *

• Yes
• No

Have you ever been denied a service dog through another organization? *

• Yes
• No

Submit