Service Dog Application

Service Dog Application

Please note: traveling to Aspen, CO is required as part of our training program. There will be a $30 processing fee due before we will review your application. Background checks will be required on all adults in the household.
Name of individual in need of a SD *

First Name Last Name
Name of person filling out this form (if someone other than disabled applicant)

First Name Last Name
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
Have you ever had a Service Dog before? *
Have you had a dog before? Tell us about them. *
What is the disability with which the Service Dog can assist? *
Tasks you believe a dog can perform to assist with disability. (What tasks are a challenge for you.) *
What medical equipment do you currently use to assist with your disability? *
How does the disability affect your life and current level of independence? *
Please tell us about you (lifestyle, job, activities, home life) *
Do you have the resources to care for a dog? (time, money, patience) Expenses can range $1k - 3k annually. You must keep on top of your Service Dog's training - working and exercising them daily along with check-up training with us. *
Average Yearly Income for the last 3 years. *
Current or most recent employer (name, address, phone) *
Owning and training a Service Dog is a lifestyle. It takes commitment and prioritizing your dog's well-being and training. Your SD is not just a pet and will be trained and treated differently. This means structure, control, and manners which may include no furniture and not socializing with all your friends and other dogs. Do you understand this? *
Do you understand that it can take 6 months to 2 years to have a fully trained, public access ready SD? *
Are you allergic to dogs? *

yes no
List any and all pets in your home *
What would having a Service Dog mean to you? *
How much do you feel you could honestly afford for a medical Service Dog, without causing financial hardship, while also taking into consideration the value of a Service Dog and the donor's generosity and goodwill. *
How did you hear about us? *
Farrah is not easy to acquire as a service dog trainer due to her high standards & ethics. Farrah must believe that you have a strong need for the dog and that you will abide by the laws and be compliant and committed to the training. If Farrah and Endless Pawsibilities’ name is behind a dog, it means something! If Farrah accepts you as a candidate, she will put her heart and soul into helping you have the best dog possible. Do you give your word that you have an honest need for a SD based on an ADA defined disability? *
Application fee must be received before application will be processed. We will schedule an interview after processing application. Mail check to: Endless Pawsibilities Service Dogs c/o Farrah Fry-Ettlin 715 E Hyman ave. #7 Aspen, CO 81611 Or Venmo username Farrah Fry-Ettlin (be sure to include in the notes "EPSD application fee" and applicant's name.
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