Started SD Application

Started Service Dog Application

"Cashew" Yellow Labrador for placement after July
Eligibility Requirements:

- Applicants must be at least 18 years old and possess the developmental and physical capabilities to care for and handle a dog independently.

-Applicants must have an official and verifiable diagnosis from a qualified and licensed professional. Must be actively engaged in therapy or another form of disability care for at least one year prior to submitting application.

-Applicant must demonstrate proficiency in handling a service dog at home or in public.

- Applicant must supply proof of financial resources sufficient for the care of the service dog, including veterinary care.

If applicant meets eligibility requirements and has an ideal application, they will be contacted via email or phone to schedule an interview via zoom.
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
City and State
Is this your first service dog?

YesNo- I'll provide more information below
If "no", please explain:
Please list all other people in the household including ages. How does everyone feel about adding a dog to the household?
Please list all other animals in your household, including breed, age, and any behavioral issues
Please list at least three references that can vouch for your ability to care for a dog independently. (Name, relation, and phone number or email)
Please provide the name, clinic, and phone number of your established veterinarian
What would the dog's day to day life look like?
What opportunities will the dog have for physical exercise and enrichment?
List the main tasks you would like your service dog to be trained to do
Why do you think a service dog is the right treatment for you?
(Optional) Provide a letter of recommendation from your health professional.

Cancelof
Should be Empty:

Started Service Dog Application