Facility Dog Application

Facility Dog Application

Please note: traveling to Aspen, CO is required as part of our training program. $150 nonrefundable application and consultation fee must be received before application will be processed. Background checks will be required on all adults in the household.
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Facility Dogs are skillfully trained to work in a facility (school, therapist office, hospital) and assist their handler in helping their clients in a number of beneficial ways.

A Facility Dog may be trained to demonstrate lying on and entering an MRI machine to reduce anxiety about the procedure for a patient. A Facility Dog can work in the schools as a loving and nonjudgmental listening ear to a student reading aloud. They can assist in comforting students in crisis and provide a moment of joy and reprieve in the middle of a long school day. A Facility Dog may work in the courts to provide comfort to a victim recounting a painful story.
Name of individual who will own the Facility Dog*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
What are you applying for:*

A trained Facility DogFacility Dog training with a dog I currently ownOther
Where will the Facility Dog work and what would a typical day look like?*
How do you envision a Facility Dog helping your patients/ students?*
Have you ever had a Facility Dog before?*
Have you had a dog before? Tell us about them.*
Please tell us about you (lifestyle, job, activities, home life)*
If you are hoping to train your own dog, please give as much detail about the dog, including: breed, age, level of training, temperament, any behavior issues...
If you are hoping to train your own dog: A large percentage of dogs fail out of training for various reasons. What is your back-up plan for yourself and the dog if the dog ultimately doesn’t qualify?
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 Facility 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 Facility Dog is a great responsibility. It takes commitment and prioritizing your dog's well-being and training. Your FD will be like an employee at your facility - structure, control, and manners are something you will need to enforce. Do you understand this?*
Do you understand that it can take 6 months to 2 years to have a fully trained Facility Dog?*
Are you allergic to dogs?*

yesno
List any and all pets in your home*
How much do you feel you could honestly afford for a Facility Dog, without causing financial hardship, while also taking into consideration the value of a Facility Dog and our donor's generosity and goodwill.*

I have no $ available for a dogUp to $5,000Up to $10,000As much as neededMy employer will help cover the costMy employer will cover the full costOther
How did you hear about us?*
Personal Reference (name, number, relation):*
Vet Reference:*
Farrah is not easy to acquire due to her high standards & commitment to following the law. Farrah must believe in your need for the dog and that you will abide by the laws and be compliant and committed to the training. We also expect you to participate in ongoing training and community connection activities with EP Service Dogs. If you are accepted into the program, Farrah will put her heart and soul into helping you have the best dog possible. Do you accept these terms?*
You must submit a background check if you are seeking a Facility Dog from our organization. Your employer should participate in our post-application consultation. Acceptance into our program does not guarantee reciept of a FD or your dog becoming a certified FD. Each step is taken one at a time and at any point either party can determine that we are not the right fit for your FD journey.
$150 Application and consultation fee must be received before application will be processed. We will schedule your consultation after processing application and payment.
Payment Methods

Please click one of the PayPal options to complete payment and submit the form.
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