Basic Information Form - Facility Dog

Basic Information Form - Facility Dog Program

Service Dogs Alabama
Thanks for your interest in a Service Dogs Alabama Facility Dog.

This brief form is the first step in our process. It helps us learn more about your organization, your setting, and how a Facility Dog might be used before moving forward with additional steps.

Our process includes several steps, and we want to make sure we're aligned early so you don’t spend months completing paperwork only to discover that a Facility Dog may not be the right fit for your environment or needs.

Completing this form does not guarantee placement and does not obligate you in any way. It simply helps us start the conversation and get to know you better.
Name of the Facility/Organization
Type of Facility/Organization
Address
City
State
Zip
Email
example@example.com
Principal/Director
YesNo
YesNo
YesNo
Why do you think a Facility Dog will be a good fit for your organization?
What outcomes do you think might be improved with the addition of a Facility Dog
By checking this box, I understand Service Dogs Alabama reserves the right to deny services to any applicant who does not meet the criteria necessary for placement of a Facility Dog or who requires services not within the guidelines or capabilities of the organization. It is understood and agreed to that placement of an animal will require the fulfillment of the care and training guidelines of Service Dogs Alabama.
Name
Date

MonthDayYear
Date
Should be Empty:

Basic Information Form - Facility Dog Program