Service Dog Placement Application

This application is the first step in determining alignment for service dog placement.

Placement is not based on need alone.
It is based on compatibility between dog and handler, as well as commitment to the training process.

Please answer each section thoughtfully.
All applications are reviewed individually.

Name

First NameLast Name

Email

example@example.com

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What type of support are you seeking from a service dog?

Have you previously worked with a service dog or trained dog?

Conditional (if YES): Please briefly describe your experience

Describe your current living environment (home type, household members, other animals, etc.)

Type a question

What does a typical day look like for you?

Activity level

Are you willing to participate in structured training and apply guidance consistently?

How do you typically respond when something is not working as expected?

What does a successful partnership with a service dog look like to you?

Service dog placement typically ranges from $3,500–$8,500+. Are you prepared for this level of investment?

Why do you feel a service dog is the right fit for you at this time?