In Dog We Trust service dog training application
Date:
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Month
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Day
Year
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Applicant’s First Name
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Applicant's Last Name
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Co-Applicant’s First Name
Co-Applicant's Last Name
Street Address
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City
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State
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Zip Code
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Email Address
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Daytime Phone Number
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Evening Phone Number
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Occupation of Applicant
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Occupation of Co-Applicant
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Information about the dog you wish to train
How old is the dog?
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2
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5
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Is the dog you wish to train up to date on vaccinations?
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No
Is the dog neutered or spayed?
Do all family members agree to training a new or your own dog?
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Yes
Are you,, Please select
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Veteran
Emergency service
Prison officer
Which military affiliation?
Have you been diagnosed with PTSD?
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Yes
No
Are you active duty?
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Yes
No
Do you also require mobility training?If so please explain your disability
Are you able to attend regular training appointments?
Is your dog friendly with no history of aggression?
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Yes
No
Do you have a strong connection with your dog?
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Please Select
Yes
No
Do you wish to find a dog with assistance?
Is your dog an indoor dog?
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Yes
No
Please briefly describe your knowledge of dogs, such as how many dogs you've owned as an adult and your role with these dogs. Do you consider yourself a novice, intermediate or an experienced dog owner.
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References
Veterinarian's Name
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Clinic Name and Doctor Name
Veterinarian's Phone Number
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Date of last visit
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Year
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Reference #1 Name
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Reference #1 Phone Number
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Reference #2 Name
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Reference #2 Phone Number
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Note: Please call References and let them know In Dog We Trust will be calling
Your interest in a Service Dog
Why do you want a Service dog? (check all that apply) Please note the dog must be trained for a a veteran, emergency services or prison guard persons only
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Mobility Service Dog Training
Psychiatric / PTSD Service Dog Training
Please explain in detail your dog's personality
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List the tasks you would like the dog to be trained to do for you. We can help you decide if you're unsure
Are family members aware that the advice you can be given should be taken seriously to ensure success?
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Yes
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Have you already approached another Service dog training company? If so which one?
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Please Select
Service Dog Express
Other
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Care and Training
Where is the dog kept during the day?
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Where is the dog kept at night?
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Are you familiar with the use of a crate to train and/or confine the dog in your absence or when you are not able to adequately supervise a puppy to keep him/her out of trouble while in training?
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Yes
No
Does your dog have any health problems?
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Yes
No
Is your dog tied outside or live in the yard for long hours at any time?
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Please Select
Yes
No
Describe your dog training experience.
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Are you willing and able to regularly and consistently work with your dog and keep regular appointments with the trainer?
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Yes
No
we only use positive reinforcement training no hitting grabbing or punishment collars etc.) Are you ok with that?
Have you used a trainer before? tells us why it wasn't successful.
Service dog training can take several months to achieve good results, are you willing to commit to that?
Yes
No
We require that all dogs over 6 months old be spayed/neutered prior to training, do you have any questions about this policy?
If you are unable to care for your dog in the future, ie deployed etc who will accept responsibility for its care?
Service dog training starts at 6 months old, prior to this puppy classes are recommended. Please let us know if you have any question about this
Please add any other information that you think might be helpful to us in evaluating your application.
How did you hear about us?
Terms and Conditions
Therefore, I hereby
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Confirm that I have read, understand, and agree to all terms and conditions stated in the Adoption/Training Policy and Application.
Confirm that all of the information I have provided on this application is true and accurate to the best of my knowledge.
Submit
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