Owner Trained Service Dog Application

Full Name*

PrefixFirst NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Area CodePhone Number

Which Program Level are you interested in?

GoldSilverBronze

Dog's Name

Name

How old is your dog?

Breed

Any previous training for you? Please include past classes and trainers/methods used

Any previous training for your dog?

If your dog is from a breeder have they produced service dogs before?

Has your dog ever shown nervousness/shyness/aggression towards people or animals?

Do you understand that training a service dog is a large time commitment and is a minimum 10,000 hour project?

What are your primary needs or tasks you require assistance with from a service dog?

Do you have any previous experience with service dogs?

Do you have any allergies or sensitivities that we should be aware of when selecting and training the dog?

Tell us more about what your daily routine and lifestyle looks like:

Can you describe your living situation (e.g., house, apartment, urban, rural)?

Are there any other pets in the household? If so, how do they interact with other animals?

Do you live alone or with others? How do they feel about having a service dog?

How often are you away from home, and what types of environments do you typically frequent (e.g., work, school, social events)?

How active are you, and what kind of physical activities do you engage in regularly?

If you do not already have a dog, are there any particular breeds you prefer or do not prefer?

If you do not already have a dog, are there any size or temperament requirements for the service dog?

Are you able to commit to the training process and ongoing reinforcement with the service dog?

Do you have a support system (family, friends, caregivers) to help you with the dog’s care and training?

How do you handle stress and challenges? How do you think you will handle potential challenges with the service dog?

What are your expectations for the service dog’s role in your life?

What are your short-term and long-term goals for working with a service dog?

How do you envision your life changing with the addition of a service dog?

Are there any financial constraints or budget considerations we should be aware of?

Do you have any travel plans or frequent trips that the service dog would need to accommodate?

Are there any specific training timelines or deadlines we need to be aware of?

Is there anything else you think is important for us to know about your needs or situation?

Do you have any questions or concerns about the process of obtaining and working with a service dog?