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Service dog application

A service dog is individually trained to perform specific tasks related to a person’s disability. This differs from an emotional support dog, whose presence provides comfort but does not qualify it as a service dog under the Americans with Disabilities Act (ADA). A trained service dog generally may accompany its handler into places open to the public, including places where pets are not allowed. Please answer the questions below so we can learn about your needs and determine whether our Service Dog Program may be a good fit.

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Thank you for taking the time to complete our application. Submitting an application does not guarantee acceptance into the program, but it does begin our interview process. Please allow up to 3 business days after submission for a member of our team to contact you to schedule an interview.

Veteran Information

Birthday
Month
Day
Year
Preferred Contact Method

Military Service

Branch of Service
Discharge Status
Do you currently receive VA care?
Yes
No

Support Needs

What challenges are you hoping a service dog may help with?
Are you currently working with a therapist/VA provider/Medical Professional?
Yes
No

Lifestyle & Readiness

Do you have stable housing?
Yes
No
Do you have other pets?
Yes
No
Do you personally own or have consistent access to a vehicle that you are legally able to drive and that can safely transport a service dog?
Yes, I own a vehicle and have a valid driver's license.
Yes, I have consistent access to a household/shared vehicle and can drive it.
No, but I have another reliable transportation arrangement.
No, I do not currently have access to a vehicle.
Are you able to attend training sessions and follow program requirements?
Yes
No
If your Walking With Honor dog required immediate or emergency veterinary care, would you be able to transport the dog to a veterinary hospital at any time, including nights, weekends, and holidays?
Yes
No
Unsure

Expectations & Commitment

Consent & Acknowledgment

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