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Apply for Training

If you are intetersted in entering our program, please fill out and submit the following application.

Fields marked with an * are required.

Section 1: Background
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Work Phone
Date of Birth
Employer
Spouse's / Significant Other's Name
Spouse's / Significant Other's DOB
Please give a name of a friend or relative we can call if we can't reach you.
Are you, or anyone living with you, allergic to dogs?
- Yes
- No
Who is allergic and to what extent?
Please describe your disability.
Is this disability service connected?
- Yes
- No
What percentage of disability benefits do you receive?
What is your VA disability percentage rating?
Section 2: Home
Marital Status
How many people live with you?
Please list the people who live with you.
What is your current living arrangement (check all that apply)?
- Live independently
- Live with parents
- Live with attendant
- Live in a house
- Live in an apartment
- Live in a group housing
- Live in a trailer home
- Other
Do you use a wheelchair?
- Yes
- No
What type of wheelchair do you use?
Please describe other specialized equipment you use (mouthstick, van lift, special keys, etc).
Section 3: Lifestyle
Height
Weight
Do you have any physical challenges (check all that apply)?
- Physical Strength
- Mobility
- Heat Sensitivity
- Endurance
- Hearing
- Pain Sensitivity
- Speech Difficulty
- Other
Activity Level
Please list any additional health problems (e.g. diabetes, epilepsy, cerebral palsy, etc.).
Describe your leisure activities (e.g. TV, visit friends, team sports, shop, travel, computers, eat out, etc.).
If you are a student, where do you attend school?
Section 4: Pet History
Have you ever had a dog?
- Yes
- No
Do you currently have a dog?
- Yes
- No
Please indicate the breed of the dog and its age.
Please list any other pets that you currently have.
Section 5: Care
A service dog needs daily training, attention, love and care. Do you commit to provide the following?
Veterinary Care
- Yes
- No
Recommended Food
- Yes
- No
Heartworm Medicine
- Yes
- No
Flea Control
- Yes
- No
Daily/Weekly Grooming
- Yes
- No
Emergency Care
- Yes
- No
Will you follow the trainer's instructions on training?
- Yes
- No
Will you follow the trainer's instructions on practicing homework 15 minutes daily?
- Yes
- No
Will you treat the dog as a working dog, not just a pet? That means not allowing the dog to be petted in public without your permission, making the dog behave accordingly, and being the main person in the house responsible for the dog's care.
- Yes
- No
Will you keep the dog in good health? That means taking it to the veterinarian when necessary, giving the dog heartworm preventative, treating the dog, your home and yard for fleas in flea season, regular health checks with routine vaccinations and anything else necessary for the good health of the dog.
- Yes
- No
Will the dog travel with you?
Do you plan to take the dog to the workplace?
- Yes
- No
Do you plan to take the dog out in public environments (e.g. stores, mall, restaurants, salons, theatres, hotels, etc.)?
- Yes
- No
Do you consider yourself knowledgeable about dogs?
- Yes
- No
Do you have a strong feeling about what traits you like and dislike in dogs?
- Yes
- No
If so, what are they?
Are you willing to adapt your lifestyle and/or attitudes to meet your dog's ongoing physical and physiological needs (e.g. a service dog lives indoors full-time)?
- Yes
- No
Are you prepared for the responsibility of adopting another member into your family for the next seven to ten years?
- Yes
- No
Are the individuals with whom you live willing and prepared to allow you full charge of the Service Dog?
- Yes
- No
Section 6: Description of Request
Please explain why you would like to have a Service Dog.
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info@dogs4vets.orgCall Us: 480-802-9339

Address

3249 S. Lindsay RoadGilbert, AZ 85297MailP.O. Box 13525Chandler, AZ 85248

https://dogs4vets.org/

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Apply for Training

If you are intetersted in entering our program, please fill out and submit the following application.

Section 1: Background

Section 2: Home

Section 3: Lifestyle

Section 4: Pet History

Section 5: Care

Section 6: Description of Request