Apply for a Service Dog

Please complete the application form in its entirety.  All fields are "Required" before you can submit the application. For an overview of the various service dog training programs offered, as well as program admission, click HERE.

This online application is Part One of our application process.  In order to complete Part One of the application we require a copy of your most recent DD-214(member-4), Report of Separation or military discharge certificate.  This can be submitted by email to Applications@vetdogs.org, fax to 631-930-9075 or mail to: America's VetDogs Consumer Services, 371 E. Jericho Tpke. Smithtown, NY 11787.  If you are active duty, your application request will be reviewed as submitted.

The America's VetDogs Consumer Services team will review the information provided.  Within fifteen (15) business days of receiving your DD-214, qualifying applicants will receive Part Two of our application.  Part Two of the application requires additional documents, such as a medical report to be completed by your physician, a Mental Health report, and an application video.  You can find the video guidelines here. Please note that the completion of the following application form does not guarantee acceptance as a client at America's VetDogs.  

All information provided is privileged and will be considered confidential.  The Foundation administers its employment, admissions and training programs in a nondiscriminatory manner and in accordance with applicable state and federal laws. The Foundation does not discriminate on the basis of sex, age, race, color, national origin, citizenship status, creed, religious affiliation, marital status, sexual orientation, gender identity or expression, victims of domestic violence or the presence of a medical condition or disability, predisposing genetic characteristics, or any other group protected by law.  Applicants may discontinue the application process at any time, for any reason.  Our applicants and program graduates are never required to fundraise or engage in public relations or marketing initiatives on our behalf.

Please be sure to have all of your application information ready for submission. This application will time out if not filled out completely.


*First Name (Please provide full legal name):  

Middle:

*Last Name:  

*Email Address:  

*Address Line 1:  

Address Line 2:

*City:  

*State:  

*Zip Code:  

Home Phone:

Work Phone:

Cell Phone:

*Birthdate:

 

Gender:

For statistical purposes, what is your background?