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 DD-214.  This can be submitted by email to Richard.Helling@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.  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.


THERE ARE 3 PARTS TO THIS APPLICATION.  YOUR APPLICATION IS NOT COMPLETE UNTIL YOU CLICK SUBMIT ON THE LAST PAGE

PERSONAL INFORMATION

*First Name:  

Middle: 

*Last Name:  

*Address Line 1:  

 Address Line 2: 

*City:  

*State:  

*Zip code:  

Home Phone: 

Work Phone: 

Cell Phone: 

*Email address:  

*Birthdate: 

 

Birthplace (Town & State): 

Gender:  

If Other:  

How did you hear about us?   

 

*Have you ever been convicted of a felony? 

If yes, please explain: 

*Are you a first responder?  

          If yes, please specify: 

*Are you a member of the US Military?  

*Are you active duty?  

Are you discharged from the military?  

Discharge Date:      Type of Discharge: 

If discharged please provide a copy of your DD-214 by emailing a copy to Richard Helling at Richard.Helling@VetDogs.org or by fax at (631) 930-9075.  You can also mail it to America's VetDogs Consumer Services, 371 E. Jericho Tpke., Smithtown, NY 11787

Branch of Service: 

Highest Rank: 

Campaign: 

          Other: