Request Application Notification

We don’t anticipate being able to accept new applications until January of 2028. The following programs are currently closed to new applications:

  • Physical Assistance

  • Facility

  • Medical Alert

  • PTSD

  • Autism Support

If you would like to be notified when we are accepting new applications, submit the form below and you will receive an email when your program re-opens to new applications. Please be sure to keep an eye on your SPAM folder so you don’t miss a notification from us.

PLEASE NOTIFY ME WHEN MY PROGRAM IS ACCEPTING NEW APPLICATIONS

Applicant First Name*

Applicant Last Name*

Is the Applicant A Minor or Otherwise in Need of Assistance From A Parent or Guardian To Complete the Application Process?
If So, Name of Parent or Guardian:
Applicant's Date of Birth:*

Email*

Please select the program for which you would like to apply:*

If you have served in the military, please select the branch:*

If you have served as a first responder, select the type:*

Do you use a power wheelchair?*

Do you use an electric scooter?*

Have You Even Been Diagnosed With PTSD?
Yes
Have You Ever Been Diagnosed With Type 1 Diabetes?
Yes
Have You Even Been Diagnosed With Mast Cell Activation?
Yes
Have You Ever Been Diagnosed With Addison's Disease?
Yes
Do you have a fenced in yard? If so, indicate the height and fence material.*
(Please note, fenced yards are required in most instances)

If you don't have a fence, are you willing to install one?*

Check the checkbox below to indicate that you understand children under the age of 18 are not permitted to handle the service dog alone without their parent, guardian, or qualified aid present in any public location, including at schools. *
Yes, I Understand

Please describe what you hope a service dog can do for you.*


The following two questions are only required if applying for a PTSD or Autism Dog:
Are you now, or have ever been in psychiatric therapy specifically to manage PTSD or symptoms from Autism?*

Are you willing to continue/start/resume therapy for managing PTSD or symptoms from Autism?*


The following question is only required if applying for an Autism Service Dog:
What systems/menthods (such as ABA, behaviour modificaiton, etc.) are currently used to help you.*


The following two questions are only required if applying for a Facility Dog:
What company/facility do you work for and what's your role in the organization?*

Is the organization management in support of having a dog a the facility?*
Yes, I have spoken to, and have the support of my organization's management.