Request Application Notification

Due to high demand, we often need to close one or more programs to new applications several times throughout the year. The following programs are currently closed to new applications:

  • Autism for Children (ages 2-10)

  • Autism for Young Adults (ages 18+)

  • Facility Dogs

  • PTSD

If you would like to be notified when we are accepting new applications for one of these programs, please submit the form below and you will receive an email when the program re-opens to new applications.

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:*