Service Dog Application

Assistance Dog Breeding Program

I am a professional and I would like to apply for a paws4people Facility Dog to use in my career.

Initial Client Application

After reviewing the infographic above that applies to your situation, begin your application process below.

Our mission is to educate and empower people to utilize Assistance Dogs to transform their lives. We sincerely wish we had unlimited funds so we could help every applicant.

Please understand we receive many more applications than we have Assistance Dogs, Facility Dogs, or Emotional Support Dogs to place. A small number of initial applicants will be invited to complete a long application, and the remaining applicants will be notified that we are unable to proceed with their application.

paws4people does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its operations or programs.

paws4people reserves the right to deny, revoke, and/or otherwise modify applicant or client/handler status at any time and in its sole discretion when determined to be in the best interests of the organization.

Please enter the name and age of the person who will be receiving the Dog, regardless of who is submitting the application.

Who is filling out this application?

Mailing Address of Applicant

How many individuals 16 years and older will reside in the home with the Dog?*

How many individuals 15 years and under will reside in the home with the Dog?*

Will other animals reside in the home with the Dog?*

Status 02: Please choose one*

Active Duty
Veteran
Military Dependent
Civilian
First Responder

Status 25: Please choose one

Status 21: Are you currently employed or retired from a gonvernmental agency?

Which governmental agency did or do you work for?

Status 25: Please choose one.

DOD
DNI Agency
Homeland Security
Federal Law Enforcement/First Responder

Please specify the organization you do or did work for and for how many years:

Status 22: Describe your current status. Choose one.

Active Duty
Active Duty Pending

Status 23: Choose one.

Separation
Medical Discharge/Retirement
Retirement

Status 24: Actual/Estimated Date of Retirement

Status 26: Years Served

Status 27: Please indicate Rank at Separation/Retirement

Status 28: What is your relationship to the Active Duty Military member?

Status 29: Please choose one

Status 29A: Please indicate Current Rank/Pay Grade

Status 34: If you have ever applied to another Assistance Dog organization, please list all organizations here. If not applicable, please type "none."*

Status 35: Referral: Please let us know if someone referred you or how you heard about us:

Status 36: This is the MOST important section of your application. Please enter ALL information you think is important for us to know about you and WHY you want one of our Dogs. If you have a diagnosis of PTSD, please detail the trauma that caused it as well as symptom set.*

Status 37: Choose one below.*

I would like to apply for a paws4people Assistance Dog.
I am a professional and I would like to apply to use a Facility Dog in my career.

Status 40: What type of Dog do you think you want? Please choose one.*

Assistance Dog
Facility Dog
At this time I don't know enough to make this decision.

Status 41: Are you receiving professional medical treatment and/or counseling therapy?*

Status 42: You will be required to provide releases so that our professionals can talk with your treatment team, will you be willing to sign such releases?*

Status 43: We train our Assistance Dog and client teams in Wilmington, NC. We train our Facility Dogs and handler teams in Wilmington, NC and other locations in which the team will work. Do you agree to incur the expense for the travel and training that will take place in Wilmington, NC?*

Yes

The paws4people/paws4vets Pay-It-Forward

The Pay-It-Forward (PIF) is program whereby each Direct Client or Direct Handler voluntarily engages in education, awareness raising, fundraising, and other efforts on behalf of paws4people to help paws4people continue to raise, train, and place more Assistance Dogs and Facility Dogs with more people. The PIF provides a mechanism for Direct Clients and Direct Handlers to get involved in a process that is “bigger-than-him/herself." Through participation in the PIF, each Direct Client and Direct Handler becomes a member of the paws4people family, and in turn, helps the next members of the paws4people family, just as the previous members helped them. This ripple effect among Clients and Handlers is the very essence of the PIF. Many Direct Clients and Direct Handlers have told paws4people that they find it to be inspirational and motivational to have a realistic and reasonable goal for his/her PIF. Based on the thoughts and feedback shared by Direct Clients and Direct Handlers, paws4people set the PIF 1 Goal of $10,000 in funds and "non-cash" credit from a Direct Client's or Direct Handler's direct efforts. Many Direct Clients and Direct Handlers enjoy performing "sweat equity" in collaboration with the organization and add very important “non-cash” value to the organization as part of his/her PIF Goal 1. While participation in the PIF is a required part of the paws4people/paws4vets placement process, public fundraising is not required. PARTICIPATION & EFFORT in the PIF are what matters!

Status 45: If selected as a client or handler, I would be willing to make my story part of the paws4people Public Relations efforts to educate the community about the role of Assistance Dogs or Facility Dogs (as applicable).*

Status 46: If selected as a Direct Client or Direct Handler, I would volunteer to conduct a Pay-It-Forward campaign to educate, raise awareness, and fundraise on behalf of paws4people/paws4vets, helping the next client or handler to receive an Assistance Dog or Facility Dog.*

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