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Service Dog Application

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Application Information

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Occupation/Education Information

Are you currently employed?
Do you work?
Are you currently attending school?
Do you attend school?

Household Information

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Are you the homeowner?
Does your current residence allow pets?
Do you have any pets currently living at your residence?

Military Information

What is your military status?
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Service Dog Inquiry

Do you have a medical referral?
Has your dog taken part in any training prior?
Thanks for submitting!
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