apply for a dog

You should feel proud taking this step.

Trust us...it is NOT easy for us to reach out for help and assistance. Taking this step to ask for help is a big part of your journey and we salute you for doing so. A dog can be a very rewarding and therapeutic part of that same journey, but it does take commitment and dedication to not only care for the dog but also train that dog (and yourself).

To get started fill out the form below and one of our Warrior Outreach Specialists will be in touch to discuss next steps.

As always, thank YOU for your service!

Please fill out the below questions and someone from Pop Smoke will review...

First name

Last name

Date of Birth

Month

Day

Year

Phone

Address including city and state

Branch of Service

Military Service/First Responder Entry Date

Month

Day

Year

Separation from the Military/First Responder

Month

Day

Year

Please list deployment information here (months, years, location, etc)

First Responder Profession

Years of public service

Please list public agencies you have worked for

Why do you think a service dog will help?

Are you seeing a mental health professional (Only answer yes if you are able to provide documentation to support your answer)?

Yes

Before being approved for a service dog, Pop Smoke requires a letter from a licensed mental health provider that the applicant is capable of caring for a dog.

Describe a time you lost your temper in the last 6 months. What triggered it and what did you do?

What's the hardest part of your day right now?

Who in your life would tell me the truth about how you're really doing, and can we contact them?

Landlord/HOA restrictions on dogs?

Yes, Landlord w/ Restrictions

No, Landlord Do not Rent

Any current legal issues, active warrants, or pending charges?

Have you ever surrendered a pet? What were the circumstances?

References: 2 non-family references who've seen you interact with animals or under stress. Must be outside of your home and can not be a relative.

Are you willing to attend required training sessions and follow-up check-ins, even when things get inconvenient?

Please upload your DD214 or NGB22

Upload Proof of VA Disability Rating

Please upload a copy of your I.D. (First Responders only)