Apply - Shelter to Soldier™

Name*

First Last

Phone*

Email*

Date of Birth*

Do you live in Southern California*

Yes
No

Are you applying for Shelter to Soldier Psychiatric Service Dog™, or a Shelter to Soldier Emotional Support Dog™?*

A psychiatric service dog is individually trained to do work or perform tasks for the benefit of an individual with psychiatric, intellectual, or other mental disability.

An emotional support dog can provide comfort, companionship, and relieve loneliness but are not trained to perform specific tasks for their handler. Emotional support dogs are not permitted in public establishments (i.e., restaurants, stores, or in VA facilities).

Shelter to Soldier Psychiatric Service Dog™
Shelter to Soldier Emotional Support Dog™

Shelter to Soldier is currently only accepting applications from Southern California (San Diego County, Orange County, Riverside County, Los Angeles County, and portions of San Bernardino County). We appreciate your interest in our organization and encourage you to reach out to your local Veterans Administration or Veteran Community Service Office to find out if programs and services like ours, are available in your area. We hope to serve a broader geographical area in the future.

How did you hear about Shelter to Soldier?

Has anyone ever taken an animal away from you due to negligence or because of an abuse claim?*

Yes
No

If yes, please explain:

Have you ever been convicted of a felony?*

Yes
No

If yes, please explain:

Have you ever been convicted of a misdemeanor?*

Yes
No

If yes, please explain:

Have you been arrested for anything in the past 24 months?*

Yes
No

If yes, please explain:

Have you ever been so angry you struck a person, thrown an object at someone or broken personal property?*

Yes
No

If yes, please explain:

Are you currently employed?*

Yes
No

If yes, how many hours a week do you normally work?

If yes, what type of work do you do; and what type of environment are you in, while at work?

Are you currently a student in a college or trade school?*

Yes
No

Please share any post-military service educational degrees and achievements?