Owner Trained Program Pre-Application

*** Complete this Pre-Application ONLY if you own a dog you want to train to be your Service Dog or Facility Dog AND you and your dog meet ALL of the criteria for application to our program. ***

Name of Dog Owner (First, Last):

Today's Date:

Are you a Veteran or First Responder? (We currently only serve Veterans and First Responders)

VeteranFirst Responder

Are you seeking training for your dog to be your Service Dog or Facility Dog?

Service DogFacility Dog

Do you meet NSSD's criteria listed on our Application page? *You must be a Veteran or a First Responder, you must reside in the San Diego County area to enter our program, and Veterans must meet the following criteria: 1. DD214 showing Honorable Discharge

2. 80% or greater service-connected disability rating

3. VA verification letter required

4. Medical Professional reference form completed verifying disability (TBI, PTSD or Mobility)

YesNo

Are you located within San Diego County? (We currently only serve residents within San Diego County)

YesNo

City:

State:

Phone:

A good time to call you:

Email:

Dog Name:

Dog Breed:

Dog Date of Birth:

Dog Gender:

Age when dog was adopted:

Is your dog spayed or neutered? (NSSD is accredited by Assistance Dogs International and adheres to their standards, your dog must be spayed or neutered in order to be trained within our program and a certificate of spay/neuter must be provided with the formal application in order to be accepted into the program)

YesNo

Has your dog passed the AKC CGC Test? (This is a requirement for our Training Program, we have provided links on our Owner Train page)

YesNo

Any formal training? Name of Trainer (if any):

Are you currently utilizing your dog as a Service Dog in public?

YesNoNo, I want my dog to be a Facility Dog

Have you reviewed and do you understand NSSD's Criteria for the Owner Trained Program?

YesNo

Anything you would like NSSD to know:

Next Step Service Dogs is accredited by Assistance Dogs International. If you do not meet the criteria above, please refer to the Assistance Dogs International website for more information on organizations that may be able to serve you. https://www.assistancedogsinternational.org/