Application

Need a Battle Buddy?

Please fill out the application below.

Please Fill Out The Form Below!

  • MM slash DD slash YYYY
  • MEDICAL INFORMATION

  • Please provide 3 personal references and their phone numbers. One of which may not be a relative or someone living with you.

  • Military Service Information.

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • I hereby agree to the following statement:
    V.E.T. Service Dogs NFP has authority and permission to contact any person you have referenced on this form.

  • MM slash DD slash YYYY
  • Please submit a copy of a signed letter from a doctor, psychiatrist, psychologist or therapist that has diagnosed your condition of PTSI, TBI, MSI. You can also supply a rating from V.A Please scan and submit a copy of your D.D. 214, and please block out social security number
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    If you would like any assistance, please call us directly at (708) 274-7678