Apply for a Service Dog at Putnam Service Dogs

We change lives – 1 dog at a time.

Putnam Service Dogs provides free Service Dogs and follow-up support to people with physical
disabilities other than blindness. This is the only type of dog we train.

If you’re seeking an Emotional Support dogs,  please complete our application to adopt a Release Dog on our website Home Page under Applications.

Benji retreiving a walletWe look for applicants who can competently and humanely care for a dog, are residents of the United States, and who will benefit from having one of our service dogs.

Currently, the wait for our Service Dogs is about 2 years, depending on your needs, and the capabilities and temperament of our pups in training.

We need volunteer puppy raisers and vacation fosterers to produce more Service Dogs! Please ask your friends to apply.

We foster the nurturing bond between humans and dogs, and treat dogs humanely and
respectfully during their raising and training. We expect our recipients, their families, friends, caregivers, etc. to treat our Service Dogs as they would any treasured friend. A lot has gone into creating our Service Dogs. Graduated Service Dogs are a rare, precious gift as not many dogs have the necessary temperament, focus, and intelligence to function as Service Dogs.

During our application process, your training period with your dog, and our follow-up support training, we will teach you how to work effectively with your service dog, and how to ensure the safety, care, and humane treatment of the dog.  We seek recipients who are motivated to be the best friend and handler of this very special dog, who don’t just want a service dog for its helpfulness.

To protect the dog,  we do not allow our Service Dogs to pull wheelchairs, or function as a brace to assist a placing their full weight on the dog to get back up from a fall. These activities can harm our dogs.

We give you the huge gift of one of our Service Dogs and follow-up support services, and we expect you to treat this very special dog with reverence, and knowledge, and to meet it’s basic living requirements competently and humanely.

Our Service Dogs are individually trained to be a Mobility Service Dog, or a Hearing Alert Dog to match the needs of their recipient. Their skills can include retrieving dropped items, pushing elevator and automatic door buttons, tugging open doors and drawers and closing them, turning lights on and off, getting help, assisting in dressing, alerting to sounds – ringing phone, knock on door, etc.

Please complete the following application. All * must be completed for the form to submit.

Applying does not guarantee you will receive a dog.

APPLY BELOW
(If you are applying for a Facility Dog, please click here)

Your Name and Address
Salutation* :
Under 21 or incapable of competently caring for a dog?* YesNo If no, please add custodial parent or guardian contact info.
Custodial Information
Salutation :
I approve all communications going to both me and my guardian.
Additional Contact Information
Would you like to add an additional contact?* YesNo If yes, please add below.
Salutation*:
About You
Do you require a Hearing Alert Dog?* YesNo
Do you require a Seizure Alert Dog?* YesNo
Do you require a Hypoallergenic Dog?* YesNo
Are your living arrangements conducive to caring for a Service Dog?* YesNo
Explanation*:
How will you exercise the dog?*
Do you have a support system (family and/or friends) to assist with transitioning to life with our Service Dog and with the responsibilities of owning a dog?* YesNo
Explanation*:
A Service Dog will cost $1,500+/year to feed and provide vet care. Can you afford this?* YesNo
Explanation*:
Will the applicant (and Parent/Guardian/Caretaker if relevant) be able to attend a 5 day training session in Putnam County, NY? You will be responsible for room and board during this period with some assistance from us.* YesNo
Explanation*:
Your Personal Information
Your Birth date*:
Your Height*: " ' (Feet/Inches)
Your Weight*:
Marital Status*: SingleMarriedWidowed/WidowerDivorced
Who else lives with you? (People and animals)*
Note: Since another dog in the household will distract our Service Dog, we are only placing Service Dogs in homes that have no other dogs.
Type of Home you live in* : ApartmentHouseOther
Fenced Yard?* : YesNo
Type of Area you live in* : UrbanSuburbanRuralOther
Explanation*:
Type of Area you and your Service Dog will visit frequently* : UrbanSuburbanRuralOther
Explanation*:
List any Medical Condition(s)* :
Please enter none if no conditions exist.
Disabled?* : YesNo
If Yes, How long have you been disabled?*
How does your disability affect your life and current level of independence?*:
List the type of activities you want your Service Dog to assist you with
Retrieve and deliver dropped items?* : YesNo
Fetch Items?* : YesNo
Explanation*:
Turn lights on and off?* : YesNo
Assist you in dressing?* : YesNo
Assist you in doing the laundry?* : YesNo
Go for help in case of an emergency?* : YesNo
Open doors?* : YesNo

Open drawers?* : YesNo
Press elevator buttons?* : YesNo
Accompany you in crowded situations?* : YesNo
Explanation*:
What other activities were you hoping your Service Dog would perform?*
Name of person completing this form and contact information (Phone and email)
Salutation*: