Application to Receive a Service Dog

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Illini Service Dogs does not discriminate on the basis of basis of race, color, national origin, age, or sex. Please note that we specialize in training mobility service dogs but can accommodate certain specialized needs on a case by case basis. At this time, we do not train psychiatric support dogs to assist with mental health disabilities such as PTSD or anxiety.

Illini Service Dogs promises to treat all placements with courtesy and respect. All information provided within this application will remain confidential.

Email *

Illini Service dogs trains mobility service dogs, which are trained to provide assistance with balance and stability, retrieving or carrying objects, etc. *

I acknowledge

Required

Clear form

Never submit passwords through Google Forms.

This form was created inside of Illini Service Dogs.

Does this form look suspicious? Report

Forms