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About
Our Founder-Jennifer Arnold
Our Service Dogs
Our Teaching Philosophy
FAQs About Canine Assistants
Programs
Children’s Hospital Initiative
K-9 Kids Reading Program
Presentations
Our Service Dogs
Service Dog Application FAQs
Apply for a Service Dog – Preliminary Application
Apply for a Community Service Dog
Community Facilitator Application
Donate
General Donation
Match your donation!
Honor & Memory Donation
Monthly Giving
Planned Giving
Delta SkyMiles
Wish List
Donation FAQs
Sponsorships
Puppy Sponsorship
AfterCare Angel
Volunteer
Local to Atlanta
Corporate Volunteer Days
Financial Forms
Contact Us
Our Staff
Our Board
Contact Information
Handle with Care Full Application
Handle with Care Full Application
Nicole Hern
2025-04-18T13:52:16+00:00
Handle with Care Full Application
Name of Applicant
(Required)
Email
(Required)
Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Applicant Date of Birth
(Required)
MM slash DD slash YYYY
Applicant Gender
(Required)
Have you identified a coach to assist you?
(Required)
Yes
No
If yes, provide the coach's name and relationship to the applicant. If no, indicate N/A
(Required)
What is your primary disability?
(Required)
Please list any secondary disabilities.
If you have seizures, tell us the type(s) and how often you tend to have seizures.
(Required)
In what ways would you like your dog to help you?
(Required)
Select any of the following devices you use:
(Required)
Prosthesis
Leg Brace
Crutch/Cane
Walker
Manual Wheelchair
Power Wheelchair
Wrist Brace
None
Please list the names and ages of anyone who lives with the applicant as well as their relationship to the applicant.
(Required)
How much time in a day could be devoted directly to your dog?
(Required)
Select all actions below that you would allow a pet dog to do:
(Required)
lick your face
bark at another dog in your neighborhood
lick his/herself
mount another dog
get on the furniture
watch you eat
eat before you eat
sleep in your bed
walk in your neighborhood off leash
get food off the counter
Select all actions below you would be be willing to do with your dog:
(Required)
allow your dog to make certain decisions on his/her own
use a choke chain
talk to your dog in public
scold your dog
massage your dog
scare your dog in an effort to prevent misbehavior
swat your dog
force your dog to do something that assists you that makes him/her uncomfortable
consider what your dog may be trying to tell you when he/she doesn't comply with a request
Do you already have a dog?
(Required)
Yes
No
The following questions are required only if you already have a dog.
Dog's Name
Dog's age
Approximate Weight
Gender
Female
Male
Spayed/Neutered?
Yes
No
Breed
From the following, select the options that best describe your dog. My dog is:
Often Fearful
Sometimes Fearful
Somewhat Confident
Mostly Confident
Often Anxious
Occasionally Anxious
Rarely Anxious
Rarely Communicative
Sometimes Communicative
Always Communicative
Clingy
Can Function Independently
Completely Independent
Very Calm
Somewhat Calm
Somewhat Energetic
Highly Energetic
Inattentive
Sometimes Attentive
Often Attentive
Always Attentive
Other ways you would describe your dog:
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