Request an Application

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Complete this form to give Canine Companions some more information about you, your needs and what you’re seeking in a potential assistance dog. Canine Companions staff will review this information and you will receive a response within 2-4 weeks. Please review our Application Process prior to completing this request.


Please note that Canine Companions does not train dogs for seizure alert or balance support work.

Applicants for the PTSD program must be United States Armed Forces veterans. Currently, this program is only offered in our Northwest and South Central regions, and for any applicants living within 200 miles of our training center in Medford, New York.

Applicants must be 18 years old or older to apply for a Service, Hearing or Facility Dog; children must be at least 5 years old for a Service Dog with Facilitator.

Please see our Assistance Dog FAQs for more information.


Please fill out the form below if you are interested in receiving an application to apply for a Canine Companions for Independence assistance dog.