General Application | Brigadoon Service Dogs

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Eligibility Screening For Applicants (Non-Veterans)

When filling out this questionnaire, “applicant” or “you” refers to the intended recipient of the service dog.

Contact Information

Name of Applicant

Name of Guardian (if applicable)

Street Address

City

Region/State/Province

Postal / Zip code

Date of Birth

Are you between the ages of 18-70?

Are you between the ages of 5-17?

Email Address

Phone

Are you now or have you ever been a Brigadoon client?

Household Information

Applicant status (check all that apply)

Working Full/Part Time

Student

Retired

Disabled

Caring for Dependent

Housing Type

How long have you lived in your current residence?

Neighborhood Type

Do you have plans to move within the next twelve months?

How many adults live in your household?

How many children live in your household?

How many dogs live in your household?

How many cats live in your household?

Are you or a member of your household allergic to dogs?

How many other animals live in your household?

Are you able to afford dog food, supplies, and care, averaging $250/month?

Are you looking for a hypoallergenic dog?

Are you able to provide income/asset documentation to verify this, should you be asked to?

Are you able to ensure that a Brigadoon dog receives 1 hour of exercise per day, independent of any service work or tasking the dog may do?

Have you or any member of your household ever been convicted of animal abuse?

Type of Service Dog You are Seeking

What type of service dog are you applying for? (check all that apply)

Physical or mobility assistance

Psychiatric conditions (e.g., PTSD, anxiety, depression)

Intellectual disability

Autism assistance (or other neurodivergence)

Guiding (e.g. for blind or visually impaired handler)

Cognitive decline (e.g., dementia, Alzheimer's)

Providing medical alert (e.g., seizure, diabetes, cardiac)

Providing hearing alert

Please note that the average waiting period is 1 to 2 years from when you are accepted into our program. Does that timeline work for you?

Have you applied for a service dog from another organization?

If yes, which organization (s)? Status of application?

Your Participation in Training

Are you able to travel to the Brigadoon campus in Bellingham, Washington for meet & greet sessions with prospective matching dogs (1 to 5 times)?

Are you able to travel to the Brigadoon campus in Bellingham, Washington to train for 10 to 14 days consecutive days at the time of placement?

Are you able to travel to the Brigadoon campus in Bellingham, Washington 6 months after placement for follow-up care and certification?

Are you able to travel to the Brigadoon campus in Bellingham, Washington annually thereafter for the life of the dog/partnership?

Are you able to commit to daily training (15 minutes/day) throughout your partnership with the dog?

Are you able to travel to the Brigadoon campus in Bellingham, Washington as needed, should additional in-person training help be required?

Are you and the members of your household committed to following the dog care & training policies and guidelines provided by Brigadoon service dogs?

Your Signature

Today's Date

Thanks for submitting!

Contact

Brigadoon Service Dogs

PO Box 28536

Bellingham WA, 98228

General Inquiries:
360-733-5388

Send Us An Email:
information@brigadoondogs.org

Facility visits are by appointment only.

EIN: 27-0100385

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