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K94Heroes application requires the following:
Today’s Date ___________________________________
Copy of your DD – 214 _________
An Interview in person or by phone _________
Name _____________________________________________________
Date of Birth ______________________
Your Email ________________________________________
Phone Number ___________________________________________
Your Address ______________________________________________________________________________________________________________________________________________________
What type of dwelling do you live in? ____________________________________________
Bottom of Form
Do you rent? ____________
If you rent, does your landlord allow animals? _______________
Can you please provide the name and age of all people living with you? ______________________________________________________________________________________________________________________________________________________
Branch of Service? _______________________________________
Current Military Status ______________________________________________
Conflict Serve In ________________________________________________
If you are NOT a veteran:
Name of veteran relative (First and Last) ________________________________________
Your Relationship to the veteran? ________________________________
Medical Diagnosis ______________________________________________________________________________________________________________________________________________________
Please tell us why a companion dog will help you. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have any pets now? ____________________________________________
Are you able to care for a dog? (Walking, Feeding, Playing, Veterinarian Care, Etc) _______