We provide Service Dogs to Veterans and Wounded Warriors who were wounded on the battlefield
physically and psychologically.  This applies to all National Guardsmen and Reservists called to Active
Duty.  We are no longer pairing dogs with individuals with no military background! If you are a facility that
services over 50% veterans we can assist you with a Facility Dog.

We cannot thank the Veterans and Wounded Warriors enough for their selfless service to the country,
because of you we are free!  If you are a Veteran or Wounded Warrior in need please fill out our application.
Apply For A Service Dog

Copyright Mutts With A Mission, Inc. All rights reserved.

Web Hosting by Yahoo!




P.O. Box 266
North Berwick, Maine 03906
ph: 207 459-5026

muttswithamission@yahoo.com
Mutts With A Mission, Inc.
A 501 (c)(3) Non-Profit Organization

"Serving Those Who Keep Us Free!"
Pre Application For Service Dog Placement
Mutts With A Mission only places Service Dogs with U.S Military Veteran, Wounded
Warriors, Active Duty and National Guard/Reserve personnel. We train Mobility Assist
dogs and Psychiatric Service Dogs. We will place Facility Dogs in facilities that service a
population of 50% or over of veterans. We do not train and place dogs for seizure
response, hearing alert, autism, or developmental disabilities.

If you feel you would qualify for a service dog and would like additional information,
complete the following pre-application form.

This is not a formal application. It is an inquiry so we can learn more about potential
applicants. We do not require formal applications until we feel you are a viable applicant.
Inquiries are kept in our files for future matching. Potential applicants are screened to
determine individual needs and the ability to benefit from a service dog and to provide a
safe and healthy living environment for the dog. Please be assured that all information
on this form will be held confidential by Mutts With A Mission.. None of the information will
be released to any agency or person outside Mutts With A MIssion without your
expressed written consent.
Are you a Veteran, Wounded Warrior, Active Duty or Reserve/National Guard member
(or past member)?  If no, please do not proceed as our placements are limited to
persons who have served or are serving in the U.S Armed Forces
No
Yes
       
First Name of Applicant:
Current Occupation
Last Name of Applicant:
E-mail Address
Type E-mail Address Again
Street Address
City, State, Zip Code
Branch of Service
Telephone
Type of Service
Date of Birth
Gender
__________________________________________________________________________
Please describe your disability
When were you first diagnosed?