Patriot application Home › Applications › Patriot application Due to recent changes we made in this application you may be required to answer questions already addressed in your pre-qualification. Our apologies for any inconvenience.***Please do not use ALL CAPITAL LETTERS in your application. Doing so requires us to fix your entries manually, delaying your application and those of other veterans. Thank you! Please read each question carefully before answering! Have you ever been convicted of a felony, or any type of sexual crime or offense against an animal?YesNo Have you served a minimum of 190 days military duty, excluding basic training and/or active duty training?YesNo What is the reason you are applying to adopt a pet?Companionship and/or emotional supportTo train as a service animal Are you committed to adopting a pet that meets ONE of the following criteria: dog/cat at least two years old; dog/cat with special needs; dog/cat homeless for 6 months+; or dog 40+ pounds at time of adoption?YesNo Your military service Branch of serviceArmyNavyMarinesAir ForceCoast Guard StatusActiveReserveInactive ReserveNational GuardVeteran (separated)Retired Years of service1-4 years5-9 years10-14 years15-19 years20+ years Mental health treatment Are you CURRENTLY receiving mental health treatment for any reason? Answering 'yes' does not disqualify you:Yes No Your pet adoption plans Pet preferenceDogCatDog or cat When do you plan to adopt?Soon as I'm approvedWithin the monthWithin the next 3 monthsWithin the next 6 months6 months or later What plans do you have in place if you are hospitalized, deployed or otherwise temporarily unable to care for your adopted pet? If your application is approved and you adopt a program-eligible pet, please let us know your preferred gift card:ChewyPetcoPetsmart Do you share your email address with a spouse, partner, adult child, or other trusted individual?YesNo How did we connect? How did you hear about Pets for Patriots?EventFacebookFriend or coworkerHealth care professionalLocal shelter/rescue/animal controlMilitary, veteran organization or charitable organizationNews or articleOnline/internet searchOtherPets for Patriots adopterTwitter Anything else we should know about you? Almost done! By clicking the 'I AGREE' button below, I certify that all information provided by me is true and accurate, and that I have reviewed and accept Pets for Patriots' privacy policy and terms of use. I AGREE Contact Information TweetPinShareShare
