Patriot application Home Veterans Patriot application Please review how our program works before starting your application. Thank you!This application takes about 5 minutes to complete. Read each question carefully before answering. Errors cause extra work to correct and delays in resolving your application.Do not submit this form more than once. 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 Current statusActiveReserveInactive ReserveNational GuardVeteran (separated)Retired Total years of service1-4 years5-9 years10-14 years15-19 years20+ years 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? (optional) 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
