Dear Applicant,

Thank you for your interest in the Canine Magic Program.

The Canine Magic team will review your application to help you assess the possible benefits of a Service Dog. It is our intention to place a dog best suited to each family’s unique goals and lifestyle so it’s important to complete the attached questionnaire as clearly and honestly as you can.

A Service Dog serves as a tool for the primary care provider. That individual will be trained and certified as a handler for the Autism Service Dog. In most circumstances this handler will accompany the Autism Service Dog and recipient.

Family’s who have enjoyed successful placements of a Autism Service Dog have enjoyed wonderful benefits including greater access to daily activities of living, safety, companionship, and therapeutic achievements.

As you know there is a significant list of potential recipients. Please complete this application only if you feel that the benefit to your intended recipient will outweigh the care, financial commitment, time and on going training a Service Dog requires.

Please note: It is your responsibility that the Canine Magic Program receives all application materials requested on the following pages. Once your complete application is received we will contact you within 3 weeks regarding our assessment of your suitability for this program. If any part of this application is not complete, the application will be sent back to you, this will delay the process.

If, after reviewing and assessing your application, you qualify to proceed further, you will be contacted and an in-home interview will be scheduled. After the in-home interview, trainers will meet and review all materials and make a decision on the suitability of a Service Dog in your home. If accepted, you will be invited to our facility for a New Applicant Seminar, which is held at Children’s Village in Dobbs Ferry, New York

"Please download this MS Word file, fill in the information, and mail it to us."