Assistance Dogs

  • This online application will take you approximately 10 minutes to complete.
  • The questions are designed to allow us to get to know you and whether the dog you are interested in meeting might be the best fit.
  • You will receive an immediate response indicating your application was received successfully.
  • If you have any problems completing this fillable application, please reach out Jackie@samsimonfoundation.org
  • We do not have an adoption fee but strive to find the best placement for each of our dogs.

Career Change Dog Adoption Application