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class="container"> <h1>Apply</h1> </div> </div> <div id="main" class="container cf"> <section> <div class='gf_browser_chrome gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_7' style='display:none'><div id='gf_7' class='gform_anchor' tabindex='-1'></div> <div class='gform_heading'> <p class='gform_required_legend'>"<span class="gfield_required gfield_required_asterisk">*</span>" indicates required fields</p> </div><form method='post' enctype='multipart/form-data' target='gform_ajax_frame_7' id='gform_7' action='/apply/#gf_7' data-formid='7' novalidate><div id='gf_page_steps_7' class='gf_page_steps'><div id='gf_step_7_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1</span><span class='gf_step_label'>Basic Info</span></div><div id='gf_step_7_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2</span><span class='gf_step_label'>Home Info</span></div><div id='gf_step_7_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3</span><span class='gf_step_label'>Military Service</span></div><div id='gf_step_7_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4</span><span class='gf_step_label'>Medical Info</span></div><div id='gf_step_7_5' class='gf_step gf_step_pending'><span class='gf_step_number'>5</span><span class='gf_step_label'>Documentation</span></div><div id='gf_step_7_6' class='gf_step gf_step_pending'><span class='gf_step_number'>6</span><span class='gf_step_label'>Veteran Pet Policy</span></div><div id='gf_step_7_7' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>7</span><span class='gf_step_label'>Confirmation</span></div></div> <div class='gform-body gform_body'><div id='gform_page_7_1' class='gform_page ' data-js='page-field-id-0' > <div class='gform_page_fields'><div id='gform_fields_7' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id="field_7_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_1" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_7_1'> <span id='input_7_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.3' id='input_7_1_3' value='' aria-required='true' /> <label for='input_7_1_3' class='gform-field-label gform-field-label--type-sub '>First</label> </span> <span id='input_7_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' > <input type='text' name='input_1.6' id='input_7_1_6' value='' aria-required='true' /> <label for='input_7_1_6' class='gform-field-label gform-field-label--type-sub '>Last</label> </span> </div></fieldset><div id="field_7_2" class="gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_2" ><label class='gfield_label gform-field-label' for='input_7_2'>Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_7_2' type='tel' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_7_3" class="gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_3" ><label class='gfield_label gform-field-label' for='input_7_3'>Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_email'> <input name='input_3' id='input_7_3' type='email' value='' class='medium' aria-required="true" aria-invalid="false" /> </div></div><div id="field_7_21" class="gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_21" ><label class='gfield_label gform-field-label' for='input_7_21'>Date of Birth<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_date'> <input name='input_21' id='input_7_21' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon' placeholder='mm/dd/yyyy' aria-describedby="input_7_21_date_format" aria-invalid="false" aria-required="true"/> <span id='input_7_21_date_format' class='screen-reader-text'>MM slash DD slash YYYY</span> </div> <input type='hidden' id='gforms_calendar_icon_input_7_21' class='gform_hidden' value='https://www.sheltertosoldier.org/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/></div><div id="field_7_95" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_95" ><label class='gfield_label gform-field-label' for='input_7_95'>What is your race or ethnicity?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_95'>We utilize this information to monitor and analyze the demographic profile of individuals benefiting from our program.</div><div class='ginput_container ginput_container_select'><select name='input_95' id='input_7_95' class='large gfield_select' aria-describedby="gfield_description_7_95" aria-required="true" aria-invalid="false" ><option value='White/Caucasian' >White/Caucasian</option><option value='Asian or Pacific Islander' >Asian or Pacific Islander</option><option value='Hispanic/Latino' >Hispanic/Latino</option><option value='African American' >African American</option><option value='Native American' >Native American</option><option value='Multi-racial/Multi-ethnic (2 or more races or ethnicities)' >Multi-racial/Multi-ethnic (2 or more races or ethnicities)</option></select></div></div><div id="field_7_97" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_97" ><label class='gfield_label gform-field-label' for='input_7_97'>How do you publicly self-identify?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_97'>We utilize this information to monitor and analyze the demographic profile of individuals benefiting from our program.</div><div class='ginput_container ginput_container_select'><select name='input_97' id='input_7_97' class='large gfield_select' aria-describedby="gfield_description_7_97" aria-required="true" aria-invalid="false" ><option value='Heterosexual or Straight' >Heterosexual or Straight</option><option value='Gay, Lesbian, or Bisexual (or other sexual orientations within the LGBTQIA+ community)' >Gay, Lesbian, or Bisexual (or other sexual orientations within the LGBTQIA+ community)</option><option value='Different Identity' >Different Identity</option><option value='Decline to State' >Decline to State</option></select></div></div><div id="field_7_98" class="gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_98" ><label class='gfield_label gform-field-label' for='input_7_98'>How do you publicly self-identify?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_98'>We utilize this information to monitor and analyze the demographic profile of individuals benefiting from our program.</div><div class='ginput_container ginput_container_select'><select name='input_98' id='input_7_98' class='large gfield_select' aria-describedby="gfield_description_7_98" aria-required="true" aria-invalid="false" ><option value='Female' >Female</option><option value='Male' >Male</option><option value='Gender Nonbinary/Gender Queer/Gender Nonconforming' >Gender Nonbinary/Gender Queer/Gender Nonconforming</option><option value='Decline to State' >Decline to State</option><option value='Other' >Other</option></select></div></div><fieldset id="field_7_22" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_22" ><legend class='gfield_label gform-field-label' >Do you live in Southern California<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='gfield_description' id='gfield_description_7_22'>Our facility is based in North County San Diego. Students are required to visit the facility once a week for an estimated period of 6-9 months to complete psychiatric service dog program For the emotional support animal program, students are required to complete up to 10 weekly lessons. Follow up lessons post-graduation are also required at the facility. </div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_22'> <div class='gchoice gchoice_7_22_0'> <input class='gfield-choice-input' name='input_22' type='radio' value='Yes' id='choice_7_22_0' onchange='gformToggleRadioOther( this )' aria-describedby="gfield_description_7_22" /> <label for='choice_7_22_0' id='label_7_22_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_22_1'> <input class='gfield-choice-input' name='input_22' type='radio' value='No' id='choice_7_22_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_22_1' id='label_7_22_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_78" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_78" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Are you applying for Shelter to Soldier Psychiatric Service Dog™, or a Shelter to Soldier Emotional Support Dog™?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='gfield_description' id='gfield_description_7_78'>A psychiatric service dog is individually trained to do work or perform tasks for the benefit of an individual with psychiatric, intellectual, or other mental disability. <p> An emotional support dog can provide comfort, companionship, and relieve loneliness but are not trained to perform specific tasks for their handler. Emotional support dogs are not permitted in public establishments (i.e., restaurants, stores, or in VA facilities). </div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_78'><div class='gchoice gchoice_7_78_1'> <input class='gfield-choice-input' name='input_78.1' type='checkbox' value='Shelter to Soldier Psychiatric Service Dog™' id='choice_7_78_1' aria-describedby="gfield_description_7_78"/> <label for='choice_7_78_1' id='label_7_78_1' class='gform-field-label gform-field-label--type-inline'>Shelter to Soldier Psychiatric Service Dog™</label> </div><div class='gchoice gchoice_7_78_2'> <input class='gfield-choice-input' name='input_78.2' type='checkbox' value='Shelter to Soldier Emotional Support Dog™' id='choice_7_78_2' /> <label for='choice_7_78_2' id='label_7_78_2' class='gform-field-label gform-field-label--type-inline'>Shelter to Soldier Emotional Support Dog™</label> </div></div></div></fieldset><div id="field_7_24" class="gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_24" ><label class='gfield_label gform-field-label' for='input_7_24'>How did you hear about Shelter to Soldier?</label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_7_24' type='text' value='' class='large' aria-invalid="false" /></div></div><fieldset id="field_7_25" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_25" ><legend class='gfield_label gform-field-label' >Has anyone ever taken an animal away from you due to negligence or because of an abuse claim?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_25'> <div class='gchoice gchoice_7_25_0'> <input class='gfield-choice-input' name='input_25' type='radio' value='Yes' id='choice_7_25_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_25_0' id='label_7_25_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_25_1'> <input class='gfield-choice-input' name='input_25' type='radio' value='No' id='choice_7_25_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_25_1' id='label_7_25_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_26" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_26" ><label class='gfield_label gform-field-label' for='input_7_26'>If yes, please explain:</label><div class='ginput_container ginput_container_textarea'><textarea name='input_26' id='input_7_26' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_105" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_105" ><legend class='gfield_label gform-field-label' >Have you ever rehomed a dog?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_105'> <div class='gchoice gchoice_7_105_0'> <input class='gfield-choice-input' name='input_105' type='radio' value='Yes' id='choice_7_105_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_105_0' id='label_7_105_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_105_1'> <input class='gfield-choice-input' name='input_105' type='radio' value='No' id='choice_7_105_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_105_1' id='label_7_105_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_108" class="gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_108" ><label class='gfield_label gform-field-label' for='input_7_108'>If yes, please explain:</label><div class='ginput_container ginput_container_textarea'><textarea name='input_108' id='input_7_108' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_27" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_27" ><legend class='gfield_label gform-field-label' >Have you ever been convicted of a felony?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_27'> <div class='gchoice gchoice_7_27_0'> <input class='gfield-choice-input' name='input_27' type='radio' value='Yes' id='choice_7_27_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_27_0' id='label_7_27_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_27_1'> <input class='gfield-choice-input' name='input_27' type='radio' value='No' id='choice_7_27_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_27_1' id='label_7_27_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_28" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_28" ><label class='gfield_label gform-field-label' for='input_7_28'>If yes, please explain:</label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_7_28' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_29" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_29" ><legend class='gfield_label gform-field-label' >Have you ever been convicted of a misdemeanor?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_29'> <div class='gchoice gchoice_7_29_0'> <input class='gfield-choice-input' name='input_29' type='radio' value='Yes' id='choice_7_29_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_29_0' id='label_7_29_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_29_1'> <input class='gfield-choice-input' name='input_29' type='radio' value='No' id='choice_7_29_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_29_1' id='label_7_29_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_30" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_30" ><label class='gfield_label gform-field-label' for='input_7_30'>If yes, please explain:</label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_7_30' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_31" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_31" ><legend class='gfield_label gform-field-label' >Have you been arrested for anything in the past 24 months?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_31'> <div class='gchoice gchoice_7_31_0'> <input class='gfield-choice-input' name='input_31' type='radio' value='Yes' id='choice_7_31_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_31_0' id='label_7_31_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_31_1'> <input class='gfield-choice-input' name='input_31' type='radio' value='No' id='choice_7_31_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_31_1' id='label_7_31_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_32" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_32" ><label class='gfield_label gform-field-label' for='input_7_32'>If yes, what was the reason for it?</label><div class='ginput_container ginput_container_textarea'><textarea name='input_32' id='input_7_32' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_33" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_33" ><legend class='gfield_label gform-field-label' >Have you ever been so angry you struck a person, thrown an object at someone or broken personal property?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_33'> <div class='gchoice gchoice_7_33_0'> <input class='gfield-choice-input' name='input_33' type='radio' value='Yes' id='choice_7_33_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_33_0' id='label_7_33_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_33_1'> <input class='gfield-choice-input' name='input_33' type='radio' value='No' id='choice_7_33_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_33_1' id='label_7_33_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_34" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_34" ><label class='gfield_label gform-field-label' for='input_7_34'>If yes, please explain:</label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_7_34' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_35" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_35" ><legend class='gfield_label gform-field-label' >Are you currently employed?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_35'> <div class='gchoice gchoice_7_35_0'> <input class='gfield-choice-input' name='input_35' type='radio' value='Yes' id='choice_7_35_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_35_0' id='label_7_35_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_35_1'> <input class='gfield-choice-input' name='input_35' type='radio' value='No' id='choice_7_35_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_35_1' id='label_7_35_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_36" class="gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_36" ><label class='gfield_label gform-field-label' for='input_7_36'>If yes, how many hours a week do you normally work?</label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_7_36' type='text' value='' class='medium' aria-invalid="false" /></div></div><div id="field_7_37" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_37" ><label class='gfield_label gform-field-label' for='input_7_37'>If yes, what type of work do you do; and what type of environment are you in, while at work?</label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_7_37' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_38" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_38" ><legend class='gfield_label gform-field-label' >Are you currently a student in a college or trade school?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_38'> <div class='gchoice gchoice_7_38_0'> <input class='gfield-choice-input' name='input_38' type='radio' value='Yes' id='choice_7_38_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_38_0' id='label_7_38_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_38_1'> <input class='gfield-choice-input' name='input_38' type='radio' value='No' id='choice_7_38_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_38_1' id='label_7_38_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_39" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_39" ><label class='gfield_label gform-field-label' for='input_7_39'>Please share any post-military service educational degrees and achievements?</label><div class='ginput_container ginput_container_textarea'><textarea name='input_39' id='input_7_39' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_next_button_7_40' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' /> </div> </div> <div id='gform_page_7_2' class='gform_page' data-js='page-field-id-40' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_7_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id="field_7_41" class="gfield gfield--type-text gfield--input-type-text gf_left_third gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_41" ><label class='gfield_label gform-field-label' for='input_7_41'>City<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_7_41' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_7_100" class="gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_100" ><label class='gfield_label gform-field-label' for='input_7_100'>District<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_100'>If you reside in San Diego County, which county district do you reside in? If you do not reside in San Diego County, please identify which county you reside in.</div><div class='ginput_container ginput_container_text'><input name='input_100' id='input_7_100' type='text' value='' class='large' aria-describedby="gfield_description_7_100" aria-required="true" aria-invalid="false" /></div></div><div id="field_7_42" class="gfield gfield--type-select gfield--input-type-select gf_middle_third gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_42" ><label class='gfield_label gform-field-label' for='input_7_42'>State<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_7_42' class='medium gfield_select' aria-required="true" aria-invalid="false" ><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' selected='selected'>California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' >Florida</option><option value='Georgia' >Georgia</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select></div></div><div id="field_7_43" class="gfield gfield--type-text gfield--input-type-text gf_right_third gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_43" ><label class='gfield_label gform-field-label' for='input_7_43'>Zipcode<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_7_43' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><fieldset id="field_7_44" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_44" ><legend class='gfield_label gform-field-label' >Do you have any plans to move out of Southern California?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_44'> <div class='gchoice gchoice_7_44_0'> <input class='gfield-choice-input' name='input_44' type='radio' value='Yes' id='choice_7_44_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_44_0' id='label_7_44_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_44_1'> <input class='gfield-choice-input' name='input_44' type='radio' value='No' id='choice_7_44_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_44_1' id='label_7_44_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_45" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_45" ><label class='gfield_label gform-field-label' for='input_7_45'>If yes, when do you plan on leaving the area?</label><div class='ginput_container ginput_container_textarea'><textarea name='input_45' id='input_7_45' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_46" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_46" ><legend class='gfield_label gform-field-label' >Do you have any pets at home?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_46'> <div class='gchoice gchoice_7_46_0'> <input class='gfield-choice-input' name='input_46' type='radio' value='Yes' id='choice_7_46_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_46_0' id='label_7_46_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_46_1'> <input class='gfield-choice-input' name='input_46' type='radio' value='No' id='choice_7_46_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_46_1' id='label_7_46_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_47" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_47" ><label class='gfield_label gform-field-label' for='input_7_47'>If yes, please list your pets and the type of pet they are.</label><div class='ginput_container ginput_container_textarea'><textarea name='input_47' id='input_7_47' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_48" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_48" ><legend class='gfield_label gform-field-label' >If no, have you ever had a dog before?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_48'> <div class='gchoice gchoice_7_48_0'> <input class='gfield-choice-input' name='input_48' type='radio' value='Yes' id='choice_7_48_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_48_0' id='label_7_48_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_48_1'> <input class='gfield-choice-input' name='input_48' type='radio' value='No' id='choice_7_48_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_48_1' id='label_7_48_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_49" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_49" ><label class='gfield_label gform-field-label' for='input_7_49'>Please list the names of people living with you, their ages, and their relationship to you.<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_49' id='input_7_49' class='textarea medium' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_50" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_50" ><legend class='gfield_label gform-field-label' >Are you or anyone else in your home allergic to dogs?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_50'> <div class='gchoice gchoice_7_50_0'> <input class='gfield-choice-input' name='input_50' type='radio' value='Yes' id='choice_7_50_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_50_0' id='label_7_50_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_50_1'> <input class='gfield-choice-input' name='input_50' type='radio' value='No' id='choice_7_50_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_50_1' id='label_7_50_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_51" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_51" ><legend class='gfield_label gform-field-label' >Have you ever been denied a service dog through another organization?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_51'> <div class='gchoice gchoice_7_51_0'> <input class='gfield-choice-input' name='input_51' type='radio' value='Yes' id='choice_7_51_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_51_0' id='label_7_51_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_51_1'> <input class='gfield-choice-input' name='input_51' type='radio' value='No' id='choice_7_51_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_51_1' id='label_7_51_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_76" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_76" ><label class='gfield_label gform-field-label' for='input_7_76'>Please provide the date, organization and reason provided<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_76' id='input_7_76' class='textarea medium' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_52" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_52" ><legend class='gfield_label gform-field-label' >Do you understand that if approved, a home inspection may be conducted and do you agree to a home inspection?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_52'> <div class='gchoice gchoice_7_52_0'> <input class='gfield-choice-input' name='input_52' type='radio' value='Yes' id='choice_7_52_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_52_0' id='label_7_52_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_52_1'> <input class='gfield-choice-input' name='input_52' type='radio' value='No' id='choice_7_52_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_52_1' id='label_7_52_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_7_53' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' /> <input type='button' id='gform_next_button_7_53' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' /> </div> </div> <div id='gform_page_7_3' class='gform_page' data-js='page-field-id-53' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_7_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id="field_7_54" class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_54" >We understand this is personal information and may be very difficult to share. Please understand that all information shared on this application is confidential, handled with care and is intended to help you gain acceptance to our program. The information also assists us in getting to know you, your personal needs and if accepted, the details will assist us in matching you with a dog that will be the right fit for you. The more we know about you and your time in the service, the better our team can best understand how to assist you.</div><div id="field_7_55" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_55" ><label class='gfield_label gform-field-label' for='input_7_55'>Branch of Service?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_7_55' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><fieldset id="field_7_56" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_56" ><legend class='gfield_label gform-field-label' >Are you currently Active Duty?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_56'> <div class='gchoice gchoice_7_56_0'> <input class='gfield-choice-input' name='input_56' type='radio' value='Yes' id='choice_7_56_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_56_0' id='label_7_56_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_56_1'> <input class='gfield-choice-input' name='input_56' type='radio' value='No' id='choice_7_56_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_56_1' id='label_7_56_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_57" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_57" ><legend class='gfield_label gform-field-label' >Are you currently in Reserve Status?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_57'> <div class='gchoice gchoice_7_57_0'> <input class='gfield-choice-input' name='input_57' type='radio' value='Yes' id='choice_7_57_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_57_0' id='label_7_57_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_57_1'> <input class='gfield-choice-input' name='input_57' type='radio' value='No' id='choice_7_57_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_57_1' id='label_7_57_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_58" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_58" ><legend class='gfield_label gform-field-label' >Are you Medically Retired?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_58'> <div class='gchoice gchoice_7_58_0'> <input class='gfield-choice-input' name='input_58' type='radio' value='Yes' id='choice_7_58_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_58_0' id='label_7_58_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_58_1'> <input class='gfield-choice-input' name='input_58' type='radio' value='No' id='choice_7_58_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_58_1' id='label_7_58_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_59" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_59" ><legend class='gfield_label gform-field-label' >Are you a Veteran of the Gulf War?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_59'> <div class='gchoice gchoice_7_59_0'> <input class='gfield-choice-input' name='input_59' type='radio' value='Yes' id='choice_7_59_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_59_0' id='label_7_59_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_59_1'> <input class='gfield-choice-input' name='input_59' type='radio' value='No' id='choice_7_59_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_59_1' id='label_7_59_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_80" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_80" ><legend class='gfield_label gform-field-label' >Are you a Post-9/11 Veteran?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_80'> <div class='gchoice gchoice_7_80_0'> <input class='gfield-choice-input' name='input_80' type='radio' value='Yes' id='choice_7_80_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_80_0' id='label_7_80_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_80_1'> <input class='gfield-choice-input' name='input_80' type='radio' value='No' id='choice_7_80_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_80_1' id='label_7_80_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_81" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_81" ><legend class='gfield_label gform-field-label' >Are you a MST (military sexual trauma) survivor?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_81'> <div class='gchoice gchoice_7_81_0'> <input class='gfield-choice-input' name='input_81' type='radio' value='Yes' id='choice_7_81_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_81_0' id='label_7_81_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_81_1'> <input class='gfield-choice-input' name='input_81' type='radio' value='No' id='choice_7_81_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_81_1' id='label_7_81_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_60" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_60" ><label class='gfield_label gform-field-label' for='input_7_60'>What is your DD-214 discharge status (Honorable/Other than Honorable/Dishonorable)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_7_60' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><div id="field_7_61" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_61" ><label class='gfield_label gform-field-label' for='input_7_61'>Please list dates and locations of your deployments.<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_61' id='input_7_61' class='textarea medium' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></div><div id="field_7_62" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_62" ><label class='gfield_label gform-field-label' for='input_7_62'>Please share with us some background information about your time in the military, and what led to your need for a service dog.<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_7_62' class='textarea large' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></div></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_7_63' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' /> <input type='button' id='gform_next_button_7_63' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' /> </div> </div> <div id='gform_page_7_4' class='gform_page' data-js='page-field-id-63' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_7_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id="field_7_72" class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_72" >You understand that any and all medical information you choose to provide, is done so on a voluntary basis. You providing information and/or documentation regarding your medical, and/or mental health diagnosis’, is used solely for the purpose of assessing your needs, and how a service dog could potentially assist you.</div><div id="field_7_64" class="gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_64" ><label class='gfield_label gform-field-label' for='input_7_64'>What is your primary diagnosed disability; and what is your percentage of disability awarded by the Department of Veteran Affairs?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_7_64' type='text' value='' class='medium' aria-required="true" aria-invalid="false" /></div></div><fieldset id="field_7_65" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_65" ><legend class='gfield_label gform-field-label' >Do you currently have a mental-health care provider?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_65'> <div class='gchoice gchoice_7_65_0'> <input class='gfield-choice-input' name='input_65' type='radio' value='Yes' id='choice_7_65_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_65_0' id='label_7_65_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_65_1'> <input class='gfield-choice-input' name='input_65' type='radio' value='No' id='choice_7_65_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_65_1' id='label_7_65_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_66" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_66" ><label class='gfield_label gform-field-label' for='input_7_66'>If “Yes”, please enter their information.</label><div class='ginput_container ginput_container_textarea'><textarea name='input_66' id='input_7_66' class='textarea small' aria-invalid="false" rows='10' cols='50'></textarea></div></div><fieldset id="field_7_67" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_67" ><legend class='gfield_label gform-field-label' >If “No”, would you be willing to establish care with a mental-health care provider?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_67'> <div class='gchoice gchoice_7_67_0'> <input class='gfield-choice-input' name='input_67' type='radio' value='Yes' id='choice_7_67_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_67_0' id='label_7_67_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_67_1'> <input class='gfield-choice-input' name='input_67' type='radio' value='No' id='choice_7_67_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_67_1' id='label_7_67_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_68" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_68" ><legend class='gfield_label gform-field-label' >Is your primary disability service-connected?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_68'> <div class='gchoice gchoice_7_68_0'> <input class='gfield-choice-input' name='input_68' type='radio' value='Yes' id='choice_7_68_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_68_0' id='label_7_68_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_68_1'> <input class='gfield-choice-input' name='input_68' type='radio' value='No' id='choice_7_68_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_68_1' id='label_7_68_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><fieldset id="field_7_69" class="gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_69" ><legend class='gfield_label gform-field-label' >Has a medical professional recommended that a service dog will be of benefit to you and your primary diagnosis?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_7_69'> <div class='gchoice gchoice_7_69_0'> <input class='gfield-choice-input' name='input_69' type='radio' value='Yes' id='choice_7_69_0' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_69_0' id='label_7_69_0' class='gform-field-label gform-field-label--type-inline'>Yes</label> </div> <div class='gchoice gchoice_7_69_1'> <input class='gfield-choice-input' name='input_69' type='radio' value='No' id='choice_7_69_1' onchange='gformToggleRadioOther( this )' /> <label for='choice_7_69_1' id='label_7_69_1' class='gform-field-label gform-field-label--type-inline'>No</label> </div></div></div></fieldset><div id="field_7_70" class="gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_70" ><label class='gfield_label gform-field-label' for='input_7_70'>Please list any other diagnosis that you would like to share with us?</label><div class='ginput_container ginput_container_textarea'><textarea name='input_70' id='input_7_70' class='textarea large' aria-invalid="false" rows='10' cols='50'></textarea></div></div><div id="field_7_71" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_71" ><label class='gfield_label gform-field-label' for='input_7_71'>Please tell us why you believe a service dog will help with your symptoms and improve your quality of life day-to-day?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='ginput_container ginput_container_textarea'><textarea name='input_71' id='input_7_71' class='textarea large' aria-required="true" aria-invalid="false" rows='10' cols='50'></textarea></div></div></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_7_82' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' /> <input type='button' id='gform_next_button_7_82' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' /> </div> </div> <div id='gform_page_7_5' class='gform_page' data-js='page-field-id-82' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_7_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id="field_7_83" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_83" ><label class='gfield_label gform-field-label' for='gform_browse_button_7_83'>DD214<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_83'>Please redact your social security number. If you are applying for an Emotional Support Animal and not a Service Dog, you may upload proof of service if still active duty.</div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_7_83' data-settings='{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_7_83","container":"gform_multifile_upload_7_83","drop_element":"gform_drag_drop_area_7_83","filelist":"gform_preview_7_83","unique_names":true,"file_data_name":"file","url":"https:\/\/www.sheltertosoldier.org\/?gf_page=c27f71b8bc64599","flash_swf_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"*"}],"max_file_size":"52428800b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":7,"field_id":83},"gf_vars":{"max_files":0,"message_id":"gform_multifile_messages_7_83","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}' class='gform_fileupload_multifile'> <div id='gform_drag_drop_area_7_83' class='gform_drop_area gform-theme-field-control'> <span class='gform_drop_instructions'>Drop files here or </span> <button type='button' id='gform_browse_button_7_83' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby="gfield_upload_rules_7_83 gfield_description_7_83" >Select files</button> </div> </div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_83'>Max. file size: 50 MB.</span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_7_83'></ul> </div><div id='gform_preview_7_83' class='ginput_preview_list'></div></div><div id="field_7_89" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_89" ><label class='gfield_label gform-field-label' for='gform_browse_button_7_89'>Proof of Housing<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_89'>Can be a mortgage, rental, or lease agreement.</div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_7_89' data-settings='{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_7_89","container":"gform_multifile_upload_7_89","drop_element":"gform_drag_drop_area_7_89","filelist":"gform_preview_7_89","unique_names":true,"file_data_name":"file","url":"https:\/\/www.sheltertosoldier.org\/?gf_page=c27f71b8bc64599","flash_swf_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"*"}],"max_file_size":"52428800b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":7,"field_id":89},"gf_vars":{"max_files":0,"message_id":"gform_multifile_messages_7_89","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}' class='gform_fileupload_multifile'> <div id='gform_drag_drop_area_7_89' class='gform_drop_area gform-theme-field-control'> <span class='gform_drop_instructions'>Drop files here or </span> <button type='button' id='gform_browse_button_7_89' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby="gfield_upload_rules_7_89 gfield_description_7_89" >Select files</button> </div> </div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_89'>Max. file size: 50 MB.</span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_7_89'></ul> </div><div id='gform_preview_7_89' class='ginput_preview_list'></div></div><div id="field_7_90" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_90" ><label class='gfield_label gform-field-label' for='gform_browse_button_7_90'>VA Rating</label><div class='gfield_description' id='gfield_description_7_90'>This must reflect a diagnosis. We will not accept a benefit summary letter. If you are applying for an Emotional Support Animal instead of a Service Dog, you can skip this upload. </div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_7_90' data-settings='{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_7_90","container":"gform_multifile_upload_7_90","drop_element":"gform_drag_drop_area_7_90","filelist":"gform_preview_7_90","unique_names":true,"file_data_name":"file","url":"https:\/\/www.sheltertosoldier.org\/?gf_page=c27f71b8bc64599","flash_swf_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"*"}],"max_file_size":"52428800b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":7,"field_id":90},"gf_vars":{"max_files":0,"message_id":"gform_multifile_messages_7_90","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}' class='gform_fileupload_multifile'> <div id='gform_drag_drop_area_7_90' class='gform_drop_area gform-theme-field-control'> <span class='gform_drop_instructions'>Drop files here or </span> <button type='button' id='gform_browse_button_7_90' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby="gfield_upload_rules_7_90 gfield_description_7_90" >Select files</button> </div> </div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_90'>Max. file size: 50 MB.</span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_7_90'></ul> </div><div id='gform_preview_7_90' class='ginput_preview_list'></div></div><div id="field_7_91" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_91" ><label class='gfield_label gform-field-label' for='gform_browse_button_7_91'>ID<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_91'>This can be a state-issued ID or valid driver’s license. </div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_7_91' data-settings='{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_7_91","container":"gform_multifile_upload_7_91","drop_element":"gform_drag_drop_area_7_91","filelist":"gform_preview_7_91","unique_names":true,"file_data_name":"file","url":"https:\/\/www.sheltertosoldier.org\/?gf_page=c27f71b8bc64599","flash_swf_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"*"}],"max_file_size":"52428800b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":7,"field_id":91},"gf_vars":{"max_files":0,"message_id":"gform_multifile_messages_7_91","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}' class='gform_fileupload_multifile'> <div id='gform_drag_drop_area_7_91' class='gform_drop_area gform-theme-field-control'> <span class='gform_drop_instructions'>Drop files here or </span> <button type='button' id='gform_browse_button_7_91' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby="gfield_upload_rules_7_91 gfield_description_7_91" >Select files</button> </div> </div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_91'>Max. file size: 50 MB.</span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_7_91'></ul> </div><div id='gform_preview_7_91' class='ginput_preview_list'></div></div><div id="field_7_107" class="gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_107" ><label class='gfield_label gform-field-label' for='gform_browse_button_7_107'>Letter of Support from a Family Member or Friend<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label><div class='gfield_description' id='gfield_description_7_107'>The letter should reflect a personal introduction stating the writer's relationship with you, highlighting positive qualities and specific examples of your character, and expressing strong support for your application for a service dog</div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_7_107' data-settings='{"runtimes":"html5,flash,html4","browse_button":"gform_browse_button_7_107","container":"gform_multifile_upload_7_107","drop_element":"gform_drag_drop_area_7_107","filelist":"gform_preview_7_107","unique_names":true,"file_data_name":"file","url":"https:\/\/www.sheltertosoldier.org\/?gf_page=c27f71b8bc64599","flash_swf_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.flash.swf","silverlight_xap_url":"https:\/\/www.sheltertosoldier.org\/wp-includes\/js\/plupload\/plupload.silverlight.xap","filters":{"mime_types":[{"title":"Allowed Files","extensions":"*"}],"max_file_size":"52428800b"},"multipart":true,"urlstream_upload":false,"multipart_params":{"form_id":7,"field_id":107},"gf_vars":{"max_files":0,"message_id":"gform_multifile_messages_7_107","disallowed_extensions":["php","asp","aspx","cmd","csh","bat","html","htm","hta","jar","exe","com","js","lnk","htaccess","phtml","ps1","ps2","php3","php4","php5","php6","py","rb","tmp"]}}' class='gform_fileupload_multifile'> <div id='gform_drag_drop_area_7_107' class='gform_drop_area gform-theme-field-control'> <span class='gform_drop_instructions'>Drop files here or </span> <button type='button' id='gform_browse_button_7_107' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby="gfield_upload_rules_7_107 gfield_description_7_107" >Select files</button> </div> </div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_7_107'>Max. file size: 50 MB.</span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_7_107'></ul> </div><div id='gform_preview_7_107' class='ginput_preview_list'></div></div></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_7_73' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' /> <input type='button' id='gform_next_button_7_73' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' /> </div> </div> <div id='gform_page_7_6' class='gform_page' data-js='page-field-id-73' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_7_6' class='gform_fields top_label form_sublabel_below description_above validation_below'><fieldset id="field_7_94" class="gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_94" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Veteran Pet Policy<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_7_94'>All applicants must disclose any and all pets living in their home, along with their living arrangements, during the application process. All pet dogs already residing in the veteran’s home must be evaluated by a Shelter to Soldier trainer prior to submission of the veteran’s application to the board of directors, to confirm that the pet dog will be compatible with a service dog. If the applicant’s pet dog(s) are not deemed socially or behaviorally appropriate to reside with a service dog, the applicant will have the choice to withdraw their application, permanently re-home their pet dog, or pursue training of the pet dog to address behavior issues (in which case the dog would need to be re-evaluated following training). Additionally, Veteran Students are not permitted to adopt any new pet into their household during the training program, and for 6 months following their graduation from the program. It is recommended that Veteran Recipients consult the Shelter to Soldier training team prior to adding any future pets to their household, as an inappropriate dynamic can be detrimental to the overall success of the service dog in their role. Signing below acknowledges that you have read, understand, and accept the above policy.<br /> </div><div class='ginput_container ginput_container_consent'><input name='input_94.1' id='input_7_94_1' type='checkbox' value='1' aria-describedby="gfield_consent_description_7_94" aria-required="true" aria-invalid="false" /> <label class="gform-field-label gform-field-label--type-inline gfield_consent_label" for='input_7_94_1' >I have read, understand, and accept the above policy.</label><input type='hidden' name='input_94.2' value='I have read, understand, and accept the above policy.' class='gform_hidden' /><input type='hidden' name='input_94.3' value='1' class='gform_hidden' /></div></fieldset></div> </div> <div class='gform-page-footer gform_page_footer top_label'> <input type='button' id='gform_previous_button_7_92' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' /> <input type='button' id='gform_next_button_7_92' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' /> </div> </div> <div id='gform_page_7_7' class='gform_page' data-js='page-field-id-92' style='display:none;'> <div class='gform_page_fields'> <div id='gform_fields_7_7' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id="field_7_74" class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_74" ><p>I hereby declare that the details provided above are true and correct to the best of my knowledge and belief. Furthermore, I agree to inform you of any changes therein, immediately.</p> <p>In any case whereby the above information I have provided is found to be false, untrue, misleading, or misrepresenting, I am aware my approval by the Shelter to Soldier Board of Directors, may be RETRACTED, resulting in an immediate and permanent dismissal of ANY programs or services offered by Shelter to Soldier, or any affiliate companies.</p> <p>In any case whereby the above information I have provided is found to be false, untrue, misleading, or misrepresenting, I am aware any established training program with Shelter to Soldier may be terminated, without any sort of compensation.</p></div><fieldset id="field_7_75" class="gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_75" ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_7_75'><div class='gchoice gchoice_7_75_1'> <input class='gfield-choice-input' name='input_75.1' type='checkbox' value='By checking this box, you agree that you understand the forelisted consequences that may occur, as result of providing false, untrue, misleading, or misrepresenting statements or claims.' id='choice_7_75_1' /> <label for='choice_7_75_1' id='label_7_75_1' class='gform-field-label gform-field-label--type-inline'>By checking this box, you agree that you understand the forelisted consequences that may occur, as result of providing false, untrue, misleading, or misrepresenting statements or claims.</label> </div></div></div></fieldset><div id="field_7_101" class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_101" ></div><div id="field_7_109" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible" data-js-reload="field_7_109" ><label class='gfield_label gform-field-label' for='input_7_109'>Phone</label><div class='gfield_description' id='gfield_description_7_109'>This field is for validation purposes and should be left unchanged.</div><div class='ginput_container'><input name='input_109' id='input_7_109' type='text' value='' autocomplete='new-password'/></div></div></div></div> <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_7' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' /> <input type='submit' id='gform_submit_button_7' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' value='Submit' /> <input type='hidden' name='gform_ajax' value='form_id=7&title=&description=&tabindex=0&theme=gravity-theme&styles=[]&hash=325a297c89e7c8a6790a515e013ae229' /> <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_7' value='iframe' /> <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_7' id='gform_theme_7' value='gravity-theme' /> <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_7' id='gform_style_settings_7' value='[]' /> <input type='hidden' class='gform_hidden' name='is_submit_7' value='1' /> <input type='hidden' class='gform_hidden' name='gform_submit' value='7' /> <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' /> <input type='hidden' class='gform_hidden' name='state_7' 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