Hearing Dog Application


Dear applicant,

Thank you for choosing to apply for a Hearing Dog from The Sam Simon Foundation.

The Sam Simon Foundation does not require an application fee to be considered for a Hearing Dog. Once received, we will reach out to you regarding next steps.

If you have any questions about your application, please notify us by email, fax or phone.

Thank you for taking this leap with us!

The Sam Simon Foundation
Assistance Dogs Program

Hearing Dog Application

To apply for a Hearing Dog, please complete our online application form.

Once received, we will reach out to you regarding next steps. Thank you for taking this leap with us!


Continue to Application Form