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Wiley's Wish

Support veterans living with PTSD by providing trained service dogs that reduce anxiety, restore independence, and improve quality of life for those transitioning back to civilian life.

This application is for*

Active-Duty Service MemberVeteran Service MemberIn Memory of a Service Member

Name of Service Person (First & Last) *

Branch of Service*

Rank in Service*

Entry Date into the Military (MM/DD/YYYY)*

Discharge Date or Anticipated Discharge Date (MM/DD/YYYY)

War Period Veteran?

World War IIKorean WarVietnam WarDesert Shield/Desert StormGlobal War on Terror

Name of Applicant*

Phone Number of Applicant *

E-mail of Applicant*

Additional Information about the Service Person (this may be used for recognition purposes) ie for example Purple Heart veteran, Medal of Honor, etc.

Is the service member a current or former Oakdale resident? *

CurrentFormer

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