Guide Dog Foundation

Our Programs

Puppy Raiser Application Form


Yes! I want to become a Puppy Raiser and help a puppy become an assistance dog!

Required fields are listed with a "*" next to them.

* Prefix (Ex. Mr. Mrs. Ms.)
* First Name
* Last Name
* Street Address
* Apt #
* City
* State
* Zip
* Phone (Day)
Phone (Night)
* Email Address

Are you a college student?
 
If yes, which college do you attend?

If you are a college student, please provide your home (non-school) address.
   
* Are you at least 18 years of age?
* Do you have children, if so, how many and what are their ages?

* Is your family willing to devote time each day to the care and education of a guide dog puppy?



* Which person will assume primary responsibility for the care of the puppy?
Does the primary caretaker work full-time/part-time? How many hours per week?
* If full-time, can the puppy be taken to the workplace?

Is any family member allergic to dogs?



If yes, please specify.
Is any family member afraid of dogs?  
If yes, please specify.  

* Have you raised a puppy in the past?



Do you currently have any pets at home? If so, what kind?



If yes, what kind(s)?

Do you have a dog at home?



If yes, how does it react to strangers?  Please specify.
If yes, how does it react to loud noises (such as firecrackers)?  Please specify.
If yes, how does it react to thunder?  Please specify.
If yes, how does it react to other animals?  Please specify.

Do you have a fenced-in yard?

If so, what height?




If yes, what kind of fence?

* Is your family willing to absorb the cost of feeding a guide dog puppy our specified diet (food cost is estimated at $40 per month)?



Comments/Notes (Please specify if you are applying for a Prison Puppy Weekend opportunity in MA or MD)

Where did you hear about the program?