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) and best time to reach you.
Phone (Night) and best time to reach you.
* Email Address

Currently attending college? If yes, please enter permanent home address. 
 
College name

Permanent home/family address.
   
* Are you at least 18 years of age?
* If children are less than 6 years old, is there another adult to care for the puppy?

* 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 yes, what kind(s)?
If "Yes" to cats, how does each cat react to dog(s) in the home?

Do you have a dog at home?



If "Yes" to dogs, what are the ages, and are they male, female, neutered or spayed? 

If "Yes" to dogs, how does it react to strangers?  Please specify. 

If "Yes" to dogs, how does it react to loud noises (such as firecrackers)?  Please specify. 

If "Yes" to dogs, do your dogs bark when people ring the doorbell or knock on the door?  

If "Yes" to dogs, how does it react to thunder?  Please specify. 

If "Yes" to dogs, how does it react to other animals?  Please specify. 

Is dog aggressive to dogs, cats, children or adults? Please specify, growling, snapping, other. 

Is dog protective of its toys or food? Please specify guarding, growling, snapping, other. 

Is dog fearful of dogs, cats, children, or adults? Please specify, avoiding, cowering, growling, snapping, other.


Do you have a fenced-in yard?

If so, what height?




If yes, what kind of fence? There will be a home visit to ensure your home is puppy-proof. Are you comfortable with this?

* Is your family willing to absorb the cost of feeding a guide dog puppy our specified diet (food cost is estimated at $60 per month) including toys?

Are you applying to be a full-time raiser, or a co-raiser?
 

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

Where did you hear about the program?