Guide Dog Foundation

Our Programs

Request an Application Packet Form


Please note: If you are requesting this application for someone else, please include only the applicant's information.

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


* Name  
* What name do you go by?   
* Street Address  
* City  
* State  
* Zip  
* Phone  
* Email Address  
How did you hear about the Guide Dog Foundation?
 
Have you had orientation and mobility training?



* Are you legally blind?