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Guide Dogs for the Blind Student Application

Your Information
Address Information

Mailing Address
Contact Information
Application







Guide Dogs for the Blind will consider applications from individuals with felony convictions on a case by case basis. 












Destinations

During a home visit you will be required to demonstrate the ability to travel independently for 1/2 to 1 mile, including street crossings. Please list up to 3 destinations that you travel to independently on a regular basis. If you have addresses for the destinations, Please include that information.


For example, Home to Joe's Cafe at 1000 A Street.   

During the phone consultation, please be prepared to discuss these routes, including the types of intersections along the way, as well as how you determine when it is safe to cross the street. 

Ethnic Background (optional)

Guide Dogs for the Blind, Inc. does not discriminate against any applicant for admission to our program based upon race, religion, color, national origin, ancestry, age, marital status, gender, or any other factor prohibited under local, state or federal laws. Any applicant denied admission may subsequently reapply and be reconsidered without prejudice.

Phone Consultation

The next step will be a phone consultation with a member of our Admissions Department.

Prior to the phone consultation, please review the content of the mailed Application Packet or the Get a Guide Dog section of our website, in particular the Self-Screening page and the Sample Guide Dog User Contract. Estimated time needed to complete the consultation is approximately 45 minutes. 


Consent Form Information

As part of the application process you will be asked to fill out a consent form which will be sent separately.  This form allows Guide Dogs for the Blind, Inc. to contact your professional references (physician, ophthalmologist, mental health professional, orientation and mobility instructor, rehabilitation professional and other guide dog schools) for information that will help us complete your application.

Acknowledgement

I hereby declare that the information given above is accurate to the best of my knowledge.