If you have reviewed the general information and key components of puppy raising and would like to proceed to the next step, please submit the on-line Puppy Raiser Application. We will e-mail your application to the region nearest to where you live. You will hear from a Guiding Eyes representative within a week.

This application indicates your interest in finding out more about raising a puppy that will one day become someone’s Guiding Eyes. We ask our potential raisers to be well informed in order to make this important decision. You will be invited to attend classes that will answer your questions and help you prepare to become a puppy raiser. Puppy raising is an act of generosity that will have a profound impact on someone’s life. It is a very large commitment but as one raiser said recently, “We love the dogs; they are the best of the best. We are so proud when they succeed, and there are many smiling faces at graduation. And a blind person benefits tremendously from our work. But I’m convinced we are getting the better end of this deal…Puppy raising is challenging, but the return on investment is extraordinary. This adventure has brought our family together like little else could.”

For additional information or if you do not hear from us within 10 days of applying, please contact Linda Damato, Director, Puppy Program Support Services at ldamato@guidingeyes.org.

1. First Name:(required)
2. Last Name:(required)
3. Street 1:(required)
4. Street 2:
5. City:(required)
6. State:(required)
7. Zip Code:(required)
8. Home Phone:(required)
9. Work Phone:
10. Cell Phone:
11. Preferred Contact Number:
12. Home Work Cell
13. Best time to call:
14. Email Address:(valid email required)
15. Secondary Email Address:
16. 1. What name do you prefer we use for correspondence and certificates?(required)
17. 2. Have you ever personally obedience-trained a dog?
18. Yes No
19. If yes, in classes or at home?
20. 3. Names and relationships of household members involved in raising a puppy.
21. Primary Raiser:(required)
22. Occupation:(required)
23. Age:(required)
24. Other Members' Names (Name/Relationship/Age):
25. 4. Is everyone in the family excited and in agreement about the project of raising a Guiding Eyes puppy?
26. Yes No
27. 5. Is anyone in the household allergic to animals?
28. Yes No
29. 6. We have mostly Labrador Retrievers and a few Golden Retrievers and German Shepherds. Is there a breed you do NOT want?
30. 7. Would you take either male or female? If there is a restriction, please state which gender you need and why?
31. 8. Have other dogs?
32. Yes No
33. 9. Breed:
34. 10. Gender:
35. Male Female
36. 11. Neutered?
37. Yes No
38. 12. How do they react to other people?
39. 13. How do they react to other dogs?
40. 14. Are they house dogs or outside dogs?
41. House Dogs Outside Dogs
42. *Note: Guiding Eyes for the Blind puppies must be raised as house dogs.
43. 15. Do you have other animals?
44. Yes No
45. If "yes", what kind?
46. 16. Please tell us about your history of dog ownership, kinds of dogs, what became of them, obedience training completed, etc.
47. 17. When do you want to get a puppy?(required)
48. 18. How many hours each day will the puppy be left alone?(required)
49. 19. Where will the pup be kept when you aren't home?
50. 20. Growing puppies need 20 minutes of fast walking or vigorous play twice a day in addition to many hours of interaction with the family. Are you willing to provide daily exercise before and after school or work?
51. Yes No
52. 21. Will you agree always to keep the puppy on a lead or supervised within an enclosed area when it is out-of-doors?
53. Yes No
54. 22. At least five times a week, guide puppies need to be taken to sidewalks, around people, to varied areas and, as they mature, to busy towns. You must devote all your attention to the puppy alone for this kind of socialization. Are you willing to do this?
55. Yes No
56. 23. Do you have suitable transportation?
57. Yes No
58. 24. Would you find it difficult to walk the pup on sidewalks daily?
59. Yes No
60. If yes, please state why?
61. 25. What kind of home do you have? Select... Town Rural City
62. 26. Are you willing to follow all of Guiding Eyes' rules and recommendations?
63. Yes No
64. 27. Is the family willing to travel to a central location for orientation before you get a puppy and for subsequent quarterly puppy evaluation meetings?
65. Yes No
66. 28. Will you agree to attend the quarterly evaluation meetings and obedience training classes?
67. Yes No
68. 29. Please tell us why you want to raise a Guiding Eyes puppy.
69. 30. If you have raised Guiding Eyes puppies previously, please list their names and the years you raised them.(required)
70. 31. How did you learn about the Guiding Eyes puppy raising program? Select... Bookstore Brochure Brown Bag Lunch Bulletin Board Bumper Sticker Church Bulletins Clothier Pup Starter Program Community Calendar Ad Community Events Craigs List Educational Program Facebook/Social Network Fair Flyer in mail Home School Convention Internet Search Library Magazine Ad Magazine Article Mall presentation Newspaper Ad Newspaper Article Poster Previously Raised Puppy TV PSA TV Special Unknown Van Wrap Volunteer Match Website Word of Mouth
71. 32. Do you feel that you will be able to emotionally handle the separation when the puppy is returned to Guiding Eyes for formal guide dog training?
72. 33. Please give a dog related reference such as a veterinarian, obedience instructor or breeder.
73. First Name:
74. Last Name:
75. Street:
76. City:
77. State:
78. Zip Code:
79. Phone:
80. 34. Please give a personal reference such as a Guiding Eyes puppy raiser or Region Coordinator.
81. First Name:
82. Last Name:
83. Title/Relationship:
84. Address:
85. City:
86. State:
87. Zip Code:
88. Phone:
89. 35. It is helpful for us to know where you work. We will not contact your employer without first notifying you.
90. Company Name:
91. Your Title:
92. Full-Time:
93. Part-Time:
94. If you have questions, please telephone the Canine Development Center at (845) 878-3330.
95. Statement:
    
    By submitting this form online, I certify that I have studied general information about the Guiding Eyes puppy raising program and I understand the commitment of time, money and love involved in raising a puppy for 16 - 18 months. Please accept my application to become a Guiding Eyes for the Blind Puppy Raiser.

 

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