Welcome to Guide Dogs for the Blind. Skip to Main Content
Progress (1 of 11)
K9 Buddy applicant name:
Date of birth:
Cause of visual impairment:
Visual acuity / visual fields:
If you rent, please provide landlord's name and phone number:
If other children under 18 live with you or visit often, what are their ages?
If yes, please describe:
What is the average number of hours per day the dog would spend alone (without people)?
If yes, how high is the fence?
May a GDB representative visit your home to perform an interview?
Why do you want a K9 Buddy from Guide Dogs for the Blind?
Please list all dogs currently in your home and/or that you have had in the past. Include breed, age, and sex of each dog.
When were these dogs owned by you?
Are or were the dogs kept inside, kept outside, or both?
What became of the dog(s)?
How did you acquire your previous dog(s)?
What other pets or livestock live at this residence?
How did you hear about our program?
I understand that it is my responsibility to keep Guide Dogs for the Blind informed of changes in my address and phone number, as well as changes in my interest in adopting a K9 Buddy.
Thanks for your interest in our K9 Buddy program. We will review your application and be in touch soon.
We're sorry, there was an error with your submission. Please try again.
Your donation enables us to raise puppies, equip clients, and serve alumni.