How are the students chosen?

A sightless person who is physically and mentally capable of receiving benefit from the Pilot Dog may apply. Students of all races and creeds are served after being approved by the school’s Student Selection Committee.

Download the Application or Complete the form below.


Instructions for Applicants

  1. Please complete the application form by typing or in legible pen and ink. Answer all questions as fully as possible.
  2. Please provide a list of four references and include their e-mail address and full mailing address. These references should be persons, other than family members, who know you well and whose judgment concerning your living conditions, character, and personal habits can be trusted.
  3. A full-length snapshot taken recently should accompany the return of the application. These can be ordinary camera shots but must be full length, and at as close a view as possible to show height and weight proportions.
  4. When we receive your application we will send you additional paperwork, including an eye report to be filled out by your eye doctor and a medical form to be filled out by your physician.
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Application for a Pilot Dog
Title
Do you use any of the following:

References: *Provide Full Address and Email (if they have one)*
List (4) Friends, clergy, co-workers, neighbors, (not relatives), O&M Instructors or Counselors

IN ALL CASES, THE TRAINER MAKES THE FINAL SELECTION OF DOG TO MATCH THE WORKING ABILITIES AND NEEDS OF THE STUDENT

Breed PreferenceCheck all the apply
Do you agree not to use Pilot Dog for Mendicancy?We consider mendicancy the acceptance of money without rendering comparable service or merchandise
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