Below are links for the Leader Dog Application and the GPS Application.
These are lengthy applications, therefore before you begin, please be aware that you will need a considerable amount of time available.
Some of the information you can gather ahead of time will be:
1.Your
emergency contact name and phone number.
2. If applicable, the name of the Lions Club involved in your enrollment.
3. Information regarding Orientation and Mobility training you have received
to include the date, organization name, instructor, address and phone number.
4. The Leader Dog Application requires six personal references, the GPS
application requires three personal references. Please be sure to include
each references name, complete address and phone number. We
prefer that your references are not immediate family members.
Please be sure to complete all required fields. All required fields are preceeded by an asterisk. Should you
reach an error page, please use the back button on your browser to return to
your application. Once you successfully submit your application, you will be directed to a confirmation page.
Here you can download the Consent to Release Information form. This form must be printed, signed and returned to Leader Dog so we may begin processing your application.
You may also download a Medical History and Physical Examination form and an Eye Care Professional form. These forms must be completed by the appropriate doctor and returned to Leader Dog prior to consideration of your application by the Admissions Committee.
Please select the application form:
Leader Dog Application
GPS Application