Southeastern Guide Dogs - Guide Dog Application

Applicant Contact Information
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Please complete the following application. If necessary, you may have someone complete the form for you, but we require that your personal signature be on several of the forms.

Information collected is strictly confidential and is used only for the purposes of identifying the most qualified dog for your particular needs.

It is imperative that the application be completed thoroughly. The application should take about one hour. You may save the application at anytime and come back to it later. This option is listed at the top of each page.
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