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Puppy Program Application

Contact Information

May we contact you at work?
This question requires a valid email address.
Do you live within 75 miles of the Palmetto campus? *This question is required.
We are sorry, but in order to provide the support needed for starting a young puppy, at this time we are only able to accept applicants who live within 75 miles of our Palmetto campus. 
3. Were you referred by an employee, raiser or volunteer? *This question is required.
4. Are you 18 years old or older? *This question is required.
We are sorry, but you are not eligible to raise a puppy for Southeastern Guide Dogs. All puppy raisers must be 18 years or older. Please have an adult fill out this application. Thank you for your interest.