Application for Training Please complete the following application. Once received you will be sent a full application. Please enable JavaScript in your browser to complete this form.Please indicate how you would like to receive the application: *MailE-mailPlease indicate your title *Mr.Mrs.Miss.Ms.First and Last Name *FirstLastAddress *City *Province *Postal Code *Home Phone Number *Work Phone NumberEmail AddressHealth Insurance Plan #Date of Birth *Are you registered blind *YesNoHave you had a low vision assessment? *YesNoAre you a long cane user? *YesNoHave you had a guide dog before? *YesNoFrom which schoolWhen did you stop working your last dog?Have you applied to other guide dog schools? *YesNoHave you applied to Canadian Guide Dogs for the Blind before? *YesNo Canadian Guide Dogs for the Blind is committed to protecting the privacy, confidentiality, accuracy, and security of any personal information that we collect, use, retain, and disclose in the course of the programs we offer. By clicking submit, you give Canadian Guide Dogs for the Blind permission to use your information for the purpose of your application for a guide dog. Submit
