Puppy Raiser Application

Puppy Raiser Application

This application indicates your interest in finding out more about raising a puppy and will be sent to the region selected. You will hear from a Guiding Eyes representative within two weeks and be invited to attend classes that will answer your questions and help you prepare to become a puppy raiser. We ask our potential raisers to be well informed when making this important decision, so be sure to review the above policies.


For additional information, or if you do not hear from us within 14 days of submitting your application, please contact us at cdc@guidingeyes.org.


All volunteers are asked to review and adhere to a Code of Conduct.

Puppy Raiser Application

Puppy Raiser Information

Please complete all required fields as indicated by *.”


(Primary raiser or parent/guardian of youth raiser)


Home Address

area code & number, no dashes

area code & number, no dashes

area code & number, no dashes

area code & number, no dashes

College/University Information

College Address

5 digits only, no dash

Youth Raiser



Household Member(s)

Pet Ownership

Other Dogs

Are they house dogs or outside dogs?  Note: Guiding Eyes puppies must be raised as house dogs. 

Dog Experience

Raiser Responsibilities


It is helpful for us to know where you work. We will not contact your employer without first notifying you.


Final Thoughts

Max 1,000 characters

Max 1,000 characters

If you have questions, please contact the Canine Development Center at (845) 878-3330.


By submitting this form online, I certify that I have studied general information about the Guiding Eyes puppy raising program and I understand the commitment of time, money and love involved in raising a puppy for 14 - 16 months. Please accept my application to become a Guiding Eyes for the Blind Puppy Raiser.