mira helping blind children guide dogs

application form

Click Here to Download Our Application for Services. To download the form, you need to install Acrobat Reader. To obtain this program, simply click the icon below.

To apply for a guide dog, please print and fill out the application. Send it via e-mail to info@mirausa.org or mail it to Beth Daniels, Executive Director, Mira Foundation USA, 112 N. Poplar Street, Aberdeen, NC 28315

Learn more: Information for Potential Candidates