Apply For a Seeing Eye Dog

To become a Seeing Eye Dog User:

Show care and enthusiasm and support Seeing Eye Dog services; Believe in HKSEDS’s vision and mission.
Must be a certified visually impaired by any government recognized organization and willing to use a Seeing Eye Dog.
Age between 18 and 65, with good living habit, healthy and able to travel independently.
Able to feed and take care of the dog.
Passionate about life and have positive attitude.
Good sense of orientation and able to travel independently on at least three familiar route using your current mobility aid.
Know simple English and is willing to accept training by our trainers.
Able to commit to a 28-day training in Hong Kong or overseas. Another 4 to 6 weeks follow-up training at home, office and places mostly visited may be required.
Able to afford daily expenses of the Seeing Eye Dog (food, vaccination, medical, and grooming).
Certified by the HKSAR as disabled.

If you know of anyone who may be suitable for the service of a Seeing Eye Dog, welcome to contact us. Interested parties will be interviewed and assessed by our trainers. Once qualified, applicants will be registered in our waiting list to be paired up with our Seeing Eye Dogs. Selection process is not on first-come-first-serve basis. Instead, it is depended on the number of existing Seeing Eye Dog as well as the matching result. Once successfully matched, our trainers will be responsible to provide all the training for the user.

Interested applicants please complete the following application form：

[:en]Emergency Contact Information[:tc]緊急聯絡人資料[:sc]紧急联络人资料[:]

[:en]Name[:tc]姓名[:sc]姓名[:] *

Please provide a valid [:en]name[:tc]姓名[:sc]姓名[:].

[:en]Phone Number[:tc]電話號碼[:sc]电话号码[:] *

Please provide a valid [:en]phone number[:tc]電話號碼[:sc]电话号码[:].

[:en]Relationship with Applicant[:tc]與申請人關係[:sc] 与申请人关系[:] *

Please provide a valid [:en]relationship with applicant[:tc]與申請人關係[:sc] 与申请人关系[:].

[:en]Do You Have Any Full / Part Time Job[:tc]是否有全 / 兼職工作[:sc]是否有全 / 兼职工作[:] *

[:en]Yes[:tc]有[:sc]有[:]

[:en]No[:tc]沒有[:sc]没有[:]

Please choose a valid [:en]do you have any full / part time job[:tc]是否有全 / 兼職工作[:sc]是否有全 / 兼职工作[:].

[:en]Have you notified your employer that you areapplying for a Seeing Eye Dog[:tc]僱主是否已知悉申請人可能會使用導盲犬[:sc]雇主是否已知悉申请人可能会使用导盲犬[:]

[:en]Yes[:tc]有[:sc]有[:]

[:en]No[:tc]沒有[:sc]没有[:]

Please choose a valid [:en]have you notified your employer that you areapplying for a seeing eye dog[:tc]僱主是否已知悉申請人可能會使用導盲犬[:sc]雇主是否已知悉申请人可能会使用导盲犬[:].

[:en]Age at loss of sight[:tc]開始視障年齡[:sc] 开始视障年龄[:]

Please provide a valid [:en]age at loss of sight[:tc]開始視障年齡[:sc] 开始视障年龄[:].

[:en]Condition stable or not[:tc]視障程度穩定與否[:sc]视障程度稳定与否[:]

[:en]Stable[:tc]穩定[:sc]稳定[:]

[:en]Not Stable[:tc]不穩定[:sc]不稳定[:]

Please choose a valid [:en]condition stable or not[:tc]視障程度穩定與否[:sc]视障程度稳定与否[:].

[:en]Cause of visual impairment & current condition[:tc]導致視障原因及現時狀況[:sc]导致视障原因及现时状况[:]

Please provide a valid [:en]cause of visual impairment & current condition[:tc]導致視障原因及現時狀況[:sc]导致视障原因及现时状况[:].

0 characters / 0 words

[:en](II) RELATED TRAINING & DAILY ROUTINE[:tc](II) 相關訓練及行走習慣[:sc](II) 相关训练及行走习惯[:]

[:en]Received Orientation & Mobility Training[:tc]有否接受過定向行走訓練[:sc]有否接受过定向行走训练[:] *

[:en]Yes[:tc]有[:sc]有[:]

[:en]No[:tc]沒有[:sc]没有[:]

Please choose a valid [:en]received orientation & mobility training[:tc]有否接受過定向行走訓練[:sc]有否接受过定向行走训练[:].

[:en]If yes, where did you received the training[:tc]如有，在哪裡接受訓練[:sc]如有，在哪里接受训练[:]

[:en]Ebenezer[:tc]心光[:sc]心光[:]

[:en]HKSB[:tc]香港盲人輔導會[:sc]香港盲人辅导会[:]

[:en]Others[:tc]其他[:sc]其他[:]

Please choose a valid [:en]if yes, where did you received the training[:tc]如有，在哪裡接受訓練[:sc]如有，在哪里接受训练[:].

[:en]Received any vocational or rehabilitation training for the visually imparied[:tc]有否接受過職業或復康訓練[:sc]有否接受过职业或复康训练[:] *

[:en]Yes[:tc]有[:sc]有[:]

[:en]No[:tc]沒有[:sc]没有[:]

Please choose a valid [:en]received any vocational or rehabilitation training for the visually imparied[:tc]有否接受過職業或復康訓練[:sc]有否接受过职业或复康训练[:].

[:en]If No, are you planning to attend vocational or rehabilitation training[:tc]如沒有，有否計劃接受過職業或復康訓練[:sc]如沒有，有否计划接受过职业或复康训练[:]

[:en]Yes[:tc]有[:sc]有[:]

[:en]No[:tc]沒有[:sc]没有[:]

Please choose a valid [:en]if no, are you planning to attend vocational or rehabilitation training[:tc]如沒有，有否計劃接受過職業或復康訓練[:sc]如沒有，有否计划接受过职业或复康训练[:].

[:en](III) EDUCATION AND TRAINING (in chronological order) [:tc](III) 教育及訓練 (請按日期順序列出)[:sc](III) 教育及训练 (请按日期顺序列出)[:]

[:en]Date From(month/year)[:tc]日期由(月/年)[:sc]日期由(月/年)[:]

Please provide a valid [:en]date from(month/year)[:tc]日期由(月/年)[:sc]日期由(月/年)[:].

[:en]Date To(month/year)[:tc]日期至(月/年)[:sc]日期至(月/年)[:]

Please provide a valid [:en]date to(month/year)[:tc]日期至(月/年)[:sc]日期至(月/年)[:].

[:en]School(s) and Training Organization(s) Atteded[:tc]曾就讀的學校或特殊訓練機構[:sc]曾就读的学校或特殊训练机构[:]

Please provide a valid [:en]school(s) and training organization(s) atteded[:tc]曾就讀的學校或特殊訓練機構[:sc]曾就读的学校或特殊训练机构[:].

[:en]Qualification Obtained[:tc]獲頒學歷[:sc]获颁学历[:]

Please provide a valid [:en]qualification obtained[:tc]獲頒學歷[:sc]获颁学历[:].

[:en]Date From(month/year)[:tc]日期由(月/年)[:sc]日期由(月/年)[:]

Please provide a valid [:en]date from(month/year)[:tc]日期由(月/年)[:sc]日期由(月/年)[:].

[:en]Date To(month/year)[:tc]日期至(月/年)[:sc]日期至(月/年)[:]

Please provide a valid [:en]date to(month/year)[:tc]日期至(月/年)[:sc]日期至(月/年)[:].

[:en]School(s) and Training Organization(s) Atteded[:tc]曾就讀的學校或特殊訓練機構[:sc]曾就读的学校或特殊训练机构[:]

Please provide a valid [:en]school(s) and training organization(s) atteded[:tc]曾就讀的學校或特殊訓練機構[:sc]曾就读的学校或特殊训练机构[:].

[:en]Qualification Obtained[:tc]獲頒學歷[:sc]获颁学历[:]

Please provide a valid [:en]qualification obtained[:tc]獲頒學歷[:sc]获颁学历[:].

[:en]Date From(month/year)[:tc]日期由(月/年)[:sc]日期由(月/年)[:]

Please provide a valid [:en]date from(month/year)[:tc]日期由(月/年)[:sc]日期由(月/年)[:].

[:en]Date To(month/year)[:tc]日期至(月/年)[:sc]日期至(月/年)[:]

Please provide a valid [:en]date to(month/year)[:tc]日期至(月/年)[:sc]日期至(月/年)[:].

[:en]School(s) and Training Organization(s) Atteded[:tc]曾就讀的學校或特殊訓練機構[:sc]曾就读的学校或特殊训练机构[:]

Please provide a valid [:en]school(s) and training organization(s) atteded[:tc]曾就讀的學校或特殊訓練機構[:sc]曾就读的学校或特殊训练机构[:].

[:en]Qualification Obtained[:tc]獲頒學歷[:sc]获颁学历[:]

Please provide a valid [:en]qualification obtained[:tc]獲頒學歷[:sc]获颁学历[:].

[:en]Are you planning for the further education? [:tc]有否計劃繼續進修?[:sc]有否计划继续进修?[:] *

[:en]Yes[:tc]有[:sc]有[:]

[:en]No[:tc]沒有[:sc]没有[:]

Please choose a valid [:en]are you planning for the further education? [:tc]有否計劃繼續進修?[:sc]有否计划继续进修?[:].

[:en]Do you speak and understand Cantonese[:tc]是否懂聽及說廣東話[:sc]是否懂听及说广东话[:] *

[:en]Yes[:tc]有[:sc]有[:]

[:en]No[:tc]沒有[:sc]没有[:]

Please choose a valid [:en]do you speak and understand cantonese[:tc]是否懂聽及說廣東話[:sc]是否懂听及说广东话[:].

[:en]Please indicate other language you can speak[:tc]請列出你懂的其他語言[:sc]请列出你懂的其他语言:]

Please provide a valid [:en]please indicate other language you can speak[:tc]請列出你懂的其他語言[:sc]请列出你懂的其他语言:].

[:en](V) NOTES TO APPLICANTS[:tc](V) 申請人需知[:sc](V) 申请人需知[:]

[:en]Although preferences are welcome, they cannot be guaranteed.[:tc]在資源及情況許可下，我們定當會盡力配合你的選擇。[:sc]在资源及情况许可下，我们定当会尽力配合你的选择。[:]

[:en]Allocation of seeing eye dogs are subjected to the fitness of matching between the applicant and the seeing eye dog, it is not on first come first served basis.[:tc]導盲犬的分配是基於申請人及導盲犬是否相配，而並非先到先得。[:sc]导盲犬的分配是基于申请人及导盲犬是否相配，而并非先到先得。[:]

[:en]Please submit the completed form, our representative will contact you in timely manner.[:tc]請填妥並提交表格，我們收到後會有專人與你聯絡。[:sc]请填妥并提交表格，我们收到后会有专人与你联络。[:]

[:en]Personal Information Collection Statement[:tc]收集個人資料聲明[:sc]收集个人资料声明[:]

[:en]The above information will only be used for the arrangement of training work and will treat under strictly confidentail.[:tc]以上資料只用作安排訓練及絕對保密[:sc]以上资料只用作安排训练及绝对保密[:]

[:en]For amend or access to personal data after submission of the application, or any enquiries about arrangement of training, please email to [:tc]提交申請表後，如欲更改或查詢個人資料，或查詢有關安排訓練的事宜，請盡快以電郵至 [:sc]提交申请表后，如欲更改或查询个人资料，或查询有关安排训练的事宜，请尽快以电邮至 [:] services@seeingeyedog.org.hk

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