Orientation & Mobility Application Process
The application process consists of a form application, medical and vision information, character references and a short video demonstrating your independent travel skills. Once you are approved for the program, we will get in touch with you to select class dates.
In order to begin your application review, all required items must be completed and submitted to your client services coordinator. These items include:
The application for training provides us with an overview of who you are, including where you live, health, travel skills, education, employment, previous mobility experience and references. Please provide as much information as possible for each section.
Please note, the application must be signed and dated by you and witnessed by one person.
The medical history and vision evaluation forms should be completed by your family physician and eye care professional. If you have health concerns that could complicate training, please make sure these concerns are stated clearly by your physician. Training is accelerated and requires a few hours of walking each day.
The waiver release of liability, indemnity and consent form allows Leader Dog to contact those listed on your application. All information is confidential and is not distributed outside of our organization.
This form also allows us to share information with other professionals selectively. For example, it allows us to supply a doctor’s office or hospital with your medical information if you are accepted for training at Leader Dog and need to see a doctor while you are here.
A video demonstrating your independent travel skills is required by our admissions committee and will assist us in assessing your skills and suitability for training.
If you are unable to create your own video, please contact your local Lions club. If you need assistance contacting a Lions club, call us at 248.651.9011 or toll free at 888.777.5332.
- State your name, city, state and that you are applying for Orientation & Mobility Training.
- Go up and down stairs.
- Cross intersections where there is traffic flow and traffic lights.
- Travel in your workplace (if applicable).
- Travel your daily route(s).
- State the reason you are applying for Orientation & Mobility Training.
- Keep the video under 15 minutes. We need to see what is listed above; no more, no less.
- Show applicant walking toward and away from video camera.
- Keep natural sounds on video (do not add music or sound effects).
- Do not direct the applicant in any way unless his or her safety is in danger.
Acceptable Video Formats
- DVD — If transferring a video to DVD, please use DVD creation software; do not send as a file. Ensure DVDs play in a machine other than the original video camera. Label video with the applicant's name and date of taping. DVDs may be mailed to: Leader Dogs for the Blind, Client Services Department, 1039 S. Rochester Rd., Rochester Hills, MI 48307.
- Dropbox — Upload .mp4 or .wmv file to your Dropbox account and provide a shared link to access the file via email to email@example.com.
- YouTube — Upload the video to your YouTube account, then email a shared link to firstname.lastname@example.org (if you want your video to be available to us but not to the general public, change the privacy setting to "Unlisted").