Facility Support Dog Guide Expression of Interest - Lions Foundation of Canada Dog Guides

Organization's name

Your name & position within the organization

Contact email

Contact phone

Province or territory of the organization

What is your preferred language?

English
French
I am bilingual in English and French

Have you reviewed the program discovery package in full?

Yes
No

Thank you for your interest in our Facility Support Dog Program. After reviewing your information, we regret to inform you that you do not meet the eligibility criteria for the program at this time. For more information about the program, including eligibility requirements and resources please refer to the FSD-Discovery-Package.pdf

Does your organization serve individuals that have experienced trauma due to criminal behaviour?

Yes
No

Is there a primary demographic served by the organization (i.e. children, adults or seniors)

How long has the organization been in service?

If the organization is accepted into the program, a staff member will need to be appointed the primary handler (caregiver) of the Dog Guide to support its work for the organization. This includes taking the Dog Guide home at night to care for it. Has a Primary Handler been identified within the organization?

Will the Facility Support Dog be supporting work primarily conducted in-person, or virtually? (IE - over video conference)

Thank you for your interest in our Facility Support Dog Program. After reviewing your information, we regret to inform you that you do not meet the eligibility criteria for the program at this time. For more information about the program, including eligibility requirements and resources please refer to the FSD-Discovery-Package.pdf

Does the plan to introduce a facility dog have the support and approval of your organization's senior management?

Has a primary handler been appointed? (If the organization is accepted into the program, a staff member will need to be designated as the dog’s primary handler (caregiver). This role includes being responsible for the dog’s care outside of work hours, including taking the dog home at night.)

Yes
No

Does anyone in your home have allergies to dogs?

Yes
No

Thank you for your interest in our Facility Support Dog Program. After reviewing your information, we regret to inform you that you do not meet the eligibility criteria for the program at this time. For more information about the program, including eligibility requirements and resources please refer to the FSD-Discovery-Package.pdf

Will the Facility Support Dog reside in a smoke and vape-free environment?

Yes
No

If accepted into the program, would you be available to attend in person training for up to 10 consecutive days at our facility within the next 4-18 months from the time of application?

Yes
No

Have you applied for a Dog Guide from our organization previously?

Yes
No

Have you or any member of your household been, or are you subject to, a court order banning you from the ownership of any animal(s)?

Yes
No

Have you ever been convicted of a criminal offense?

Yes
No

Thank you for your interest in our Facility Support Dog Program. After reviewing your information, we regret to inform you that you do not meet the eligibility criteria for the program at this time. For more information about the program, including eligibility requirements and resources please refer to the FSD-Discovery-Package.pdf

How did you hear about Lions Foundation of Canada Dog Guides (LFCDG)?

Which organization

Please Specify