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Success Stories
FAQs
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Board of Directors
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Get a Dog Guide
▼
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▼
Canine Vision
Hearing
Seizure Response
Service
Autism Assistance
Diabetic Alert
Facility Support
Adopt a Career Change Dog
Life After Graduation
How to Help
▼
Volunteer Opportunities
▼
Foster Puppy Program
Specialty Sitter Volunteer Program
Corporate Giving
Events
▼
Ride for Dog Guides
Walk for Dog Guides
Lions Clubs
▼
Ways to Donate
Fellowships & Memberships
Lions News
Lions Resources
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▼
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Giving Tuesday
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Become a Dog Guides Guardian!
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Contact
Facility Support Dog Guide Expression of Interest
Facility Support Dog Guide Expression of Interest
Please enable JavaScript in your browser to complete this form.
Organization's name
*
Province or territory of the organization
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Your name & position within the organization
*
Contact email
*
Contact phone
*
Does your organization serve individuals that have experienced trauma due to criminal behaviour?
*
Yes
No
Demographic served by the organization (i.e. client, adult, seniors)
*
How long has the organization been in service?
*
Less than 5 years
5-10 years
More than 10 years
Does the plan to introduce a FSD have the support of senior management within your organization?
*
Yes
No
Not yet
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?
*
Yes
No
Not yet
Will the FSD be supporting work primarily conducted in-person, or virtually? (IE - over video conference)
*
All virtual
All in-person
A combination, but primarily virtual
A combination, but primarily in person
Is your organization prepared to take on the financial responsibility of a FSD? Annual costs could amount to $1,500 - $10,000.
*
Yes
No
Submit