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

Organization's name *

Have you reviewed the program discovery package in full? *

Yes
No
I'm not sure

Thank you for your interest in our program

Before continuing, please review our Discovery Package with all you need to know about the program. Click here for further details.

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

Yes
No

Thank you for your interest in our program

Unfortunately, your organization does not meet the criteria for our program. For further information on what our Facility Support Dogs do, please refer to our Discovery Package.

Province or territory of the organization *

Your name & position within the organization *

Contact email *

Contact phone *

What is your preferred language? *

English
French
I am bilingual in English and French

Demographic served by the organization (i.e. children, adult, seniors) *

How long has the organization been in service? *

Does the plan to introduce a Facility Support Dog have the support of senior management within your organization? *

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) *

Is your organization prepared to take on the financial responsibility of a FSD? Annual costs could amount to $1,500 - $10,000. *

Yes
No