Facility Support Dog Guide Expression of Interest Facility Support Dog Guide Expression of Interest Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Organization's name *Have you reviewed the program discovery package in full? *YesNoI'm not sureThank 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? *YesNoThank 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 *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonYour name & position within the organization *Contact email *Contact phone *What is your preferred language? *EnglishFrenchI am bilingual in English and FrenchDemographic served by the organization (i.e. children, adult, seniors) * How long has the organization been in service? *Less than 5 years5-10 yearsMore than 10 years Does the plan to introduce a Facility Support Dog have the support of senior management within your organization? *YesNoI have not spoken to them about it yetIf 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? *YesNoNot yetWill the Facility Support Dog be supporting work primarily conducted in-person, or virtually? (IE - over video conference) *All virtualAll in-personA combination, but primarily virtualA combination, but primarily in personIs your organization prepared to take on the financial responsibility of a FSD? Annual costs could amount to $1,500 - $10,000. *YesNoSubmit
