Seizure Response Dog Guide Expression of Interest - Lions Foundation of Canada Dog Guides

Please only proceed with this Expression of Interest if you are fully committed to applying. If you are unsure whether you meet the qualification criteria or have questions, please email client-services@dogguides.com.

First name *

Last 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.

Do you have a medical diagnosis of intractable epilepsy (not able to be controlled by medication)? *

Yes
No

Thank you for your interest in our program

Unfortunately, you do not meet the criteria for our program. For further information on what our Seizure Response Dogs do, please refer to our Discovery Package.

Age of applicant *

Thank you for your interest in our program

Unfortunately, you do not meet the criteria for our program. For further information on what our Seizure Response Dogs do, please refer to our Discovery Package.

Legal guardian's name

Thinking about the last 4 weeks, how many seizures have you experienced? *

Thank you for your interest in our program

Unfortunately, you do not meet the criteria for our program. For further information on what our Seizure Response Dogs do, please refer to our Discovery Package.

When you experience a seizure, do you exhibit consistent physical movement?

Yes
No
Unsure

Thank you for your interest in our program

Unfortunately, you do not meet the criteria for our program. For further information on what our Seizure Response Dogs do, please refer to our Discovery Package.

Province or territory of residence *

What is your preferred language? *

English
French
I am bilingual in English and French

Contact email *

Contact phone *

Please list any other physical or medical conditions: *

If accepted into the program, would you be available to attend in person training for up to 21 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

Does anyone in your home have allergies to dogs? *

Yes
No

Do you currently have a dog living in your home? As explained in the Discovery package, our Diabetes Alert Dog Guides need to be the only dog in the client’s home. *

Yes
No, I do not have a dog living in the home

Would you be able to rehome the dog if you were accepted into the program? *

Will the Seizure Response Dog Guide reside in a smoke free environment? *

Thank you for your interest in our program

Unfortunately, you do not meet the criteria for our program. For further information on what our Seizure Response Dogs do, please refer to our Discovery Package.