Service Dog Guide Expression of Interest - Lions Foundation of Canada Dog Guides

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Please note that for this opening, we are only taking applications for labrador retrievers and labrador retriever mixes.

We are also only taking applications for those that primarily use a powered mobility aid.

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.

Name *

First

Last

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 to our Expression of Interest, please review our Discovery Package with all you need to know about the program.

Do you have a physical, debilitating chronic illness or neurological disorder affecting one or more limbs that is medically diagnosed? *

Thank you for your interest in our Service Dog Guide program.

Unfortunately, you do not meet the criteria for this program. For further information on the criteria for our Service Dog Program, please refer to our Discovery Package.

What is your primary disability? *

When were you diagnosed with this disability? *

Under 1 year ago
1-5 years ago
6+ years ago

Thank you for your interest in our Service Dog Guide program.

Unfortunately, you do not meet the criteria for this program. For further information on the criteria for our Service Dog Program, please refer to our Discovery Package.

Do you primarily use a power wheelchair or scooter for mobility, both inside and outside the home? *

We are currently only taking applications for those that use powered mobility aids. Please check back the next time we reopen to new applicants.

Age *

Thank you for your interest in our Service Dog Guide program.

Unfortunately, you do not meet the criteria for this program. For further information on the criteria for our Service Dog Program, please refer to our Discovery Package.

Legal Guardian’s Name (if applicable)

Does anyone in your home have allergies to dogs? *

We are not currently taking applications for those who require a hypoallergenic dog. Please check back the next time we reopen to new applicants.

Contact email *

Contact phone *

City *

Province or Territory of residence *

What is your preferred language? *

English
French
I am bilingual in English and French

Please list any other physical or medical conditions

Will you serve as the primary handler of the Dog Guide, taking responsibility for the dog’s training, care, task performance, behavior management, and health needs? While third-party support may be utilized during training and the dog’s working life, it should remain minimal. *

Yes
No
Unsure

Thank you for your interest in our Service Dog Guide program. Unfortunately, you do not meet the criteria for our program.

A Service Dog is a tool to lead to greater independence through less reliance on others. Taking full responsibility for the dog's training and care is key to building a strong bond between the handler and the Service Dog. This bond helps motivate the dog to work consistently and dependably for their handler. For further information on our Service Dog Guide program please refer to our Discovery Package.

Are you physically capable of working with the dog independently, including providing verbal or physical cues and offering treats, as small as an almond and praise as positive reinforcement in a timely manner? *

Yes
No
Unsure

Thank you for your interest in our Service Dog Guide program. Unfortunately, you do not meet the criteria for our program. Providing verbal or physical cues and positive reinforcement through both treats and praise is essential to building a strong bond as it motivates the Service Dog to work consistently and dependably for their handler. For further information on our Service Dog Guide program please refer to our Discovery Package.

How often do you go out in your community (Ex: stores, appointments, work, school) *

Less than once a week
Once a week
More than once a week

minimal. it at

Do you receive home care assistance, such as support from a personal support worker (PSW)? *

Yes, 5+ hours per day
Yes, less than 5+ hours per day
Yes, a few times per week
No, I do not receive home care assistance

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? *

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

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

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)? *

Have you ever been convicted of a criminal offense? *

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