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Please choose the appropriate form to complete:

• For ODSP Candidate Applications
• For Team Member Service Providers
• For Starting A Chapter In Your Community
• Submit General Inquiry

For ODSP Candidate Applications:

Before submitting a request for assistance please review the mission and vision of our program. Next check if we provide service in your area using our coverage list. Use this form to request our assistance. Be specific in your renovation need(s). We will request proof that government programs were either utilitzed or declined before your application may be considered.

First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
Province:
Postal Code:
ODSP Member Reference:
Phone Number:
E-Mail Address:
Brief Need Description:

For Team Member Service Providers:

Do you want to make a difference in your community? Would you like to join the Disability Support Team to help the individuals who are handicapped in your community? Review the details about our program. If this is something you would like to join please provide us with the following information. Be specific in the skills and resources you are willing to contribute. We will be in touch after reviewing your submission.

Business Name:
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
Province:
Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Web Site:
What Skills or Resources Are You Able To Provide:

For Starting A Chapter In Your Community:

Our vision is to expand across Canada in order to help handicapped individuals who own their own home with renovations to improve their quality of life. Would you like to initiate and oversee a chatper in your area? Please provide us with the following details so we may contact you.

First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
Province:
Postal Code:
Phone Number:
Fax Number:
E-Mail Address:
Introduce Yourself. Include Administration and Construction Skills You Offer and Geographical Region You Propose To Provide Service:

Submit General Inquiry:

For all other inquiries please contact us through this form:

First Name:
Last Name:
Phone Number:
E-Mail Address:
Preferred Method For Our Response:	Phone E-Mail
Comments: