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Please enter your Organization's details and check off the services you provide specifically targeted or useful for people with HIV/AIDS, at risk communities, or anyone seeking information on the subject of HIV/AIDS.

Name:
 
Description:
   
Hours:

What area does your agency serve?:

Is ASO ?:

Website:
Street Address (street number, name, and street type):
Suite/Unit/Floor: City:
Province:
Postal Code:

 
 
Mailing Address:(if different than above)
Phone 1: (don't use white space, dash or parenthesis)
Phone 2:
Toll Free Phone:
TTY Phone:
Fax:
Primary Email:
Accessibility:

The contact information is used for administration
purposes only:

Contact Name:
 
Contact Title:
Contact Phone: Extension Number:
 
Contact Email:
 
 


Please notify us by e-mail of any additional Service or Program
that we have not included on this form.





Geocoding provided by GeoCoder.ca

Community/Population Specific
Aboriginal People (First Nations, Inuit, Metis)
Caregivers
Family/Children
Gay Men/Bisexual Men
General Public
Heterosexual Men
Homeless/Street Involved People
Immigrants/Newcomers/Refugees
LGBT
People from countries where HIV is endemic
People living/with HIV/AIDS (PHAs)
People who inject drugs or use substances
Prison/Legal
Service providers
Sex Workers
Specific ethnocultural community/ies
Women
Youth

Education
Community Development
Education
Outreach
Skill Development
Training
Workshops

Food/Nutrition
Food Banks
Meal Programs
Nutritional Counselling

Group Support
Retreats
Scheduled Drop In Program
Social Support Groups
Support Groups

Health Promotion
Complementary Therapies
Health Promotion
Treatment Information

HIV Testing
Anonymous Testing
HIV Testing
Rapid Testing

Housing
Homeless Outreach
Housing Assistance
Residences
Shelters
Supportive Housing

Individual Support
Bereavement Services
Buddy Programs
Case Management
Counselling
Employment Counselling
Financial Counselling
Home & Hospital Visits/Care Teams
Individual Advocacy
Intake and Assessment
Legal
Mental Health Support
Pre/post Test Counselling
Settlement Services

Language
American Sign Language (ASL)
Amharic
Arabic
Armenian
Bengali
Cantonese
Cree
Czech
English
Farsi
French
Fuchien
Ga
Gujarati
Hausa
Hebrew
Hindi
Ibo
Italian
Kinyarwanda
Kirundi
Korean
Lingala
Luganda
Mandarin
Mohawk
Ndebele
Odawa
Oji-Cree
Ojibway
Pilipi
Polish
Portuguese
Punjabi
Quebec Sign Language (LSQ)
Shona
Somali
Spanish
Swahili
Tagalog
Taiwanese
Tamil
Thai
Tigrinya
Turkish
Twi
Ukrainian
Urdu
Vietnamese
Xhosa
Yoruba
Zuulu

Medical
Complementary Therapies
Hospital Clinics
Primary Care

Practical Assistance
Financial Assistance
Food Banks
Furniture
Transportation/Moving

Resources
Condoms/Lubricant
Gloves
Information Services
Needle Exchange Program

Volunteer Opportunities
Student Placement
Volunteer