Application Form Changemark Pro-bono Initiative

This application for pro-bono services is only open to non-profit, community-based organizations offering harm reduction services in the area of substance use. While we deeply value the work of all our current and potential partners, this program is designed to address the specific needs resulting from the toxic drug poisoning deaths and the shift in provincial and federal funding priorities.

All information shared with us will be confidential and only reviewed by the review committee.

Important: This form cannot be saved. Please complete it in one session. Keep this window open until you finish and click “Submit.” If you close the window before submitting, your responses will be lost and you will need to start over.
Please describe the way(s) in which people with lived and/or living experience with substance use are included in decision-making processes within your organization. Answer below:
Briefly describe your organization’s mission and core activities. Answer below: (500 words max)
Please describe the harm reduction services your organization currently provides. Answer below: (500 words max)
If your organization is Indigenous led, please explain how your organization defines this. Answer below: (500 words max)
Is your program delivered in partnership with other organizations/entities (e.g., other community-based organizations, Health Authorities, First Nations community, peer-led group etc.)? Answer below:
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.