LIVING the Dementia Journey Enrollment HiddenPSW ProgramHiddenHome Name HiddenLDJ Allotment Select your LTC home*Afton Park Place Long Term Care CommunityAlbright Gardens Homes, IncorporatedAlexander PlaceAlgoma Manor Nursing HomeAlgonquin Nursing HomeAllendaleAlmonte Country HavenAltamont Care CommunityAnson Place Care CentreArbour Creek Long-Term Care CentreArbour HeightsAtikokan General HospitalAu ChateauAvalon Retirement CentreBabcock Community Care CentreBanwell Gardens Care CentreBarnswallow Place Care CommunityBay Haven Nursing HomeBay RidgesBayfield ManorBayWoods PlaceBella Senior Care ResidencesBelmont HouseBelmont Long Term Care FacilityBelvedere HeightsBendale AcresBennett Centre Long Term CareBerkshire Care CentreBethammi Nursing HomeBethany LodgeBetter Living at Thompson HouseBillings Court ManorBirchwood TerraceBlackadar Continuing Care CentreBlenheim Community VillageBloomington Cove Care CommunityBlue Water Rest HomeBob Rumball Home for The DeafBobier VillaBon Air Long Term Care ResidenceBonnechere ManorBradford Valley Care CommunityBraemar Retirement CentreBrierwood GardensBroadview Nursing CentreBrouillette ManorBrucelea Haven Long Term Care Home - Corporation of the County of BruceBurloakBurnbrae Gardens Long Term Care ResidenceBurton ManorCAMA Woodlands Nursing HomeCambridge Country ManorCamilla Care CommunityCarefree LodgeCaressant Care Arthur Nursing HomeCaressant Care BourgetCaressant Care CobdenCaressant Care CourtlandCaressant Care Fergus Nursing HomeCaressant Care HarristonCaressant Care Lindsay Nursing HomeCaressant Care Listowel Nursing HomeCaressant Care MarmoraCaressant Care on Bonnie PlaceCaressant Care on Mary BuckeCaressant Care on McLaughlin RoadCaressant Care Woodstock Nursing HomeCarleton LodgeCarlingview ManorCarveth Care CentreCase Manor Care CommunityCassellholmeCastleview Wychwood TowersCawthra GardensCedarvale Lodge Retirement and Care CommunityCedarvale TerraceCedarwood LodgeCedarwood VillageCentennial Place Long-Term Care HomeCentre d'Accueil ChamplainCentre d'Accueil Roger SeguinChamplain Long Term Care ResidenceChartwell Aurora Long Term Care ResidenceChartwell Aylmer Long Term Care ResidenceChartwell Ballycliffe Long Term Care ResidenceChartwell Brant Centre Long Term Care ResidenceChartwell Elmira Long Term Care ResidenceChartwell Gibson Long Term Care ResidenceChartwell London Long Term Care ResidenceChartwell Parkhill Long Term Care ResidenceChartwell Pine Grove Long Term Care ResidenceChartwell Royal Oak Long Term Care ResidenceChartwell Trilogy Long Term Care ResidenceChartwell Waterford Long Term Care ResidenceChartwell Wenleigh Long Term Care ResidenceChartwell Westbury Long Term Care ResidenceChartwell Westmount Long Term Care ResidenceChartwell White Eagle Long Term Care ResidenceChartwell Willowgrove Long Term Care ResidenceChartwell Woodhaven Long Term Care ResidenceChartwell Wynfield Long Term Care ResidenceChateau Park Long Term Care HomeChelsey ParkCheltenham Care CommunityChester VillageClarion Nursing HomeColeman Care CentreCollingwood Nursing HomeColumbia ForestCooksville Care CentreCopernicus LodgeCopper TerraceCountry Lane Long Term Care ResidenceCountry TerraceCountry Village Homes - WoodsleeCraigholmeCraiglee Nursing HomeCreedan Valley Care CommunityCreek Way VillageCrescent Park LodgeCrown Ridge PlaceCummer LodgeDearness Home for Senior CitizensDeer Park VillaDeerwood Creek Care CommunityDelhi Long Term Care CentreDerbecker's Heritage HouseDom LipaDouglas H. Rapelje LodgeDover CliffsDownsview Long Term Care CentreDufferin OaksDundas Manor Nursing HomeDundurn Place Care CentreE. J. McQuigge LodgeEagle TerraceEarls Court VillageEastholme Home for the AgedEatonville Care CentreEden House Nursing HomeEdgewater Gardens Long Term Care CentreEhatare Nursing HomeElgin Abbey Nursing HomeElgin ManorElginwoodÉlisabeth-Bruyère ResidenceElizabeth CentreElm Grove Living CentreElmwood PlaceEMO Health CentreErin Mills Lodge Nursing HomeErrinrung Long Term Care HomeEspanola General Hospital (operating as Espanola Nursing Home-Eldcap)Espanola General Hospital (operating as Espanola Nursing Home-LTC)Exeter VillaExtendicare BayviewExtendicare BramptonExtendicare CobourgExtendicare FalconbridgeExtendicare GuildwoodExtendicare HaliburtonExtendicare Halton HillsExtendicare HamiltonExtendicare KapuskasingExtendicare Kawartha LakesExtendicare KingstonExtendicare Kirkland LakeExtendicare LakefieldExtendicare Laurier ManorExtendicare LondonExtendicare Maple View of Sault Ste. MarieExtendicare MedexExtendicare MississaugaExtendicare New Orchard LodgeExtendicare OshawaExtendicare PeterboroughExtendicare Port HopeExtendicare Port StanleyExtendicare Rouge ValleyExtendicare ScarboroughExtendicare Southwood LakesExtendicare St. CatharinesExtendicare StarwoodExtendicare TecumsehExtendicare TimminsExtendicare Tri-TownExtendicare Van DaeleExtendicare West End VillaExtendicare YorkF.J. Davey HomeFairfield ParkFairhavenFairmount Home for the AgedFairvern Nursing HomeFairview LodgeFairview ManorFairview Mennonite HomeFairview Nursing HomeFaith Manor Nursing HomeFenelon CourtFiddick's Nursing HomeFieldstone Commons Care CommunityFinlandia Hoivakoti Nursing HomeForest HeightsForest HillFosterbrookeFountain View Care CommunityFox Ridge Care CommunityFoyer Des PionniersFoyer Richelieu WellandFoyer St-Viateur Nursing HomeFranklin Gardens Long Term Care HomeFriendly Manor Nursing HomeFrost ManorFudger HouseGarden City ManorGarden Court Nursing HomeGarden TerraceGardenview Long Term Care HomeGarry J. Armstrong HomeGateway Haven Long Term Care HomeGeorgian HeightsGeorgian Manor Home for the AgedGeraldton District HospitalGilmore LodgeGlebe CentreGlen Hill MarnwoodGlen Hill StrathavenGlen-Stor-Dun LodgeGolden Dawn Nursing HomeGolden ManorGolden Plough LodgeGolden Years Nursing HomeGood Samaritan Nursing HomeGrace ManorGrace Villa Nursing HomeGrandview Lodge / DunnvilleGranite Ridge Care CommunityGreenwood CourtGrey Gables Home for the AgedGrove Park Home For Senior CitizensGroves Park LodgeH.J. McFarland Memorial HomeHallowell HouseHamilton Continuing CareHampton Terrace Care CentreHanover Care CentreHardy TerraceHarmony Hills Care CommunityHarold and Grace Baker CentreHastings Centennial ManorHastings Manor Home for the AgedHawthorn Woods Care CommunityHawthorne Place Care CentreHeartwoodHeidehof Long Term Care HomeHelen Henderson Nursing HomeHellenic Care for Seniors (Toronto)Hellenic Home - ScarboroughHenley PlaceHeritage Green Nursing HomeHeron Terrace Long Term Care CommunityHighland WoodHillcrest Village Care CentreHillel LodgeHillsdale EstatesHillsdale TerracesHillside ManorHilltop Manor Nursing Home (Merrickville)Hogarth Riverview ManorHope Street TerraceHornepayne Community HospitalHumber Valley TerraceHuron Lodge Long Term Care HomeHuronlea Home for the AgedHuronview Home for the AgedHyland CrestIdlewyld ManorIler LodgeIna Grafton Gage HomeIOOF Seniors HomeIroquois Lodge Nursing HomeIsabel and Arthur Meighen ManorIvan Franko Home (Etobicoke)John Noble HomeKemptville District HospitalKennedy LodgeKensington VillageKentwood ParkKilean LodgeKing City Lodge Nursing HomeKing Nursing HomeKingsway Lodge Nursing HomeKipling AcresKnollcrest LodgeKristus Darzs Latvian HomeLabdara Lithuanian Nursing HomeLady Dunn Health Centre (Wawa)Lakeland Long Term Care (Eldcap)Lakeland Long Term Care ServicesLakeshore LodgeLakeside Long Term Care CentreLakeview ManorLambton Meadowview VillaLanark Heights Long Term Care CentreLanark LodgeLancaster Long Term Care ResidenceLangstaff Square Care CommunityLaPointe-Fisher Nursing HomeLeacock Care CentreLeamington Mennonite Home Long Term Care ResidenceLee Manor HomeLennox and Addington County General HospitalLinhavenLongfields ManorMacassa LodgeMackenzie Health Long Term Care FacilityMacKenzie PlaceMadonna Care CommunityMain Street TerraceMaitland ManorMalton Village Long Term Care CentreManitoulin Centennial Manor Home for the AgedManitoulin LodgeManoir MarochelMaple Grove Care CommunityMaple Manor Nursing HomeMaple Park LodgeMaple ViewMaple View LodgeMaple Villa Long Term Care CentreMaplewoodMarianhill Nursing HomeMariann HomeMarkhavenMarshall Gowland ManorMauno Kaihla KotiMaxville ManorMaynard Nursing HomeMcCall Centre Long Term Care Interim UnitMcCormick HomeMcGarrell PlaceMeadow Park (London)Meadow Park Nursing Home (Chatham)Meaford Long Term Care - a peopleCare CommunityMennonite Brethren Senior Citizens HomeMiddlesex TerraceMidland Gardens Care CommunityMill Creek Care CentreMillennium Trail ManorMiramichi LodgeMississauga Long Term Care FacilityMitchell Nursing HomeMoira Place Long-Term Care HomeMon Sheong Home for the AgedMon Sheong Richmond Hill Long Term Care CentreMon Sheong Scarborough Long Term Care CentreMontfortMorriston Park Nursing HomeMount Hope Centre for Long Term CareMount Nemo Christian Nursing HomeMuskoka LandingMuskoka Shores Care CommunityNiagara Health System, Welland Hospital Site, Extended Care UnitNiagara Ina Grafton Gage VillageNiagara Long Term Care ResidenceNipigon District Memorial HospitalNipissing Manor Nursing Care CenterNisbet LodgeNithview HomeNorfinch Care CommunityNorth Centennial ManorNorth Lambton LodgeNorth Park Nursing HomeNorth Renfrew Long-Term Care ServicesNorth Shore Health Network - Eldcap UnitNorth Shore Health Network - LTC UnitNorthland PointeNorthridgeNorthview Nursing HomeNorthwood LodgeNorview LodgeNorwood Nursing HomeOak TerraceOakwood Park LodgeOneida Nation of the Thames Long-Term Care Home (Tsi' Nu: yoyantle' Na' Tuhuwatisni)Orchard Terrace Care CentreOrchard VillaOsgoode Care CentreOwen Hill Care CommunityParisien ManorPark Lane TerraceParkview Home Long-Term CareParkview Manor Health Care CentreParkview Nursing CentreParkwood Mennonite HomePeel ManorPeople Care CentrepeopleCare A.R. Goudie KitchenerpeopleCare Hilltop Manor CambridgepeopleCare Oakcrossing LondonpeopleCare TavistockPerth Community Care CentrePeter D. Clark CentrePine Meadow Nursing HomePine Villa Nursing HomePinecrest (Kenora)Pinecrest (Plantagenet)Pinecrest ManorPinecrest Nursing Home (Bobcaygeon)Pinehaven Nursing HomePioneer ManorPioneer RidgePleasant Manor Retirement VillagePleasant Meadow ManorPort Perry PlacePost Inn VillagePrincess CourtProvidence HealthcareProvidence ManorQueen's GardenQueensway Long Term Care HomeR. H. Lawson Eventide HomeRainy River Health CentreRainycrestReachView VillageRegency Long Term Care HomeRegency Park Long Term Care HomeRegina GardensResidence Prescott et RussellResidence Saint-LouisRichmond TerraceRideaucrest HomeRidgeviewRitz Lutheran VillaRiver Glen Haven Nursing HomeRiverbend PlaceRiverside PlaceRiverview GardensRiverview Manor Nursing HomeRoberta PlaceRockcliffe Care CommunityRockwood Terrace Home for the AgedRose of Sharon Korean Long Term CareRosebridge ManorRosedale CentreRoyal Ottawa PlaceRoyal Rose PlaceRoyal TerraceSaint Luke's PlaceSandfield PlaceSanté Manitouwadge HealthSara VistaSarsfield Colonial HomeSeaforth Long Term Care HomeSecord Trails Care CommunitySeniors' Health CentreSeven OaksShalom Manor Long Term Care HomeShalom Village Nursing HomeShelburne Long Term Care HomeShepherd LodgeSherbourne PlaceSheridan VillaSherwood Court Long Term Care CentreSherwood Park ManorSilverthorn Care CommunitySimcoe Manor Home for the AgedSmooth Rock Falls HospitalSouth Centennial ManorSouthampton Care CentreSouthbridge LakeheadSouthbridge PinewoodSouthbridge RoseviewSouthlake Residential Care VillageSpencer HouseSpringdale Country ManorSpruce Lodge Home for the AgedSprucedale Care CentreSt. Andrew's Terrace Long Term Care CommunitySt. Clair O'Connor Community Nursing HomeSt. Gabriel's Villa of SudburySt. George Care CommunitySt. Jacques Nursing HomeSt. Joseph's at FlemingSt. Joseph's Continuing Care CentreSt. Joseph's Health Centre, GuelphSt. Joseph's Lifecare CentreSt. Joseph's ManorSt. Joseph's Villa, DundasSt. Joseph's Villa, SudburySt. Lawrence LodgeSt. Patrick's HomeSt. Peter's Residence at ChedokeStayner Care CentreStirling HeightsStirling Manor Nursing HomeStoneridge ManorStrathcona Long Term CareStrathmere LodgeStreamway VillaStreetsville Care CommunitySumac LodgeSummit PlaceSun Parlor Home for Senior CitizensSunnycrest Nursing HomeSunnyside HomeSunset Manor Home for Senior CitizensSuomi-Koti Toronto Nursing HomeTall Pines Long Term Care CentreTeck Pioneer ResidenceTelfer PlaceTemiskaming LodgeTendercare Living CentreTerrace LodgeThe Bignucolo ResidenceThe Elliott Long Term Care ResidenceThe Fordwich Village Nursing HomeThe Four Seasons LodgeThe Grove, Arnprior and District Nursing HomeThe Henley HouseThe Heritage Nursing HomeThe Jewish Home for the AgedThe John M. Parrott CentreThe Kensington GardensThe Maples Home for SeniorsThe MeadowsThe Meadows of DorchesterThe Norfolk Hospital Nursing HomeThe O'Neill CentreThe PalaceThe Perley and Rideau Veterans' Health CentreThe PinesThe Salvation Army Ottawa Grace ManorThe Villa Care CentreThe Village at St. ClairThe Village at University GatesThe Village Green Nursing HomeThe Village of Aspen LakeThe Village of Erin MeadowsThe Village of Glendale CrossingThe Village of Humber HeightsThe Village of Riverside GlenThe Village of Sandalwood ParkThe Village of Tansley WoodsThe Village of Taunton MillsThe Village of Wentworth HeightsThe Village of Winston ParkThe Village Seniors CommunityThe Wellington Nursing HomeThe West Nipissing General HospitalThe WexfordThe Willows Estate Nursing HomeThe Woodlands of SunsetThorntonviewTilbury Manor Nursing HomeTony Stacey Centre for Veterans' CareTrent Valley LodgeTrillium CourtTrillium Manor Home for the AgedTrillium Retirement and Care CommunityTrillium Villa Nursing HomeTrinity Village Care CentreTrue Davidson AcresTsiionkwanonhsoteTufford Nursing HomeTullamore Care CommunityTwin Lakes Terrace Long Term Care CommunityTwin Oaks of MaryhillTyndall Nursing HomeUkrainian Canadian Care CentreUnion VillaUnited Mennonite HomeUpper Canada LodgeValley Manor Nursing HomeValley Park LodgeValleyview HomeValleyview ResidenceVera M. Davis Community Care CentreVermont SquareVictoria Gardens Long Term CareVictoria Manor Home for the AgedVictoria Village ManorVilla Colombo Homes for the AgedVilla Colombo Seniors Centre (Vaughan)Villa ForumVilla Leonardo GambinVilla MarconiVilla MintoVillage on the RidgeVision Nursing HomeWarkworth PlaceWaters Edge Care CommunityWatford Quality Care CentreWellesley Central PlaceWellington House Nursing HomeWellington Park Care CentreWellington Terrace Long-Term Care HomeWentworth LodgeWesburn ManorWest Lake TerraceWest Oak VillageWest Park Health CentreWest Park Long Term Care CentreWestgate Lodge Nursing HomeWestmount Gardens Long Term Care HomeWeston Terrace Care CommunityWestsideWikwemikong Nursing HomeWildwood Care CentreWilkes TerraceWilliam A. "Bill" George Extended Care FacilityWinbourne ParkWoodbridge Vista Care CommunityWoodhall Park Care CommunityWoodingford Lodge - IngersollWoodingford Lodge - TillsonburgWoodingford Lodge - WoodstockWoodland VillaWoods Park Care CentreWyndham Manor Long Term Care CentreYee Hong Centre - MarkhamYee Hong Centre - MississaugaYee Hong Centre - Scarborough FinchYee Hong Centre - Scarborough McNicollYork Region Maple Health CentreYork Region Newmarket Health CentreName* First Last Address Address 2 City Province Postcode Phone*Phone Ext Email* Job title* How many PSWs work in your LTC home?*Will you be using an LDJ Trainer(s) that has been certified in your home to deliver training?*(must be certified in last 2 years)YesNoIs your LTC home comfortable receiving course-related materials via mail?*(if necessary)YesNoHow many PSWs and other team members do you want to participate in the LDJ training?*How did you hear about the PSW Education Fund?*AdvantAge OntarioBehavioural Supports OntarioColleagueLTCHomes.netOntario Long-Term Care AssociationOntario CLRI newsletter/e-mailOntario CLRI social mediaOtherHow did you hear about the PSW Education Fund (Other)?* Why is your home interested in participating in the LDJ Training education program? What additional training and education would you like to see offered to long-term care homes in the future? Acknowledgment* Acknowledgement for using backfill dollarsI acknowledge that backfill funding is provided to our organization to bring in staff supports for the home while team members attend the training session.Acknowledgment* Acknowledgement to use training spotsI acknowledge that a number of team member training spots will be allotted to my LTC home, and that I am committed to having team members register and attend a training session by December 31, 2021. I will communicate with the PSW Education Fund team if we are unable to fulfill our training commitment.Acknowledgment* Acknowledgement to provide access to computer, internet, zoom/google meetsI commit to supporting team members to attend the virtual training sessions by providing the necessary equipment, or supporting their attendance in the training from home.