"TELL US YOUR STORY" Submission Form

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"TELL US YOUR STORY" Submission Form

Tell Us Your Story is a Task Force on Linguistic Policy program to help illustrate that Bill 96 is divisive, discriminatory and mean-spirited. If you or someone close to you has been negatively impacted or unjustly affected by this law, TELL US YOUR STORY! We will then publish or integrate these real life stories into our messaging, telling the world about Quebec's Bill 96. Stand Up and Speak Out! The more stories, the more we will be heard!!!

Full Name *

Email *

Address (city, postal code) *

Phone Number (xxx-xxx-xxxx) *

I confirm I am 18 years or older *

Yes

This story is about: *

Myself

My Spouse

My Child or Children

Other:

The age of the person impacted/affected is: *

Less than 18

18 - 24

25-39

40-59

60-79

80+

The person impacted/affected identifies as:

(note: someone is "eligible" if they have completed the majority of primary and/or secondary schooling in English in Canada.)

Eligible English Speaking Quebecer (Historical Anglophone)

Ineligible English Speaker (but English is first language)

Francophone Quebecer (French is first language)

Allophone Quebecer (English nor French is first language)

English Newcomer (in Quebec for less than 3 years, can work in English but not French)

French Newcomer - (In Quebec for less than 3 years and can work in French)

Allophone Newcomer - (Non-English nor French speaker In Quebec for less than 3 years)

Other:

How long has the impacted/affected person lived in Quebec (in approx. years)?

My story relates to:

Education

Health Care

Newcomers (Immigration and Refugees)

Seniors' Residences (CHSLDs)

Social Services (including Family and Youth Services)

Municipal Services, Property and Housing

Other Government Services and Regional Resources

Professional Orders

Labour and Employment

Business Operations

Business - Trade and Commerce

Access to Justice

Contracts, Consumer Protection and Real Estate Law

Customer Service Experience

Other:

Please advise where the event(s) took place *

In a typically English community within the province of Quebec

In a typically French community within the province of Quebec

In Montreal

Outside of Quebec

Your Story

Tell Us Your Story in approx. 300-400 words. Include a brief description of yourself or the person impacted/affected, how you or they were impacted/affected and by whom . You can also send supporting documents and pictures to info@thetaskforce.ca using your same email address noted above with MY STORY in the subject line.

Personal identification (note: stories will have much more impact if you allow us to use your name.) *

The Task Force may use my name when using my story.

I wish to remain anonymous

Other comments?

I confirm all the information to be submitted is true. I have not made any false representations: *

YES

Required

I confirm I will not deny or significantly alter my story:
*

YES

Required

I confirm I have read the RELEASE AND CONSENT AGREEMENT [HERE] and that by virtue of my submission, I confirm my agreement:
*

YES

Required

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