JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Inscription | Registration - NDG Community Connectors 2019
S
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Code Postal | Postal Code
*
Your answer
Courriel | Email
*
Your answer
Nom | Name
*
Your answer
Quel est votre situation actuelle? | What is your current situation?
*
Etudiant | Student
Travailleur | Worker
Sans Emploi | Not Working
Other:
Adresse Complete | Full Address
*
Your answer
Groupe d'age | Age Group
*
18 - 25
26 - 35
36 - 45
45 - 55
55+
Other:
Quel est votre Statut? | What is your Status?
*
Citoyen Canadien | Canadian Citizen
Résident Permanent | Permanent Resident
Réfugée | Refugee
Other:
Quel bloc horaire vous conviendrait le mieux? | Which schedule would you prefer?
*
13H00-16H00 | 1PM-4PM
18H00-21H00 | 6PM-9PM
Avez-vous le droit de travailler au Canada? | Are you allowed to work in Canada?
*
Oui | Yes
Non | No
Langue(s) Parlée(s) | Language(s)
*
Français | French
Anglais | English
Other
Required
Pourquoi aimeriez-vous participer au programme Connecteurs Communautaires NDG? | Why would you like to participate in the community connectors programme?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NDG Community Council.
Report Abuse
Forms
