JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Inscription Brigade Estivale / Summer Squad Registration
Tu peux remplir ce court formulaire afin de t'inscrire à notre Brigade estivale. On te contactera en mi-juin après avoir fait la sélection des participants. Bonne chance!
Please fill out this form in order to submit your application to join our Summer Squad volunteering project. We will contact you mid June after we have made our participant selection. Good luck!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nom au complet / Full Name
*
Your answer
Date de naissance / Birth date
*
MM
/
DD
/
YYYY
Adresse / Address
*
Your answer
Code postal / Postal code
*
Your answer
Numéro de téléphone / Phone number
*
Your answer
Courriel / Email
*
Your answer
Langue parlée / Languages spoken
*
Français / French
Anglais / English
Other:
Required
As-tu des limitations fonctionnelles (physiques, mentales, de santé)? / Do you have any functional limitations (physical, mental, health)?
*
Your answer
Statut / Status
*
Citoyen canadien / Canadian citizen
Résident permanent / Permanent resident
Réfugié / Refugee
Avec permis de travail / Work permit
Other:
Pourquoi aimerais-tu participer à notre Brigade estivale? / Why would you like to participate in our Summer Squad?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Carrefour jeunesse-emploi Montréal Centre-ville.
Report Abuse
Forms