TEST FORM PAGE

Patient partnership forms to be tested (Eng + FR)

Patient Partnerships

Name(Required)
Email(Required)
Languages spoken(Required)
Availabilites(Required)
MM slash DD slash YYYY

Partenariat avec les patients

Nom(Required)
Courriel(Required)
Langues parlées(Required)
Disponibilités(Required)
DD slash MM slash YYYY

Volunteering forms to be tested (Eng + FR)

Volunteer Application Form

Address(Required)
Language(s) spoken(Required)
Status(Required)
Select your preferred type of involvment(Required)
Please provide a reference name and contact information
Please indicate the vaccinations you have received(Required)
and send to: [email protected]
Max. file size: 16 MB.
If you have more than one document, please try merging them into one file. You can also send all documents to [email protected]

Formulaire d’inscription pour devenir bénévole

Adresse(Required)
Langue(s) parlée(s)(Required)
Statut(Required)
Veuillez choisir votre type d’implication(Required)
Veuillez indiquer le nom et le numéro de téléphone d'un référent.(Required)
Veuillez indiquer les vaccins reçus(Required)
Max. file size: 16 MB.
Si vous avez plus d’un document, essayez de les joindre en un seul fichier. Vous pouvez également envoyer tous les documents à [email protected]
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