{"id":29676,"date":"2023-06-26T15:07:39","date_gmt":"2023-06-26T19:07:39","guid":{"rendered":"https:\/\/cjeverdun.org\/make-an-appointment\/"},"modified":"2025-01-06T10:21:56","modified_gmt":"2025-01-06T15:21:56","slug":"request-an-appointment","status":"publish","type":"page","link":"https:\/\/cjeverdun.org\/en\/request-an-appointment\/","title":{"rendered":"Make an appointment"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:350px;--awb-padding-bottom:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1420.64px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-animated\" style=\"--awb-padding-top-small:4%;--awb-padding-right-small:4%;--awb-padding-bottom-small:4%;--awb-padding-left-small:4%;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:15px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:15px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:10px;--awb-spacing-left-small:10px;\" data-animationType=\"fadeInDown\" data-animationDuration=\"1.6\" data-animationOffset=\"top-into-view\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-one\" style=\"--awb-text-color:var(--awb-color6);--awb-margin-bottom:30px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:52px;\"><h1 class=\"fusion-title-heading title-heading-center\" style=\"font-family:&quot;Montserrat&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;line-height:1;\"><strong>Request an appointment<\/strong><\/h1><\/div><div class=\"fusion-separator\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:10px;width:100%;max-width:250px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color6);border-color:var(--awb-color6);border-top-width:1px;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:30px;--awb-padding-bottom:90px;--awb-padding-top-medium:30px;--awb-padding-bottom-medium:90px;--awb-flex-wrap:wrap;\" id=\"faq\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1420.64px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column fusion-animated\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:2.88%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.0\" data-animationOffset=\"top-into-view\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p><strong>Please complete the following form to determine your eligibility for our services<\/strong>. If you are eligible, you will then be asked to provide us with some personal information so that we can schedule a needs assessment appointment with one of our advisors. Please note that all our services are offered free of charge thanks to the financial participation of the Quebec government.<\/p>\n<p>If you are already a customer and a professional development consultant has been assigned to you, <a href=\"https:\/\/cjeverdun.org\/en\/about-us\/our-team\/\">please contact him\/her directly<\/a> to make an appointment.<\/p>\n<p>* Eligibility for our services is conditional on the answers provided being truthful and accurate.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_3_5 3_5 fusion-flex-column fusion-animated\" style=\"--awb-bg-size:cover;--awb-width-large:60%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.2%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.2%;--awb-width-medium:66.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:2.88%;--awb-spacing-left-medium:2.88%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.0\" data-animationOffset=\"top-into-view\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three fusion-animated\" style=\"--awb-text-color:var(--awb-color6);--awb-margin-top:30px;--awb-margin-bottom:10px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-sep-color:var(--awb-color6);--awb-font-size:26px;\" data-animationType=\"fadeInDown\" data-animationDuration=\"1.3\" data-animationOffset=\"top-into-view\"><h3 class=\"fusion-title-heading title-heading-center\" style=\"font-family:&quot;Montserrat&quot;;font-style:normal;font-weight:400;margin:0;font-size:1em;\">Please complete the following form<\/h3><\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var 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                    <div class='gform-body gform_body'><ul id='gform_fields_118' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_118_52\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I am looking for one of the following services:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_118_52'><li class='gchoice gchoice_118_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Job search assistance'  id='choice_118_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_52_1' id='label_118_52_1' class='gform-field-label gform-field-label--type-inline'>Job search assistance<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_52_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.2' type='checkbox'  value='Career guidance \/ Going back to school'  id='choice_118_52_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_52_2' id='label_118_52_2' class='gform-field-label gform-field-label--type-inline'>Career guidance \/ Going back to school<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_52_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.3' type='checkbox'  value='Career change'  id='choice_118_52_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_52_3' id='label_118_52_3' class='gform-field-label gform-field-label--type-inline'>Career change<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_52_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.4' type='checkbox'  value='Pre-start-up coaching'  id='choice_118_52_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_52_4' id='label_118_52_4' class='gform-field-label gform-field-label--type-inline'>Pre-start-up coaching<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_52_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.5' type='checkbox'  value='Personal autonomy development'  id='choice_118_52_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_52_5' id='label_118_52_5' class='gform-field-label gform-field-label--type-inline'>Personal autonomy development<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_52_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.6' type='checkbox'  value='School perseverance support'  id='choice_118_52_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_52_6' id='label_118_52_6' class='gform-field-label gform-field-label--type-inline'>School perseverance support<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_52_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.7' type='checkbox'  value='\u201cD\u00e9part@9\u201d program'  id='choice_118_52_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_52_7' id='label_118_52_7' class='gform-field-label gform-field-label--type-inline'>\u201cD\u00e9part@9\u201d program<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_118_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h2 class=\"gsection_title\">R\u00c9PONSE OUI<\/h2><div class='gsection_description' id='gfield_description_118_20'>\u00e0 la question : Habitez-vous l'arrondissement Verdun IDS?<\/div><\/li><li id=\"field_118_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you live in the borough of Verdun \/ Nuns&#039; Island?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_118_3'>\n\t\t\t<li class='gchoice gchoice_118_3_0'>\n\t\t\t\t<input name='input_3' type='radio' value='Yes'  id='choice_118_3_0'    \/>\n\t\t\t\t<label for='choice_118_3_0' id='label_118_3_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_3_1'>\n\t\t\t\t<input name='input_3' type='radio' value='No'  id='choice_118_3_1'    \/>\n\t\t\t\t<label for='choice_118_3_1' id='label_118_3_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_118_3'>*To answer \"YES\" to this question, your postal code must begin with H4G or H4H or H3E. Otherwise, please contact the CJE in your neighbourhood or region. <strong>To find the contact information for your CJE, <a href=\"https:\/\/trouvetoncje.rcjeq.org\/\" target=\"_blank\"> visit the website Trouve ton CJE.com <\/a><strong><\/div><\/li><li id=\"field_118_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >How old are you?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_118_4'>\n\t\t\t<li class='gchoice gchoice_118_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='14 and under'  id='choice_118_4_0'    \/>\n\t\t\t\t<label for='choice_118_4_0' id='label_118_4_0' class='gform-field-label gform-field-label--type-inline'>14 and under<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='15 - 35'  id='choice_118_4_1'    \/>\n\t\t\t\t<label for='choice_118_4_1' id='label_118_4_1' class='gform-field-label gform-field-label--type-inline'>15 - 35<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_4_2'>\n\t\t\t\t<input name='input_4' type='radio' value='36 and over'  id='choice_118_4_2'    \/>\n\t\t\t\t<label for='choice_118_4_2' id='label_118_4_2' class='gform-field-label gform-field-label--type-inline'>36 and over<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_118_6\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>UNFORTUNATELY, YOU ARE NOT ELIGIBLE<\/h3>\n<p>Our services are available to people between the ages of 15 and 35 only. To obtain contact information for other organizations that may be able to meet your needs, please call us during business hours at (514) 767-9971.<\/p><\/li><li id=\"field_118_19\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>UNFORTUNATELY, YOU ARE NOT ELIGIBLE<\/h3>\n<p><strong>Our services are available to people aged 15 to 35 only. Here are a few resources available for people aged 36 and over:&nbsp;<\/strong><\/p>\n<p><strong>In Verdun :<\/strong><\/p>\n<p><strong><a href=\"https:\/\/cibleretour.com\/fr\/contactez-nous\/\">Cible-retour \u00e0 l'emploi<br>\n<\/a><\/strong><strong><a href=\"https:\/\/pmemtl.com\/sud-ouest\/services\/placement\/accompagnement-recherche-emploi\">PME MTL Grand Sud-Ouest<\/a><\/strong><\/p>\n<br \/>\n<p><strong>Elsewhere in Montreal and Quebec :<br>\n<\/strong>Consult the <a href=\"https:\/\/www.emploiquebec.gouv.qc.ca\/citoyens\/trouver-un-emploi\/repertoire-des-organismes-specialises-en-employabilite\/\"><strong>R\u00e9pertoire des organismes sp\u00e9cialis\u00e9s en employabilit\u00e9<\/strong><\/a>.<\/p><\/li><li id=\"field_118_21\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h2 class=\"gsection_title\">R\u00c9PONSE NON<\/h2><div class='gsection_description' id='gfield_description_118_21'>\u00e0 la question : Habitez-vous l'arrondissement Verdun IDS?<\/div><\/li><li id=\"field_118_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>UNFORTUNATELY, YOU ARE NOT ELIGIBLE<\/h3>\n<p>Our services are offered exclusively to people aged 15 to 35 who live in the Verdun \/ Nuns' Island borough.<\/p>\n<p>If you are between the ages of 15 and 35, we invite you to contact your local Carrefour jeunesse-emploi (CJE). For contact details of all CJEs in Quebec, visit <a href=\"https:\/\/trouvetoncje.rcjeq.org\/\" target=\"_blank\">Trouve ton CJE.com<\/a><\/p>\n<p>If you are 36 or over, please consult the <a href=\"https:\/\/www.emploiquebec.gouv.qc.ca\/citoyens\/trouver-un-emploi\/repertoire-des-organismes-specialises-en-employabilite\/\" target=\"_blank\">R\u00e9pertoire des organismes sp\u00e9cialis\u00e9s en employabilit\u00e9<\/a>.<\/p><\/li><li id=\"field_118_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h2 class=\"gsection_title\">FORMULAIRE DE CONTACT<\/h2><\/li><li id=\"field_118_60\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"rouge-message\">You're eligible for our services! Please provide the following information and a member of our team will contact you as soon as possible to schedule an initial appointment.<\/div>\n<\/li><li id=\"field_118_62\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >First Name \/ Last Name :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_118_62'>\n                            \n                            <span id='input_118_62_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_62.3' id='input_118_62_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_118_62_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_118_62_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_62.6' id='input_118_62_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_118_62_6' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_118_70\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_118_70'>Preferred pronouns (he, she, they, etc.) :<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_118_70' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_118_63\" class=\"gfield gfield--type-phone gfield--input-type-phone gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_118_63'>Telephone number :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_63' id='input_118_63' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_118_65\" class=\"gfield gfield--type-email gfield--input-type-email gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_118_65'>E-Mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_65' id='input_118_65' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_118_41\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_118_41'>Age :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_118_41' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_118_42\" class=\"gfield gfield--type-text gfield--input-type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_118_42'>Postal code :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_118_42' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_118_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >What is your status?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_118_47'>\n\t\t\t<li class='gchoice gchoice_118_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='Canadian citizen'  id='choice_118_47_0'    \/>\n\t\t\t\t<label for='choice_118_47_0' id='label_118_47_0' class='gform-field-label gform-field-label--type-inline'>Canadian citizen<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='Accepted refugee'  id='choice_118_47_1'    \/>\n\t\t\t\t<label for='choice_118_47_1' id='label_118_47_1' class='gform-field-label gform-field-label--type-inline'>Accepted refugee<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_47_2'>\n\t\t\t\t<input name='input_47' type='radio' value='Permanent resident'  id='choice_118_47_2'    \/>\n\t\t\t\t<label for='choice_118_47_2' id='label_118_47_2' class='gform-field-label gform-field-label--type-inline'>Permanent resident<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_47_3'>\n\t\t\t\t<input name='input_47' type='radio' value='Asylum seeker'  id='choice_118_47_3'    \/>\n\t\t\t\t<label for='choice_118_47_3' id='label_118_47_3' class='gform-field-label gform-field-label--type-inline'>Asylum seeker<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_47_4'>\n\t\t\t\t<input name='input_47' type='radio' value='International student'  id='choice_118_47_4'    \/>\n\t\t\t\t<label for='choice_118_47_4' id='label_118_47_4' class='gform-field-label gform-field-label--type-inline'>International student<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_47_5'>\n\t\t\t\t<input name='input_47' type='radio' value='Temporary worker'  id='choice_118_47_5'    \/>\n\t\t\t\t<label for='choice_118_47_5' id='label_118_47_5' class='gform-field-label gform-field-label--type-inline'>Temporary worker<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_47_6'>\n\t\t\t\t<input name='input_47' type='radio' value='Ukrainian national holding a CUAET visa'  id='choice_118_47_6'    \/>\n\t\t\t\t<label for='choice_118_47_6' id='label_118_47_6' class='gform-field-label gform-field-label--type-inline'>Ukrainian national holding a CUAET visa<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_47_7'>\n\t\t\t\t<input name='input_47' type='radio' value='Other'  id='choice_118_47_7'    \/>\n\t\t\t\t<label for='choice_118_47_7' id='label_118_47_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_118_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_118_51'>Other, please specify :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_118_51' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_118_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Have you ever met a counselor at the CJE de Verdun?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_118_71'>\n\t\t\t<li class='gchoice gchoice_118_71_0'>\n\t\t\t\t<input name='input_71' type='radio' value='Yes'  id='choice_118_71_0'    \/>\n\t\t\t\t<label for='choice_118_71_0' id='label_118_71_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_118_71_1'>\n\t\t\t\t<input name='input_71' type='radio' value='No'  id='choice_118_71_1'    \/>\n\t\t\t\t<label for='choice_118_71_1' id='label_118_71_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_118_50\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >How did you hear about us?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_118_50'>Check all that apply<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_118_50'><li class='gchoice gchoice_118_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='Facebook'  id='choice_118_50_1'   aria-describedby=\"gfield_description_118_50\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_1' id='label_118_50_1' class='gform-field-label gform-field-label--type-inline'>Facebook<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='Instagram'  id='choice_118_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_2' id='label_118_50_2' class='gform-field-label gform-field-label--type-inline'>Instagram<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.3' type='checkbox'  value='Linkedin'  id='choice_118_50_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_3' id='label_118_50_3' class='gform-field-label gform-field-label--type-inline'>Linkedin<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.4' type='checkbox'  value='Job alert \/ CJE de Verdun newsletter'  id='choice_118_50_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_4' id='label_118_50_4' class='gform-field-label gform-field-label--type-inline'>Job alert \/ CJE de Verdun newsletter<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.5' type='checkbox'  value='Internet search (search engine).'  id='choice_118_50_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_5' id='label_118_50_5' class='gform-field-label gform-field-label--type-inline'>Internet search (search engine).<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.6' type='checkbox'  value='I have used CJE services in the past.'  id='choice_118_50_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_6' id='label_118_50_6' class='gform-field-label gform-field-label--type-inline'>I have used CJE services in the past.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.7' type='checkbox'  value='By walking past your offices on Wellington Street'  id='choice_118_50_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_7' id='label_118_50_7' class='gform-field-label gform-field-label--type-inline'>By walking past your offices on Wellington Street<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.8' type='checkbox'  value='Recommendation from a friend or family member.'  id='choice_118_50_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_8' id='label_118_50_8' class='gform-field-label gform-field-label--type-inline'>Recommendation from a friend or family member.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.9' type='checkbox'  value='Referral from another organization (community organization, school, CLSC, etc.).'  id='choice_118_50_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_9' id='label_118_50_9' class='gform-field-label gform-field-label--type-inline'>Referral from another organization (community organization, school, CLSC, etc.).<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.11' type='checkbox'  value='By mail (flyer received at my home)'  id='choice_118_50_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_11' id='label_118_50_11' class='gform-field-label gform-field-label--type-inline'>By mail (flyer received at my home)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.12' type='checkbox'  value='Posting on a BIXI terminal'  id='choice_118_50_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_12' id='label_118_50_12' class='gform-field-label gform-field-label--type-inline'>Posting on a BIXI terminal<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_118_50_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.13' type='checkbox'  value='Other'  id='choice_118_50_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_118_50_13' id='label_118_50_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_118_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_118_72'>Other, please specify :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_118_72' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_118_66\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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