Template workshop new version

General information to include
- Name of your activity/workshop
- Brief description
- Languages offered during the activity/workshop
- Date, hour, place
- An email that people can reach you at
Example.

Accessing Healthcare: Healthcare Appointments

The Refugee Centre welcomes refugees, asylum seekers, newcomers and community members to join our free health workshop!

This workshop is to help those who want to make an appointment with any healthcare professional (general physician, dentist, eye doctor).

During this workshop we will be able to help you call and schedule an appointment with a healthcare professional covered under your IFHP or RAMQ health insurance.

📆 Date: Every Thursday
⏰ Time: 10:30AM
📍 Location: 2107 St Catherine Ouest, Suite 100, Montreal, Quebec H3H 1M6

The workshop is available in French, English, Spanish, and Arabic,and Persian.

For more information, questions and concerns, please send us an email to the following address: wellness@therefugeecentre.org
Name

First NameLast Name
Email
example@example.com
Phone Number
Thank you for writing a valid number.Format: (000) 000-0000.
Current Address

Street

Appartment

CityProvince

Postal Code
Country of Origin
Date you came into Canada

DayMonthYear
Date
What is your legal status?
What languages do you speak? Please select all that apply

Autre
What gender do you identify as?
What is your family situation?
Date of birth

DayMonthYear
Date
How did you hear about this workshop/activity?
Please specify which one :
Please specify the name of the organization :
Please specify :

This section is intended for information specific to each workshop or activity.

Consent to Disclose Personal Information

By checking the box below, I acknowledge and consent to the following:
- I voluntarily provide my personal information, including name, contact details, and other relevant data, to The Refugee Centre for the purpose of facilitating the provision of services and any related activities.
  My non-identifying personal information will be used internally by The Refugee Centre and may be shared with third-party organizations only with my explicit consent, which will be requested via a separate consent form.
  My personal information will be retained for the duration necessary to fulfill these purposes and in accordance with Quebec’s privacy laws, including the Act Respecting the Protection of Personal Information in the Private Sector (Loi sur la protection des renseignements personnels dans le secteur privé). I understand that I have the right to access, update, or correct my personal information at any time.
  My personal information will be securely stored and handled in accordance with industry standards.
  I may withdraw my consent at any time by notifying The Refugee Centre, though I understand that doing so may affect my ability to participate in the program or receive services.
  For any questions or concerns regarding my personal information or to exercise my privacy rights, I can contact the Centre’s Privacy Officer at privacy.confidentialite@therefugeecentre.org
I confirm that
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