I become a great friend

General Information

Name*

First Name Last Name

Address*

Mailing address City Province Postal code

Telephone (home)

Telephone (cell phone)

Telephone (office)

Email*

Occupation*

Level of education*

High school
CEGEP
University

Spoken languages*

French
English

Other languages

What are your experiences and skills?*

What are the reasons that drives you to engage as a great friend?*

What are your interest or favorite activities?*

What availabilities will you be able to offer to children?*

How are you perceiving this engagement? What does this long-term twinning means to you?*

The CPSC Main dans la main covers the whole Brome-Missisquoi region, where are you willing to travel ?

References

Please give us the name and phone number of 3 persons that knows you well, except family members , including one professional reference and that are able to give information on you (personality, skills, personal and professional qualities).

First person*

First name Last name

Relationship to you*

Phone Number*

Email

Contact*

Mailing address City Province Postal code

Second person*

First name Last name

Relationship to you*

Phone number*

Email

Contact*

Mailing address City Province Postal code

Third person*

First name Last name

Relationship to you*

Phone number*

Email

Contact*

Mailing address City Province Postal code

Great friends volunteering form

General Information

References