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French
Kinawit
Registration form
Mëmëgwashi gala
Eligibility criteria is simple:
students must be Inuit, Metis
or from a First Nation and attend an educational institution in Val-d’Or.
*
Indicates required field
First Name
*
Last Name
*
Gender
*
Male
Female
Age
*
Address
*
Apartment
*
City
*
Phone Number
*
Cell Phone
*
Postal Code
*
E-Mail
*
De l'élève, du parent ou tuteur
Education in progress
*
Elementary
Secondary / Adults Education
Professional Formation
College
University
Preschool
Friendship Centre Programs
*
Early Chilhood and Family Services
Mohiganech / Elementary
Kabadou / Secondary
Madjimâkîn
Graduates 2018-2019
*
Secondary
Professional Formation
College
University
None
IMPORTANT: Cochez si gradué(e)
Name of institution attended
*
Write Merit Text
*
Écrire un petit texte valorisant d'environ 50 à 150 caractères, décrivant les raisons pour lesquelles cet étudiant(e) mérite d'être reconnu au Gala.
Parent or Tutor's Name
*
Or Teacher's Name
*
By registering, the student and / or tutor agree that the Val-d'Or Native Friendship Centre use the picture for the intended purposes.
*
Yes
By checking yes, you authorize the registration of the student.
*
Yes
No
Information - Registration
Jessica Daigle-Bourdon
819 825-8299 poste 240
Jessica.daigle-bourdon@caavd.ca
www.facebook.com/caavd
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