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Registration Form

We invite you to complete and send us the registration form below. If you prefer, you can also download the forms in PDF format and return them to us by email. If you have any questions about volunteer opportunities at JA Quebec, please do not hesitate to contact us:

Coordinator of (PS)
School Programs

(Short day programs)
M’Hamed Mobarki
mmobarki@jaquebec.org
514 285-8944 #102

Coordinator of (EE)
Company Program

(Long evening program)
Jordan Madore
jmadore@jaquebec.org
514 285-8944 #103

To become a volunteer, please complete the form below

Volunteer BusinessVolunteer Student
Date of birth if student (DD-MM-YYYY)

MrMs
First Name

Last Name

Business address
Employer

Title

Address

City

Postal Code

Business Phone

Home address
Address

City

Postal Code

Phone

Mobile

Email

Choose the type of program: short, long or both!

School Programs

Short half-day programs in the form of workshops delivered during primary and secondary school hours

Company Program

Long weekly evening program over 23 weeks - Business start-up and management assistance with young people in grades 4 and 5
Programs in which you would like to participate:

Our Business WorldMore than moneyBe EntrepreneurialEconomics for SuccessStronger Together: Diversity in actionSuccess SkillsWorld of Choice

You are familiar with the following functions:

AdministrationFinancesMarketingProductionInformation TechnologyHuman Resources

Other familiar functions:

Regional preference:

MontrealNorth ShoreLanaudièreLavalMontérégieSouth ShoreQuebec City

Specify other geographical areas:

Favourite place(s) of activity on Tuesday evenings from 6:30 pm to 9:30 pm:

Montmorency (Collège Montmorency, Laval)Côte-des-neiges (Collège Jean-de-Brébeuf, Montréal)Longueuil (Collège Champlain, Saint-Lambert)Stanislas (Collège Stanislas, Montréal)

Favourite place(s) of activity on Wednesday evenings from 6:30 pm to 9:30 pm:

Ahuntsic (Collège Ahuntsic, Montréal)Atwater (Collège Lasalle, Montréal)La Prairie (École secondaire de la Magdeleine)Mont Saint-Hilaire (École secondaire Ozias-Leduc)

Preferred time for classroom visits:

Fall (Oct-Dec)Winter (Jan-Mar)Spring (April-June)No preference
AMPMBoth

Last minute availability?

YesNo

Are you comfortable working with special needs students?

YesNo

Other Conditions:
Ex : I can help with your events (reception, photographer, ...),
I can put you in touch with my child's teacher.

Language preference when giving the programs:

FrenchEnglishNone

How did you first learn about JA Quebec?