Retour vers UQTR
An Initiative of the Jeunes+ Coalition

Student

  Actualiser les données       Imprimer le formulaire  

Registration form - Student

I want to participate in the Youth Homelessness Prevention Forum from November 18-19, 2021 at the rate of:Champ obligatoire
$55.00 + taxes, Regular Rate, from October 15, 2021
Participant Information
Name:Champ obligatoire
Last Name:Champ obligatoire
Study programs:
University:
City:
Region:Champ obligatoire
Email:Champ obligatoire
Phone:
Choice of Workshops
I want to participate to the workshops in English:Champ obligatoire
Yes     No    

You will participate at 2 workshops during the Forum. For each one, please select your 1st, 2nd and 3rd choice of subject, among the 10 offered.

This will allow us to identify the number of chat rooms to open.

Workshop 1 - Youth Homelessness Prevention Recommendations
1st choice:Champ obligatoire
2nd choice:Champ obligatoire
3rd choice:Champ obligatoire
Workshop 2 - Concrete actions to prevent youth homelessness
1st choice:Champ obligatoire
2nd choice:Champ obligatoire
3rd choice:Champ obligatoire

Énoncé de confidentialité