{"id":1405,"date":"2021-03-06T15:20:05","date_gmt":"2021-03-06T20:20:05","guid":{"rendered":"https:\/\/www.kbcls.org\/?page_id=1405"},"modified":"2021-05-07T13:33:49","modified_gmt":"2021-05-07T17:33:49","slug":"formulaire-dadmission","status":"publish","type":"page","link":"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/","title":{"rendered":"Formulaire d\u2019admission"},"content":{"rendered":"\n<p>Besoin d&rsquo;assistance juridique? Veuillez remplir et soumettre ce formulaire d&rsquo;admission.<\/p>\n<p>Tous nos services sont totalement confidentiels. Les apports qui ne suivent pas les instructions NE recevront PAS de r\u00e9ponse. Une fois que nous aurons re\u00e7u votre formulaire d&rsquo;admission rempli, un pr\u00e9pos\u00e9 \u00e0 l&rsquo;accueil vous r\u00e9pondra dans les 1 \u00e0 2 jours ouvrables.<\/p>\n<p>Avertissement:<\/p>\n<p>Les transmissions par Internet ou par courriel aux services juridiques communautaires de Kensington-Bellwoods, ou \u00e0 tout membre de notre clinique, ne cr\u00e9ent pas de relation avocat-client. Aucune relation professionnelle n&rsquo;est cr\u00e9\u00e9e en consultant ce site Web ou en envoyant un courriel ou une demande Web. Les personnes ne deviennent des clients que si et jusqu&rsquo;\u00e0 ce que KBCLS accepte d&rsquo;agir en leur nom et que cet accord soit confirm\u00e9 dans un mandat ou une lettre de mandat conform\u00e9ment \u00e0 nos politiques habituelles.<\/p>\n<p>Les transmissions ne sont pas confidentielles:<\/p>\n<p>Les Services juridiques communautaires de Kensington-Bellwoods ne garantissent pas la confidentialit\u00e9 du contenu de toute transmission de courrier \u00e9lectronique facilit\u00e9e par ce site Web. Si vous souhaitez nous fournir des informations confidentielles, contactez notre ligne d&rsquo;accueil par t\u00e9l\u00e9phone (416) -924-4244 poste 21 ou directement votre intervenant.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1407-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1407\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/1405#wpcf7-f1407-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1407\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1407-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1407,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;source&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;race&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Other&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;province&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Yukon&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.6&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h3>INFORMATIONS DE R\u00c9F\u00c9RENCE\n<\/h3>\n<div class=\"field-wrap\">\n\t<p><label>Date:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"referal-date\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"referal-date\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Nom de l'agence de r\u00e9f\u00e9rence (si une agence aide un client \u00e0 remplir ce formulaire):<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"referal-agency-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"referal-agency-name\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Nom de la personne r\u00e9f\u00e9rente (si une agence aide un client \u00e0 remplir ce formulaire):<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"referal-staff-person\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"referal-staff-person\" \/><\/span>\n\t<\/p>\n<\/div>\n<h3>RENSEIGNEMENTS PERSONNELLES - veuillez remplir tous les champs\n<\/h3>\n<div class=\"field-wrap\">\n\t<p><label>Pr\u00e9nom: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Deuxi\u00e8me pr\u00e9nom:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"middle-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"middle-name\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Nom de famille: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Date de naissance: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-of-birth\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Num\u00e9ro de t\u00e9l\u00e9phone: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"phone-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"phone-number\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Autre num\u00e9ro:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"alternate-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"alternate-number\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Courriel: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap check-wrap\">\n\t<p><label>Communications par couriel<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email-communications\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"email-communications[]\" value=\"Cochez si vous acceptez qu\u2019on vous contacte par courriel.\" \/><span class=\"wpcf7-list-item-label\">Cochez si vous acceptez qu\u2019on vous contacte par courriel.<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Adresse actuelle: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"current-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"current-address\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Unit\u00e9\/App\/No de suite: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"suite\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"suite\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Ville: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"Toronto\" type=\"text\" name=\"city\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Province: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"province\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"province\"><option value=\"L&#039;Ontario\">L&#039;Ontario<\/option><option value=\"La Colombie-Britannique\">La Colombie-Britannique<\/option><option value=\"Le Manitoba\">Le Manitoba<\/option><option value=\"Le Nouveau-Brunswick\">Le Nouveau-Brunswick<\/option><option value=\"La Terre-Neuve-et-Labrador\">La Terre-Neuve-et-Labrador<\/option><option value=\"Les Territoires du Nord-Ouest\">Les Territoires du Nord-Ouest<\/option><option value=\"La Nouvelle-\u00c9cosse\">La Nouvelle-\u00c9cosse<\/option><option value=\"Le Nunavut\">Le Nunavut<\/option><option value=\"L&#039;Alberta\">L&#039;Alberta<\/option><option value=\"\u00cele-du-Prince-\u00c9douard\">\u00cele-du-Prince-\u00c9douard<\/option><option value=\"Le Qu\u00e9bec\">Le Qu\u00e9bec<\/option><option value=\"La Saskatchewan\">La Saskatchewan<\/option><option value=\"Le Yukon\">Le Yukon<\/option><\/select><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Code postal: *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postal-code\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Veuillez indiquer le meilleur moment pour vous contacter. (c'est-\u00e0-dire le matin de 9h \u00e0 12h vs l'apr\u00e8s-midi de 13h \u00e0 17h)? *<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"best-contact-time\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"best-contact-time\" \/><\/span>\n\t<\/p>\n<\/div>\n<h3>DOMAINE DE DROIT\n<\/h3>\n<div class=\"field-wrap radio-wrap\">\n\t<p><strong>Quel genre de probl\u00e8me avez-vous?<\/strong><br \/>\n(Quelques exemples entre parenth\u00e8ses.)\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"area-law\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"area-law\" value=\"Droit du logement (expulsion, r\u00e9parations, harc\u00e8lement par le propri\u00e9taire, subvention au loyer supprim\u00e9e)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Droit du logement (expulsion, r\u00e9parations, harc\u00e8lement par le propri\u00e9taire, subvention au loyer supprim\u00e9e)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"area-law\" value=\"POSPH - Programme ontarien de soutien aux personnes handicap\u00e9es (prestations refus\u00e9es, coup\u00e9es, trop-pay\u00e9s)\" \/><span class=\"wpcf7-list-item-label\">POSPH - Programme ontarien de soutien aux personnes handicap\u00e9es (prestations refus\u00e9es, coup\u00e9es, trop-pay\u00e9s)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"area-law\" value=\"OT - Ontario au travail (OT refus\u00e9, coupure des prestations, paiement exc\u00e9dentaire)\" \/><span class=\"wpcf7-list-item-label\">OT - Ontario au travail (OT refus\u00e9, coupure des prestations, paiement exc\u00e9dentaire)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"area-law\" value=\"RPC - R\u00e9gime de pensions du Canada (prestations de retraite ou prestations d&#039;invalidit\u00e9 du RPC)\" \/><span class=\"wpcf7-list-item-label\">RPC - R\u00e9gime de pensions du Canada (prestations de retraite ou prestations d&#039;invalidit\u00e9 du RPC)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"area-law\" value=\"Immigration (pas les demandes de statut de r\u00e9fugi\u00e9 - celles-ci sont r\u00e9f\u00e9r\u00e9es \u00e0 l&#039;aide juridique)\" \/><span class=\"wpcf7-list-item-label\">Immigration (pas les demandes de statut de r\u00e9fugi\u00e9 - celles-ci sont r\u00e9f\u00e9r\u00e9es \u00e0 l&#039;aide juridique)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"area-law\" value=\"Droit du travail pour les travailleurs \u00e0 bas salaire (cong\u00e9diement injustifi\u00e9, normes d&#039;emploi, AE)\" \/><span class=\"wpcf7-list-item-label\">Droit du travail pour les travailleurs \u00e0 bas salaire (cong\u00e9diement injustifi\u00e9, normes d&#039;emploi, AE)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"area-law\" value=\"Aucune de ces r\u00e9ponses\" \/><span class=\"wpcf7-list-item-label\">Aucune de ces r\u00e9ponses<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p>Veuillez joindre des copies de tous les documents relatifs au probl\u00e8me. Par exemple, un avis d'expulsion ou une lettre d'Ontario au travail. Une pi\u00e8ce d'identit\u00e9 avec photo sera demand\u00e9e.\n\t<\/p>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"upload-file-850\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-invalid=\"false\" type=\"file\" multiple=\"multiple\" data-name=\"upload-file-850\" data-type=\"pdf|doc|docx|jpg|jpeg|tif|tiff|gif|bmp|png\" data-limit=\"10000000\" data-id=\"1407\" data-version=\"free version 1.3.9.5\" accept=\".pdf, .doc, .docx, .jpg, .jpeg, .tif, .tiff, .gif, .bmp, .png\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label><strong>Veuillez indiquer si vous avez des d\u00e9lais juridiqes (par exemple, audience \u00e0 venir).<\/strong><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"deadlines\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"deadlines\"><\/textarea><\/span>\n\t<\/p>\n<\/div>\n<h3>REVENU\n<\/h3>\n<p>Nous ne pouvons aider que les personnes \u00e0 faible revenu. Cependant, dans la plupart des cas, si vos revenus sont trop \u00e9lev\u00e9s, nous pouvons vous fournir des services d\u2019aiguillage. Dans le cas des questions de logement, nous fournirons des conseils juridiques sommaires limit\u00e9s.\n<\/p>\n<div class=\"field-wrap radio-wrap\">\n\t<p><label>Quelle est votre principale source de revenu familial?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"source\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"source\" value=\"Ontario au travail (OT)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ontario au travail (OT)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"source\" value=\"Programme de soutien aux personnes handicap\u00e9es (POSPH)\" \/><span class=\"wpcf7-list-item-label\">Programme de soutien aux personnes handicap\u00e9es (POSPH)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"source\" value=\"R\u00e9gime de pensions du Canada (RPC)\" \/><span class=\"wpcf7-list-item-label\">R\u00e9gime de pensions du Canada (RPC)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"source\" value=\"S\u00e9curit\u00e9 de la vieillesse (SV) plus Suppl\u00e9ment de revenu garanti (SRG)\" \/><span class=\"wpcf7-list-item-label\">S\u00e9curit\u00e9 de la vieillesse (SV) plus Suppl\u00e9ment de revenu garanti (SRG)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"source\" value=\"Allocation aux anciens combattants\" \/><span class=\"wpcf7-list-item-label\">Allocation aux anciens combattants<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"source\" value=\"Indemnisation des accidents du travail temporaire ou menac\u00e9e\" \/><span class=\"wpcf7-list-item-label\">Indemnisation des accidents du travail temporaire ou menac\u00e9e<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"source\" value=\"Aucune de ces r\u00e9ponses\" \/><span class=\"wpcf7-list-item-label\">Aucune de ces r\u00e9ponses<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Quel est le montant mensuel?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"income-amount\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"income-amount\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap radio-wrap\">\n\t<p><label>Votre partenaire \/ conjoint a-t-il un revenu? Si oui, quel est le montant mensuel?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-income\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"spouse-income\" value=\"Oui\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"spouse-income\" value=\"Non\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Quel est le revenu mensuel ou annuel de votre conjoint?<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"annual-monthly\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"annual-monthly\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Nombre d'adultes dans la famille:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"number-adults\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"number-adults\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Nombre d\u2019enfants<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"number-children\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"number-children\" \/><\/span>\n\t<\/p>\n<\/div>\n<h3>PLUS DE RENSIGNEMENTS- obligatoire, veuillez compl\u00e9ter tout ce qui s'applique\n<\/h3>\n<div class=\"field-wrap\">\n\t<p><label>Statut au Canada:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"status-canada\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"status-canada\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Pays d'origine:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"country-origin\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"country-origin\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Ann\u00e9e d'arriv\u00e9e au Canada:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"year-arrival\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"year-arrival\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap check-wrap\">\n\t<p><label>Ou n\u00e9 au Canada<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"born-canada\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"born-canada[]\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Niveau d'\u00e9ducation:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"level-education\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"level-education\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Travail:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"occupation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"occupation\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Statut d'emploi:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"employment-status\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"employment-status\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Logement (loyer \/ sans-abri \/ etc.):<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"housing\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"housing\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Langue pr\u00e9f\u00e9r\u00e9e:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"prefered-language\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prefered-language\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap radio-wrap\">\n\t<p><label>Premi\u00e8re langue:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"first-language\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"first-language\" value=\"Anglais\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Anglais<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"first-language\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap radio-wrap\">\n\t<p><label>Interpr\u00e8te requis:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"interpreter\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"interpreter\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"interpreter\" value=\"Non\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<h3>MESURES D\u2019ADAPTATION - faites-nous savoir si vous avez besoin d'accommodements li\u00e9s \u00e0 l'accessibilit\u00e9\n<\/h3>\n<div class=\"field-wrap\">\n\t<p><label>Besoins sp\u00e9ciaux \/ adaptation requise:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"special-needs\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"special-needs\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Indiquez les mesures d\u2019adaptation dont vous voudriez que nous soyons inform\u00e9s:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"indicate\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"indicate\" \/><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap\">\n\t<p><label>Langue:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"language-preferred\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"language-preferred\" \/><\/span>\n\t<\/p>\n<\/div>\n<h3>INFORMATION STATISTIQUE\n<\/h3>\n<p>Si vous ne souhaitez pas r\u00e9pondre \u00e0 une question (ou si vous ne connaissez pas la r\u00e9ponse), ignorez simplement cette question. Aucune de ces informations n'est requise pour obtenir de l'aide.\n<\/p>\n<div class=\"field-wrap radio-wrap\">\n\t<p><label><strong>Identit\u00e9 de genre<\/strong><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"gender-identity\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"gender-identity\" value=\"Femme\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Femme<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"gender-identity\" value=\"Homme\" \/><span class=\"wpcf7-list-item-label\">Homme<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"gender-identity\" value=\"Agenre\" \/><span class=\"wpcf7-list-item-label\">Agenre<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"gender-identity\" value=\"Femme transgenre\" \/><span class=\"wpcf7-list-item-label\">Femme transgenre<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"gender-identity\" value=\"Homme transgenre\" \/><span class=\"wpcf7-list-item-label\">Homme transgenre<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"gender-identity\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div class=\"field-wrap radio-wrap\">\n\t<p><label>Identification ethno-raciale:<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"race\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"race\" value=\"Autochtone \/ indig\u00e8ne (\u00e0 l&#039;int\u00e9rieur ou \u00e0 l&#039;ext\u00e9rieur de l&#039;Am\u00e9rique du Nord)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Autochtone \/ indig\u00e8ne (\u00e0 l&#039;int\u00e9rieur ou \u00e0 l&#039;ext\u00e9rieur de l&#039;Am\u00e9rique du Nord)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"race\" value=\"Blanc \/ Caucasien (Am\u00e9rique du Nord ou autre)\" \/><span class=\"wpcf7-list-item-label\">Blanc \/ Caucasien (Am\u00e9rique du Nord ou autre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"race\" value=\"Am\u00e9rique latine\" \/><span class=\"wpcf7-list-item-label\">Am\u00e9rique latine<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"race\" value=\"Asiatique (sud, sud-est, ouest, philippin, chinois, cor\u00e9en, japonais)\" \/><span class=\"wpcf7-list-item-label\">Asiatique (sud, sud-est, ouest, philippin, chinois, cor\u00e9en, japonais)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"race\" value=\"Moyen-Orient (arabe, autre)\" \/><span class=\"wpcf7-list-item-label\">Moyen-Orient (arabe, autre)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"race\" value=\"Ascendance africaine (Am\u00e9rique du Nord, Cara\u00efbes, Am\u00e9rique latine, Europe, Afrique continentale du Nord \/ Sud \/ Est \/ Ouest, Somalie; ou h\u00e9ritage racial mixte\" \/><span class=\"wpcf7-list-item-label\">Ascendance africaine (Am\u00e9rique du Nord, Cara\u00efbes, Am\u00e9rique latine, Europe, Afrique continentale du Nord \/ Sud \/ Est \/ Ouest, Somalie; ou h\u00e9ritage racial mixte<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"race\" value=\"Autre\" \/><span class=\"wpcf7-list-item-label\">Autre<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<h3>D\u00c9TAILS DU PROBL\u00c8ME\n<\/h3>\n<div class=\"field-wrap\">\n\t<p><label>Il est tr\u00e8s utile pour nous d'avoir une br\u00e8ve description du type de probl\u00e8me v\u00e9cu.<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"details\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"details\"><\/textarea><\/span>\n\t<\/p>\n<\/div>\n<div class=\"text-box bgcolor3\">\n\t<p>Soyez pr\u00eat \u00e0 nous fournir votre pi\u00e8ce d'identit\u00e9 avec photo ou une copie de votre carte d'identit\u00e9.\n\t<\/p>\n<\/div>\n\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn\" type=\"submit\" value=\"Soumettre le formulaire\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Besoin d&rsquo;assistance juridique? Veuillez remplir et soumettre ce formulaire d&rsquo;admission.<br \/>\nTous nos services sont totalement confidentiels. Les apports qui ne suivent pas les instructions NE recevront PAS de r\u00e9ponse. Une fois que nous aurons re\u00e7u votre formulaire d&rsquo;admission rempli, un pr\u00e9pos\u00e9 \u00e0 l&rsquo;accueil vous r\u00e9pondra dans les 1 \u00e0 2 jours ouvrables.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":1399,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1405","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire d\u2019admission &#8211; Kensington-Bellwoods Community Legal Services<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire d\u2019admission &#8211; Kensington-Bellwoods Community Legal Services\" \/>\n<meta property=\"og:description\" content=\"Besoin d&rsquo;assistance juridique? Veuillez remplir et soumettre ce formulaire d&rsquo;admission. Tous nos services sont totalement confidentiels. Les apports qui ne suivent pas les instructions NE recevront PAS de r\u00e9ponse. Une fois que nous aurons re\u00e7u votre formulaire d&rsquo;admission rempli, un pr\u00e9pos\u00e9 \u00e0 l&rsquo;accueil vous r\u00e9pondra dans les 1 \u00e0 2 jours ouvrables.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/\" \/>\n<meta property=\"og:site_name\" content=\"Kensington-Bellwoods Community Legal Services\" \/>\n<meta property=\"article:modified_time\" content=\"2021-05-07T17:33:49+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/\",\"url\":\"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/\",\"name\":\"Formulaire d\u2019admission &#8211; Kensington-Bellwoods Community Legal Services\",\"isPartOf\":{\"@id\":\"https:\/\/www.kbcls.org\/#website\"},\"datePublished\":\"2021-03-06T20:20:05+00:00\",\"dateModified\":\"2021-05-07T17:33:49+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.kbcls.org\/fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Nos services\",\"item\":\"https:\/\/www.kbcls.org\/fr\/nos-services\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Formulaire d\u2019admission\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.kbcls.org\/#website\",\"url\":\"https:\/\/www.kbcls.org\/\",\"name\":\"Kensington-Bellwoods Community Legal Services\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.kbcls.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Formulaire d\u2019admission &#8211; Kensington-Bellwoods Community Legal Services","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.kbcls.org\/fr\/nos-services\/formulaire-dadmission\/","og_locale":"fr_FR","og_type":"article","og_title":"Formulaire d\u2019admission &#8211; Kensington-Bellwoods Community Legal Services","og_description":"Besoin d&rsquo;assistance juridique? 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