Thank you for your order.

Please complete the following pre-screening questions to complete your order.

 

The information collected in this form will be used for subsequent analysis, research or evaluation purposes in order to ascertain how this project and the resources provided have benefited participants. 

 

The questions within this form are designed to be in compliance with ESDC Canada standardized questions and exclude the use of last name and place of occupancy or primary residence and shall be retained in accordance with Canadian Privacy Laws. No information collected shall be sold to any entity.

*Definitions

Recent Immigrant is a person who has moved from their country of origin (their homeland) to another country to become a citizen of that country and has been in that country for less than 5 years. 

Refugee is a person who has been forced to leave their country in order to escape war, persecution, or natural disaster.

*Definition: A dependent is an individual that you provide care for within your primary place of occupancy or spend more than 20 hours a week outside your primary place of occupancy without receiving pay.