Language
English (US)
Meet with an Early Learning & Child Care Navigator Request
Thank you for letting us know that you would like an Early Learning & Child Care Navigator to meet with you. For more information on the Early Learning & Child Care Navigators in a translatable format, please visit our website at https://earlyyearsinfo.ca/resources/elcc-navigators/. Languages ELCC Navigators can support families in include: English, Polish, Ukranian, Serbian, French, ASL/CSL, Urdu and Hindi. Please complete the form below and a navigator will connect with you. (If you have already submitted an online request to meet with an Early Learning and Child Care Navigator, please do not submit another online request. If you have additional questions, or would like to speak to an Early Learning and Child Care Navigator again, please connect with the Early Learning and Child Care Navigator directly, or contact us at 519-741-8585 x3008 or send an email to elccnavigator@ytr.ymca.ca. Thank you.)
Have you already connected with an Early Learning and Child Care Navigator?
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Yes
No
Name
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First Name
Last Name
Postal Code (i.e. N2J 1B1)?
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Where did you hear about Early Learning and Child Care Navigators? (Select all that apply)
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EarlyON
YMCA SettlementWorker
Public Library
Child Care Centre
Medical Health Professional (Doctor, Nurse, Midwife)
Community Centre
Health Centre
Community Event
Family/Friend/Word of mouth
Website
Social Media
Banner/Poster
Postcard in my mailbox
Other
What are you hoping to discuss with our Early Learning & Child Care Navigator? (Select all that apply)
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OneList
Subsidy
Special needs resources
Other
What language(s) do you speak? (Please check all that apply.)
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If you choose "other", please type the language(s) you speak here:
What racial group best describes you?
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Black (e.g., African, Afro-Caribbean, African-Canadian descent)
East/Southeast Asia (e.g., Chinese, Korean, Japanese, Taiwanese, Filipino, Vietnamese, Cambodian, Thai, Indonesian, other Southeast Asian descent)
Latino (e.g., Latin American, Hispanic descent)
Middle Eastern (e.g., Arab, Persian, Afghan, Egyptian, Iranian, Lebanese, Turkish, Kurdish, West Asian descent)
South Asian (e.g., East Indian, Pakistani, Bangladeshi, Sri Lankan, Indo-Caribbean, South Asian descent)
White (e.g., European decent)
Mixed ancestry (more than one race category applies)
Prefer not to say
Other
Do you consider yourself to be of Indigenous ancestry?
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Yes
No
Please choose all that apply.
First Nations
Indigenous
Inuit
Métis
None of the above
Prefer not to answer
How old are the children of whom you are a parent or caregiver? (Select all that apply)
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Pregnant/Adopting
0-12 months
1-2 years
3-4 years
5-6 years
7+ years
Our Early Learning & Child Care Navigator can connect with you via email or phone. Please enter your contact information below (email or phone number).
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What is the best time of day for our Early Learning & Child Care Navigator to contact you? (Select all that apply)
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Weekday Morning
Weekday afternoon
Weekday evening
Other
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