• Adopt A Grandma Registration Form

    For Becoming a Mentee
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  • Welcome to the official Registration page of the Adopt A Grandma program provided by the Black Community Resource Centre's (BCRC) Intergenerational Health & Social Services Program! 🎉

    This program offers a fantastic opportunity for you and your family to connect with Black seniors who have a wealth of life experience and wisdom to share. Through engaging and informative activities, you and your loved ones can develop meaningful relationships that last a lifetime. As a mentee, you have the unique opportunity to learn from and be inspired by the stories and advice from your mentor.

    To become a mentee, kindly fill out the registration form below and select a date and time that works for best for you for the information session.

    If you have any questions, please do not hesitate to contact us by email at communications@bcrcmontreal.com, or by phone at 514-342-2247 ext. 101. Please note that all applications are handled with utmost confidentiality and reviewed with care. 

     

  • Contact Information

    Please provide your contact information below.

  • Qualification Questions

    In order to confirm that you fulfill the required criteria, kindly respond to the qualification questions provided below:
  • Date of birth*
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    2 digit month, 2 digit day, 4 digit year
  • Are you new to Canada?*
  • What is your current immigration status?*
  • Do you have children?*
  • How would you describe your household?*

  • What language(s) do you speak? Tick all that apply.*

  • Do you have access to the internet?*
  • Do you have access to a computer or laptop?*

  • Getting to know you

    Icebreaker Questions
  • Should be Empty: