Special Guest from Mission Services of London to talk about their many Supports! Zoom on June 18th!
Find out from Mission Services what care-giving supports are available and how to access them (from mental health, Addiction Centre, Shelters and housing - just to name afew) This informative workshop led by LIFE*SPIN advocate, Nicole with Special Guest from Mission Services London! Not to be missed!! This is a Zoom Workshop on June 18th, 2024 at 11:00 a.m. Please complete the intake information below.
Full Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Unit Number
example: Unit # 42
Street Number
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123
Street Name
example: Dundas Street
Buzzer Number
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Postal Code
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N5W2Z7 (no space)
Phone Number
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Area Code
Phone Number
E-mail
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Confirmation Email
Sources of household income (please check all that apply)
*
Canada Child Benefit
Ontario Disability Support Program (ODSP)
Life Stabilization (Ontario Works)
Canada Pension Plan - Disability
OAS (Old Age Security)
GIS (Guaranteed Income Supplement)
Student Loan
Employed
Worker's Compensation (WSIB)
Spousal Support
Child Support
Self-Employed (ie Uber, Rental Income, baby-sitting, etc.)
Household Information
The mission of LIFE*SPIN is to provide information and support for individuals who are surviving on low incomes
How many adults (over 18) live in your household?
How many are 55+ years-old?
Is anyone in your home pregnant?
Yes
No
If yes, date the baby is due.
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Month
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Day
Year
Date
How many children live with you, who are under 18 years-old or younger?
Please enter the number of children who live with you, by age category
Ages 0-6
Ages 7-12
Ages 13-18
How many boys?
How many girls?
Advocacy Support
For tracking purposes, please tell us the languages spoken in your home
English
Arabic
Spanish
other
I will:
attend in person at 11:00 on May 14, 2024
need the youtube video link of the workshop, as I cannot attend in-person
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