The Depot INSERTION SOCIALE application form

The Depot social integration hours form
Thank you for your interest in completing your 'social integration' hours with The Depot!

Please complete this form to help us understand your preferences and how you can best contribute to our team.

Social integration hours: Integration into the workplace for people with hours to be completed in the community.
Are these hours to fulfill requirements for a program?*

Student volunteer hourssocial integration hours (community or compensatory hours)no, these are 'simple' volunteer hours (click this if you are unsure)
If you want to do volunteer hours (ie. hours that are NOT part of a community or compensatory hours program), please click here to fill out the form (or go to this form: https://form.jotform.com/ndgfooddepot/inscription_benevole)

Which community program are you a part of?*
Number of hours required*
Required by date*

YearMonthDay
If there is no limit, please indicate a date at least 3 months from today
Agent / contact for hours
Unfortunately, we are unable to accommodate requests for hours that must be completed within a short period of time.

If you have to do these hours within a short period of time (less than 1 month from today), we suggest that you look for another organization with which to do your hours. But if the limit for your hours can be extended, please change the "required by date" to indicate that (and make it more than 1 month from today).

Your name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2
CityProvincePostal Code
Email*
example@example.com
Phone*
Please enter a valid phone number.
If you don't have an email, please enter 'noemail@depotndg.org' in the email field.
Date of birth*

YearMonthDay
Date
Gender
What is the best language for communicating with you?*

ENFR
Are you comfortable speaking with people in both French and English?*

YesNo
Do you own or have regular access to a vehicle?*

YesNo
Is there anything else you'd like to share with us?
CONSENT TO COLLECT DATA

When you give The Depot your personal information, you agree that we can use and store it to manage your participation in our programs. We may also use anonymous data (which doesn't include any personal information) to create reports and statistics. We will keep your information for up to 7 years, but you can ask us to delete it at any time. You can read our full privacy policy here.

If you do not become a volunteer or otherwise participate in Depot programs within 6 months of filling in this form, we will make every effort to delete your personal information at that time. (This may mean you must fill in this form again if that time has elapsed.)
I consent:*
for Social Insertion comments:
difference between today and due date
today

YearMonthDay
Date
due date

YearMonthDay
Date
Province
Insertion Program Type

Travaux communautairesTravaux compensatoiresPaas-ActionOther
Should be Empty:

The Depot social integration hours form