Membership Form | Young Citizen

Members of the Forum Jeunesse Estrie, whether individuals or representatives from an organization, must meet the following requirements:

• Be 15 to 35 years of age at the time of registration;
• Be a permanent resident of the Estrie region;
• Be available and motivated to contribute to the development of youth in the Estrie;
• Be conscious of the realities of the 15-35 age group;
• Demonstrate leadership qualities;
• Be active in his/her area or sector of activity;
• Be comfortable expressing him/herself;
• Possess strong team-work skills.

*Please note that the Forum Jeunesse Estrie does not accept applications from any person occupying a political position (from either the provincial or federal level) for which they were elected.

Last Name : *

First Name : *

Address : *

Town/City  : *

Postal Code : *

Phone Number  : *

Extension  :

Courriel : *

Date of Birth : *

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Année19701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010

(Membership is no longer valid once a member has reached 36 years of age.)

Gender : *

F

M

I wish to be an individual member of the Forum Jeunesse and I live in the following territory : - Aucun -MRC des SourcesMRC du MemphrémagogMRC du GranitVille de SherbrookeMRC du Val-Saint-FrançoisMRC du Haut-Saint-FrançoisMRC de Coaticook

How did you hear about the Forum Jeunesse? : - Aucun -From a current memberThrough the websiteAt workThrough my organization

Other. Specify :

Current Occupation : - Aucun -StudiesWork

Other. Specify :

I want to be involved in the Forum to :

Receive information

Be on the Board of Directors

Participate on work committees

Participate in activities

Volunteer

(You may choose more than one option)

The following activity sectors interest me :

Economics

Employability

Sociocultural

Education

Arts and Culture

Sports and Recreation

Environment

Youth

Politics

International Development/Cooperation

(You may choose more than one option)

Other. Specify :

Membership : *

I certify that the information I have provided in the present document is true and accurate.

Renew :

I am already a member of the Forum jeunesse Estrie and I would like to renew my membership for the coming year.

Membership in the Forum Jeunesse Estrie is personal, and cannot be transferred.

Confidentiality Information: The Forum Jeunesse Estrie takes all reasonable precautions to ensure that the information provided to them (at the time of a member’s application) remains confidential.

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