FOURNITURE SCOLAIRE – Coopération Intégration Canada

School supplies

The cost of living continues to rise and many families can no longer make ends meet.

At the beginning of each school year, CICAN partners with "Echange Coeur et Partage" and offers hundreds of backpacks with school supplies to children from kindergarten to grade 8, attending schools based in Ottawa.

Program funded by:

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First Name

Last Name

Phone Number

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Preferred language of communication

French
English

Type of request

Backpack(s)

Does the client fall under the low-income cut-off standard?

Client's date of birth

Does the client have a spouse or partner?

If Yes, Please enter his/her full name et his/her e-mail

If yes, please enter their phone number

Number of children:

Please enter the name(s), gender(s), date of birth(s), school name and grade level of all children in the household

Signature

Clear Signature

Other information:

Would you like to be contacted for other services offered by CICAN?

By filling out this form, you agree to share your data with us. All data collected will be used only for the purpose of this booking and will not be shared with any third party unless you explicitly authorize it.

Backers of funds Partners