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Information record
  1. Welcome to the Alberta Legal Information Centre. Please fill out this information sheet. All personal information will remain strictly confidential.*
  2. First and last name:(*)
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  3. Email(*)
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  4. Postal Code(*)
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  5. Phone(*)
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  6. Primary language(*)


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  7. Language (if other)
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  8. Do you identify as a member of an Aboriginal community?(*)

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  9. Do you identify as a member of a visible minority?
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  10. Gender (optional)


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  11. Gender (if other)
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  12. Residency status:




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  13. Residency status (if other)
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  14. Age(*)
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  15. Level of education completed(*)
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  16. Average annual income (*)
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  17. How did you hear about the Centre? (*)
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  18. Referred by (if not in above list)
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  19. Situation(*)
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N.B. The legal information provided by the Alberta Legal Information Centre does not constitute legal advice or counsel.

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