FORM

Information sheet

Information

First name(s)*

Last name*

Sex

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Other (specify)

Primary language*

French

English

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Age

Adress*

Adress 2

City*

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Postal code

Country*

Communication

Principal telephone*

Secondary telephone

Email*

Secondary email

Status

Born in Canada?*

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No

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Residency status*

Level of education completed*

Average annual income*

Our services

How did you hear about the Centre?*

Courthouse

Legal Aid Alberta

Edmonton Community Legal Centre

Advertisement (i.e.: social medias, radio)

City of Edmonton (i.e.: 211)

Friends or relatives

Centre's promotional documents (i.e.: brochures, posters)

Centre's website

Lawyer or Law Society of Alberta

Second visit or more

Community organization

Other

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How can we help you?*

IMPORTANT!
Alberta Legal Information Centre offers legal information services that are Le Centre albertain d'information juridique vous offre des services d'information juridique qui ne constituent en aucun temps un avis ou un conseil juridique.

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