{"id":42,"date":"2022-05-14T12:36:17","date_gmt":"2022-05-14T16:36:17","guid":{"rendered":"https:\/\/almage.org\/?page_id=42"},"modified":"2022-11-10T04:25:08","modified_gmt":"2022-11-10T09:25:08","slug":"volunteer","status":"publish","type":"page","link":"https:\/\/almage.org\/fr\/volunteer\/","title":{"rendered":"B\u00e9n\u00e9vole"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"42\" class=\"elementor elementor-42\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-74be50a cus-hero-sec-styl elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"74be50a\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3c4df08\" data-id=\"3c4df08\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aacf67c elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"aacf67c\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">B\u00e9n\u00e9vole<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-69813bf cus-paragraph-styl elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"69813bf\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Les volontaires sont une partie importante de l'histoire d'Almage et notre succ\u00e8s repose sur votre pr\u00e9cieuse contribution \u00e0 notre mission. Tous les volontaires sont les bienvenus chez Almage et peuvent facilement s'inscrire en remplissant le formulaire et en cliquant sur \"soumettre\". Un repr\u00e9sentant d'Almage prendra contact avec le volontaire pour discuter de ses disponibilit\u00e9s. Les volontaires doivent \u00eatre en bonne sant\u00e9 et ne pas avoir de probl\u00e8mes de sant\u00e9 sous-jacents. Les conducteurs b\u00e9n\u00e9voles du programme de repas \u00e0 domicile doivent \u00eatre \u00e2g\u00e9s de 18 ans et plus et poss\u00e9der un permis de conduire valide. Tous les b\u00e9n\u00e9voles devront se soumettre \u00e0 une v\u00e9rification des ant\u00e9c\u00e9dents.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e06ff7 elementor-invisible elementor-widget elementor-widget-jet-button\" data-id=\"7e06ff7\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"jet-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"elementor-jet-button jet-elements\"><div class=\"jet-button__container\">\n\t<a class=\"jet-button__instance jet-button__instance--icon-left hover-effect-0\" href=\"#volunteer-form\">\n\t\t<div class=\"jet-button__plane jet-button__plane-normal\"><\/div>\n\t\t<div class=\"jet-button__plane jet-button__plane-hover\"><\/div>\n\t\t<div class=\"jet-button__state jet-button__state-normal\">\n\t\t\t<span class=\"jet-button__label\">Devenez un b\u00e9n\u00e9vole<\/span>\t\t<\/div>\n\t\t<div class=\"jet-button__state jet-button__state-hover\">\n\t\t\t<span class=\"jet-button__label\">Devenez un b\u00e9n\u00e9vole<\/span>\t\t<\/div>\n\t<\/a>\n<\/div>\n<\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b6d0fa1\" data-id=\"b6d0fa1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42eab46 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"42eab46\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"544\" height=\"501\" src=\"https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-1-2.png\" class=\"attachment-large size-large wp-image-1412\" alt=\"\" srcset=\"https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-1-2.png 544w, https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-1-2-300x276.png 300w, https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-1-2-13x12.png 13w\" sizes=\"(max-width: 544px) 100vw, 544px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-87db04e cus-overly-style2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"87db04e\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3d2b8c1\" data-id=\"3d2b8c1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3be1f37 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"3be1f37\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"530\" height=\"445\" src=\"https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-2-2.png\" class=\"attachment-large size-large wp-image-1413\" alt=\"\" srcset=\"https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-2-2.png 530w, https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-2-2-300x252.png 300w, https:\/\/almage.org\/wp-content\/uploads\/2022\/06\/Volunteer-image-2-2-14x12.png 14w\" sizes=\"(max-width: 530px) 100vw, 530px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-db4a01b\" data-id=\"db4a01b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a3a864a elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"a3a864a\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Se connecter et s'impliquer<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-36a054d cus-paragraph-styl elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"36a054d\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Aider les autres fait du bien. En tant qu'organisation \u00e0 but non lucratif par des b\u00e9n\u00e9voles, nous comptons sur le temps et l'\u00e9nergie de nos b\u00e9n\u00e9voles d\u00e9vou\u00e9s pour remplir notre engagement envers nos services. Venez partager votre expertise avec nous.<\/p><p>Vous souhaitez devenir b\u00e9n\u00e9vole? Remplissez le formulaire de demande de b\u00e9n\u00e9volat ci-dessous ou contactez-nous \u00e0 l'adresse suivante <span style=\"text-decoration: underline; color: #2d8755;\"><strong><a style=\"color: #2d8755; text-decoration: underline;\" href=\"tel: 15143551712\">(514) 355-1712<\/a><\/strong><\/span> ou <a href=\"mailto:info@almage.org\"><strong><span style=\"text-decoration: underline; color: #2d8755;\">info@almage.org<\/span><\/strong><\/a> pour plus d'informations.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8325156 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8325156\" data-element_type=\"section\" id=\"volunteer-form\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6bec020\" data-id=\"6bec020\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5bdcf76 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5bdcf76\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-e60cbfa\" data-id=\"e60cbfa\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ecd41a elementor-widget__width-auto elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6ecd41a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.20.0 - 26-03-2024 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);flex-shrink:0}.elementor-widget-divider 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.elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30460b7 elementor-widget__width-auto elementor-widget elementor-widget-heading\" data-id=\"30460b7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Devenez un b\u00e9n\u00e9vole<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aae1e5e elementor-widget__width-auto elementor-hidden-mobile elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"aae1e5e\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-993e160 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"993e160\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-43fc94e\" data-id=\"43fc94e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10da539 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"10da539\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Pour devenir b\u00e9n\u00e9vole, veuillez remplir tous les champs du formulaire ci-dessous. <a href=\"https:\/\/almage.org\/fr\/contact-us\/\">Contactez nous<\/a>\u00a0si vous rencontrez des probl\u00e8me!<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-c441f95 elementor-widget elementor-widget-jet-form-builder-form\" data-id=\"c441f95\" data-element_type=\"widget\" data-widget_type=\"jet-form-builder-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel='stylesheet' id='wp-block-library-css' href='https:\/\/almage.org\/wp-includes\/css\/dist\/block-library\/style.min.css?ver=6.5.2' media='all' \/>\n<style id=\"jet-form-builder-892-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/pages\/42\/?jet_form_builder_submit=submit&#038;method=reload\" method=\"POST\" data-form-id=\"892\" data-layout=\"column\" enctype=\"multipart\/form-data\" novalidate=\"null\" data-trp-original-action=\"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/pages\/42\/?jet_form_builder_submit=submit&amp;method=reload\">\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"892\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/pages\/42\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"42\">\n<div class=\"jet-form-builder-page\" data-page=\"1\" data-page-offset=\"75\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"post_id\" data-field-name=\"post_id\" data-jfb-sync=\"null\" value=\"42\">\n\n\n\n\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Identification<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Int\u00e9r\u00eat pour le volontaire<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Confirmer et soumettre<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\n\n\n<div  class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Date de la demande <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><input class=\"jet-form-builder__field date-field\" required=\"required\" name=\"date_of_application\" type=\"date\" data-field-name=\"date_of_application\" id=\"date_of_application\" data-jfb-sync=\"null\">\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Identification<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Nom complet <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"full_name\" id=\"full_name\" type=\"text\" data-field-name=\"full_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Date de naissance <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><input class=\"jet-form-builder__field date-field\" required=\"required\" name=\"date_of_birth\" type=\"date\" data-field-name=\"date_of_birth\" id=\"date_of_birth\" data-jfb-sync=\"null\">\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-2 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Adresse <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"address\" id=\"address\" type=\"text\" data-field-name=\"address\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Apt #<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"apt_\" id=\"apt_\" type=\"text\" data-field-name=\"apt_\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-3 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Ville <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"city\" id=\"city\" type=\"text\" data-field-name=\"city\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Arrondissement<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"borough\" id=\"borough\" type=\"text\" data-field-name=\"borough\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-4 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Code postal <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"postal_code\" id=\"postal_code\" type=\"text\" data-field-name=\"postal_code\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Adresse courriel <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"email\" id=\"email\" type=\"text\" data-field-name=\"email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-5 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">T\u00e9l\u00e9phone \u00e0 domicile<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"home_number\" id=\"home_number\" type=\"text\" data-field-name=\"home_number\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">T\u00e9l\u00e9phone au travail<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"work_number\" id=\"work_number\" type=\"text\" data-field-name=\"work_number\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">T\u00e9l\u00e9phone cellulaire<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"cell_number\" id=\"cell_number\" type=\"text\" data-field-name=\"cell_number\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Profession<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-6 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Profession <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"occupation\" id=\"occupation\" type=\"text\" data-field-name=\"occupation\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Nom de la soci\u00e9t\u00e9<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"company_name\" id=\"company_name\" type=\"text\" data-field-name=\"company_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Statut de travail<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"work_status\" value=\"Employed (full time)\" data-field-name=\"work_status\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Employ\u00e9 (temps plein)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"work_status\" value=\"Employed (part time)\" data-field-name=\"work_status\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Employ\u00e9 (temps partiel)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"work_status\" value=\"Retired\" data-field-name=\"work_status\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Retrait\u00e9<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"work_status\" value=\"Semi-Retired\" data-field-name=\"work_status\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Semi-retrait\u00e9<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"work_status\" value=\"Student\" data-field-name=\"work_status\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>\u00c9tudiant<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"work_status\" value=\"Unemployed\" data-field-name=\"work_status\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Ch\u00f4meur<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"work_status\" value=\"Other\" data-field-name=\"work_status\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Autre<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Si autre, pr\u00e9cisez:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"if_other_specify1\" data-field-name=\"if_other_specify1\" id=\"if_other_specify1\" data-jfb-sync=\"null\"><\/textarea>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Raisons de l'offre de volontariat<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Help others\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Aidez les autres<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Participate in the community\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Participer \u00e0 la communaut\u00e9<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Meet other people\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Rencontrer d'autres personnes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Gain employment experience\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Acqu\u00e9rir une exp\u00e9rience professionnelle<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Required by school\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Requis par l'\u00e9cole<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Have time to give\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Avoir le temps de donner<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Improve language skills\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Am\u00e9liorer les comp\u00e9tences linguistiques<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"reasons_for_offer_of_volunteering\" value=\"Other\" data-field-name=\"reasons_for_offer_of_volunteering\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Autre<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Si autre, pr\u00e9cisez:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"if_other_specify2\" data-field-name=\"if_other_specify2\" id=\"if_other_specify2\" data-jfb-sync=\"null\"><\/textarea>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Comp\u00e9tences linguistiques <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"language_proficiency[]\" value=\"English (Spoken)\" data-field-name=\"language_proficiency\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Anglais (parl\u00e9)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"language_proficiency[]\" value=\"English (Written)\" data-field-name=\"language_proficiency\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Anglais (\u00e9crit)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"language_proficiency[]\" value=\"French (Spoken)\" data-field-name=\"language_proficiency\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Fran\u00e7ais (parl\u00e9)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"language_proficiency[]\" value=\"French (Written)\" data-field-name=\"language_proficiency\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Fran\u00e7ais (\u00e9crit)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"language_proficiency[]\" value=\"Other (Spoken)\" data-field-name=\"language_proficiency\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Autre (langue parl\u00e9e)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"language_proficiency[]\" value=\"Other (Written)\" data-field-name=\"language_proficiency\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Autre (\u00e9crit)<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Si autre, pr\u00e9cisez:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"if_other_specify3\" data-field-name=\"if_other_specify3\" id=\"if_other_specify3\" data-jfb-sync=\"null\"><\/textarea>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-default\"\/>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Quels sont vos int\u00e9r\u00eats, vos hobbies?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"what_are_your_interests_hobbies\" data-field-name=\"what_are_your_interests_hobbies\" id=\"what_are_your_interests_hobbies\" data-jfb-sync=\"null\"><\/textarea>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-default\"\/>\n\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Avez-vous de l'exp\u00e9rience en tant que b\u00e9n\u00e9vole?<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"do_you_have_volunteer_experience\" value=\"Yes\" data-field-name=\"do_you_have_volunteer_experience\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Oui<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"do_you_have_volunteer_experience\" value=\"No\" data-field-name=\"do_you_have_volunteer_experience\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Non<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Si oui, quel type de travail b\u00e9n\u00e9vole?<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"if_so_what_kind_of_volunteer_work\" data-field-name=\"if_so_what_kind_of_volunteer_work\" id=\"if_so_what_kind_of_volunteer_work\" data-jfb-sync=\"null\"><\/textarea>\n<\/div>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-11 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-10 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Avez-vous acc\u00e8s \u00e0 une voiture?<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"do_you_have_access_to_a_car\" value=\"Yes\" data-field-name=\"do_you_have_access_to_a_car\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Oui<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"do_you_have_access_to_a_car\" value=\"No\" data-field-name=\"do_you_have_access_to_a_car\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Non<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Seriez-vous pr\u00eat \u00e0 l'utiliser pour du travail b\u00e9n\u00e9vole?<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"would_you_be_willing_to_use_it_for\" value=\"Yes\" data-field-name=\"would_you_be_willing_to_use_it_for\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Oui<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"would_you_be_willing_to_use_it_for\" value=\"No\" data-field-name=\"would_you_be_willing_to_use_it_for\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Non<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">En cas d'urgence, contactez <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"in_case_of_emergency_contact\" id=\"in_case_of_emergency_contact\" type=\"text\" data-field-name=\"in_case_of_emergency_contact\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Tel # <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"tel_\" id=\"tel_\" type=\"text\" data-field-name=\"tel_\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t<div class=\"jet-form-builder__next-page-msg\" data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"{&quot;show&quot;:{&quot;dom&quot;:true}}\">Remplissez tous les champs obligatoires<\/div>\t\t\t\t<button data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"disable\" class=\"jet-form-builder__next-page\" type=\"button\">Suivant<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"2\" data-page-offset=\"75\">\n\n\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper passed-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Identification<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Int\u00e9r\u00eat pour le volontaire<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Confirmer et soumettre<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Int\u00e9r\u00eat pour le volontaire<\/h2>\n\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Lieux\/Programmes dans lesquels vous pr\u00e9f\u00e9rez travailler? <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"locations_programs_you_prefer[]\" value=\"Almage Senior Community Centre (8680 Hochelaga)\" data-field-name=\"locations_programs_you_prefer\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Centre communautaire senior Almage (8680 Hochelaga)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"locations_programs_you_prefer[]\" value=\"Rosemont Satellite Centre (6341 De Lorimiers)\" data-field-name=\"locations_programs_you_prefer\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Centre satellite Rosemont (6341 De Lorimiers)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"locations_programs_you_prefer[]\" value=\"Montreal \u2013 North Satellite Centre (10374 Cobourg)\" data-field-name=\"locations_programs_you_prefer\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Montr\u00e9al - Centre satellite Nord (10374 Cobourg)<\/span><\/label><\/div><\/div>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">TITRES DES POSTES: INDIQUEZ LES DOMAINES QUI VOUS INT\u00c9RESSENT<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-12 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Administration<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"administration[]\" value=\"Accounting\" data-field-name=\"administration\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Comptabilit\u00e9<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"administration[]\" value=\"Office work\" data-field-name=\"administration\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Travail de bureau<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Services de repas<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"meal_services[]\" value=\"Cook\/assistant cook\" data-field-name=\"meal_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Cuisinier\/assistant cuisinier<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"meal_services[]\" value=\"Dishwasher\" data-field-name=\"meal_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Lave-vaisselle<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"meal_services[]\" value=\"Baker\" data-field-name=\"meal_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Boulanger<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"meal_services[]\" value=\"Server\/cleaner \u2026 etc\" data-field-name=\"meal_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Serveur\/nettoyeur ... etc<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"meal_services[]\" value=\"Shopper \/ Driver\" data-field-name=\"meal_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Magasinier \/ Chauffeur<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Travailleur\/Travailleuse de la clinique<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"clinic_worker[]\" value=\"Income Tax\" data-field-name=\"clinic_worker\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Imp\u00f4t sur le revenu<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"clinic_worker[]\" value=\"Blood Pressure\" data-field-name=\"clinic_worker\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Tension art\u00e9rielle<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"clinic_worker[]\" value=\"Board Member (must be elected)\" data-field-name=\"clinic_worker\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Membre du conseil d'administration (doit \u00eatre \u00e9lu)<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Projets sp\u00e9ciaux<br>(based on agency needs)<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"special_projects[]\" value=\"Community Outreach\" data-field-name=\"special_projects\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Sensibilisation de la communaut\u00e9<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"special_projects[]\" value=\"Raffles \/ Sales\" data-field-name=\"special_projects\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Tombolas \/ Ventes<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-13 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Prestation de programmes et de services<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"program_service_delivery[]\" value=\"Program Animator\" data-field-name=\"program_service_delivery\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Animateur de programmes<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"program_service_delivery[]\" value=\"Translator\" data-field-name=\"program_service_delivery\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Traducteur \/ Traductrice<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"program_service_delivery[]\" value=\"Repair \/ Maintenance\" data-field-name=\"program_service_delivery\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>R\u00e9paration \/ Entretien<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Services de soutien \u00e0 domicile<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"home_support_services[]\" value=\"Visitor\" data-field-name=\"home_support_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Visiteur<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"home_support_services[]\" value=\"Caller\" data-field-name=\"home_support_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Appelant<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"home_support_services[]\" value=\"Driver\" data-field-name=\"home_support_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Conducteur\/Conductrice<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"home_support_services[]\" value=\"Med accompaniment\" data-field-name=\"home_support_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Accompagnement med<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"home_support_services[]\" value=\"Shadow\" data-field-name=\"home_support_services\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Ombre<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Membre du comit\u00e9<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"committee_member[]\" value=\"Fundraising (Large scale)\" data-field-name=\"committee_member\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Collecte de fonds (\u00e0 grande \u00e9chelle)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"committee_member[]\" value=\"Kitchen\" data-field-name=\"committee_member\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Cuisine<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"committee_member[]\" value=\"Home Support\" data-field-name=\"committee_member\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Soutien \u00e0 domicile<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"committee_member[]\" value=\"Special Event\" data-field-name=\"committee_member\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>\u00c9v\u00e9nement sp\u00e9cial<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"committee_member[]\" value=\"Program Planning\" data-field-name=\"committee_member\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Planification du programme<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"committee_member[]\" value=\"Welcoming\" data-field-name=\"committee_member\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Accueil<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Autre<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"other\" data-field-name=\"other\" id=\"other\" data-jfb-sync=\"null\"><\/textarea>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">DISPONIBILIT\u00c9 : VEUILLEZ INDIQUER LES JOURS ET LES HEURES O\u00d9 VOUS \u00caTES DISPONIBLE.<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-14 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Jour de la semaine <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"weekday[]\" value=\"Monday\" data-field-name=\"weekday\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Lundi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"weekday[]\" value=\"Tuesday\" data-field-name=\"weekday\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mardi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"weekday[]\" value=\"Wednesday\" data-field-name=\"weekday\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Mercredi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"weekday[]\" value=\"Thursday\" data-field-name=\"weekday\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Jeudi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"weekday[]\" value=\"Friday\" data-field-name=\"weekday\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Vendredi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"weekday[]\" value=\"Saturday\" data-field-name=\"weekday\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Samedi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"weekday[]\" value=\"Sunday\" data-field-name=\"weekday\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Dimanche<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Matin<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"morning[]\" value=\"Monday Morning\" data-field-name=\"morning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Lundi matin<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"morning[]\" value=\"Tuesday Morning\" data-field-name=\"morning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Mardi matin<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"morning[]\" value=\"Wednesday Morning\" data-field-name=\"morning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Mercredi matin<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"morning[]\" value=\"Thursday Morning\" data-field-name=\"morning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Jeudi matin<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"morning[]\" value=\"Friday Morning\" data-field-name=\"morning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Vendredi matin<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"morning[]\" value=\"Saturday Morning\" data-field-name=\"morning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Samedi matin<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"morning[]\" value=\"Sunday Morning\" data-field-name=\"morning\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Dimanche matin<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Apr\u00e8s-midi<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"afternoon[]\" value=\"Monday Afternoon\" data-field-name=\"afternoon\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Lundi apr\u00e8s-midi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"afternoon[]\" value=\"Tuesday Afternoon\" data-field-name=\"afternoon\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Mardi apr\u00e8s-midi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"afternoon[]\" value=\"Wednesday Afternoon\" data-field-name=\"afternoon\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Mercredi apr\u00e8s-midi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"afternoon[]\" value=\"Thursday Afternoon\" data-field-name=\"afternoon\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Jeudi apr\u00e8s-midi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"afternoon[]\" value=\"Friday Afternoon\" data-field-name=\"afternoon\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Vendredi apr\u00e8s-midi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"afternoon[]\" value=\"Saturday Afternoon\" data-field-name=\"afternoon\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Samedi apr\u00e8s-midi<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"afternoon[]\" value=\"Sunday Afternoon\" data-field-name=\"afternoon\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Dimanche apr\u00e8s-midi<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Soir\u00e9e<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"evening[]\" value=\"Monday Evening\" data-field-name=\"evening\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Lundi soir<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"evening[]\" value=\"Tuesday Evening\" data-field-name=\"evening\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Mardi soir<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"evening[]\" value=\"Wednesday Evening\" data-field-name=\"evening\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Mercredi soir<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"evening[]\" value=\"Thursday Evening\" data-field-name=\"evening\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Jeudi soir<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"evening[]\" value=\"Friday Evening\" data-field-name=\"evening\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Vendredi soir<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"evening[]\" value=\"Saturday Evening\" data-field-name=\"evening\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Samedi soir<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"evening[]\" value=\"Sunday Evening\" data-field-name=\"evening\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\"><span>Dimanche soir<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Nombre maximum d'heures de b\u00e9n\u00e9volat par semaine <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"maximum_hours_you_would_like_to_vo\" id=\"maximum_hours_you_would_like_to_vo\" type=\"text\" data-field-name=\"maximum_hours_you_would_like_to_vo\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Engagement en termes de temps <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"time_commitment\" value=\"short-term (less than 1 month)\" data-field-name=\"time_commitment\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>\u00e0 court terme (moins d'un mois)<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"time_commitment\" value=\"One to 3 months\" data-field-name=\"time_commitment\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>Un \u00e0 trois mois<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"time_commitment\" value=\"6 months and more\" data-field-name=\"time_commitment\"  class=\"jet-form-builder__field radio-field checkradio-field\" required=\"required\"><span>6 mois et plus<\/span><\/label><\/div><\/div>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">R\u00c9F\u00c9RENCES<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-16 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-15 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Source de r\u00e9f\u00e9rence: veuillez indiquer comment vous avez entendu parler de notre agence. <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Newspaper\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Journal<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Radio\/TV\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Radio\/TV<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Flyer\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>D\u00e9pliant<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Word of mouth\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Le bouche \u00e0 oreille<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Service de Benevole de l\u2019Est\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Service de Benevole de l\u2019Est<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"West Island Volunteer Bureau\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Centre d'action b\u00e9n\u00e9vole de l'Ouest-de-l'\u00cele<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Montreal Volunteer Bureau\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Centre d'action b\u00e9n\u00e9vole de Montr\u00e9al<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Concordia Volunteer Kiosk\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Kiosque des b\u00e9n\u00e9voles de Concordia<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"McGill Volunteer Kiosk\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Kiosque des b\u00e9n\u00e9voles de McGill<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Staff of agency\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Personnel de l'agence<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Volunteer of agency\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>B\u00e9n\u00e9vole de l'agence<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Friend\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Ami<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Local paper\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Journal local<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Internet\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Internet<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"CLSC bulletin board\/pamphlet\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Tableau d'affichage du CLSC et d\u00e9pliant<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n<input type=\"checkbox\" name=\"referral_source[]\" value=\"Other\" data-field-name=\"referral_source\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\"><span>Autre<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Si autre, pr\u00e9cisez:<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"if_other_specify4\" id=\"if_other_specify4\" type=\"text\" data-field-name=\"if_other_specify4\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div class=\"jet-form-builder__next-page-wrap\">\n\t<div class=\"jet-form-builder__next-page-msg\" data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"{&quot;show&quot;:{&quot;dom&quot;:true}}\">Remplissez tous les champs obligatoires<\/div>\t\t\t\t<button data-jfb-conditional=\"[{&quot;page_state&quot;:&quot;active&quot;}]\" data-jfb-func=\"disable\" class=\"jet-form-builder__next-page\" type=\"button\">Suivant<\/button>\n\t<\/div>\n<\/div>\n<div class=\"jet-form-builder-page jet-form-builder-page--hidden\" data-page=\"3\" data-page-offset=\"75\">\n\n\n<div class=\"jet-form-builder-progress-pages jfb-progress-type--default\" data-type=\"default\">\t<div class=\"jet-form-builder-progress-pages__item--wrapper passed-page\" data-page=\"1\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">1<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Identification<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper passed-page\" data-page=\"2\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">2<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Int\u00e9r\u00eat pour le volontaire<\/div>\n\t\t<\/div>\n\t\t\t\t\t<div class=\"jet-form-builder-progress-pages__separator\"><\/div>\n\t\t\t<\/div>\n\t\t<div class=\"jet-form-builder-progress-pages__item--wrapper active-page\" data-page=\"3\">\n\t\t<div class=\"jet-form-builder-progress-pages__item\">\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--circle\">3<\/div>\n\t\t\t<div class=\"jet-form-builder-progress-pages__item--label\">Confirmer et soumettre<\/div>\n\t\t<\/div>\n\t\t\t<\/div>\n\t<\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Veuillez fournir 2 r\u00e9f\u00e9rences: (autres que des amis ou de la famille)<\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-17 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Nom complet <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_full_name\" id=\"referral_full_name\" type=\"text\" data-field-name=\"referral_full_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Relation avec vous <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_relationship_to_you\" id=\"referral_relationship_to_you\" type=\"text\" data-field-name=\"referral_relationship_to_you\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_Phone\" id=\"referral_Phone\" type=\"text\" data-field-name=\"referral_Phone\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Adresse courriel <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_Email\" id=\"referral_Email\" type=\"text\" data-field-name=\"referral_Email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Nom complet <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_full_name2\" id=\"referral_full_name2\" type=\"text\" data-field-name=\"referral_full_name2\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Relation avec vous <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_relationship_to_you_2\" id=\"referral_relationship_to_you_2\" type=\"text\" data-field-name=\"referral_relationship_to_you_2\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_Phone2\" id=\"referral_Phone2\" type=\"text\" data-field-name=\"referral_Phone2\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Adresse courriel <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"referral_Email2\" id=\"referral_Email2\" type=\"text\" data-field-name=\"referral_Email2\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-18 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-radio-field wp-block-jet-forms-radio-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Avez-vous des probl\u00e8mes de sant\u00e9, des troubles psychiatriques ou des restrictions qui pourraient affecter votre travail b\u00e9n\u00e9vole?<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"do_you_have_any_health_problems\" value=\"Yes\" data-field-name=\"do_you_have_any_health_problems\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Oui<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap radio-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-radio\">\n<input type=\"radio\" name=\"do_you_have_any_health_problems\" value=\"No\" data-field-name=\"do_you_have_any_health_problems\"  class=\"jet-form-builder__field radio-field checkradio-field\"><span>Non<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div  class=\"jet-form-builder-row field-type-textarea-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Si oui, pr\u00e9cisez<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<textarea class=\"jet-form-builder__field textarea-field\" name=\"if_yes_specify\" data-field-name=\"if_yes_specify\" id=\"if_yes_specify\" data-jfb-sync=\"null\"><\/textarea>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p>Nous v\u00e9rifions les ant\u00e9c\u00e9dents de tous les b\u00e9n\u00e9voles aupr\u00e8s du SPVM (police).<br><strong>Veuillez noter* La v\u00e9rification des ant\u00e9c\u00e9dents du SPVM peut prendre de 5 \u00e0 8 semaines pour \u00eatre trait\u00e9e.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">FACULTATIF: (Pour les statistiques uniquement)<\/h4>\n\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Origine ethnique<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"ethnic_origin\" id=\"ethnic_origin\" type=\"text\" data-field-name=\"ethnic_origin\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Niveau d'instruction atteint<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input name=\"level_of_education_completed\" id=\"level_of_education_completed\" type=\"text\" data-field-name=\"level_of_education_completed\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div>\n\n\n<p>Au meilleur de ma connaissance, les renseignements fournis dans ce formulaire sont vrais et exacts et j'autorise le Centre communautaire pour a\u00een\u00e9s d'Almage \u00e0 v\u00e9rifier mes r\u00e9f\u00e9rences. Si je fournis de faux renseignements, le Centre pourra me cong\u00e9dier du travail b\u00e9n\u00e9vole en tout temps. Je comprends que si le r\u00e9sultat d'une v\u00e9rification polici\u00e8re requise est n\u00e9gatif, je pourrais \u00eatre refus\u00e9 comme b\u00e9n\u00e9vole.\n\nTraduit avec www.DeepL.com\/Translator (version gratuite)<\/p>\n\n\n\n<p><strong>ACCORD DE CONFIDENTIALIT\u00c9-OBLIGATIONS CONCERNANT LES INFORMATIONS DU CLIENT<br><\/strong>Je reconnais que tout ce qui est contenu dans le dossier d'un client est strictement confidentiel, comme le d\u00e9crit la loi sur la sant\u00e9 et les services sociaux. Je n'aurai pas acc\u00e8s aux dossiers des clients, sauf si un membre du personnel m'y autorise.<\/p>\n\n\n\n<p>En signant ce formulaire de demande, j'accepte de respecter et de suivre la politique de confidentialit\u00e9 du Centre communautaire pour a\u00een\u00e9s Almage. Toute information obtenue dans le cadre de mon travail b\u00e9n\u00e9vole au Centre communautaire pour a\u00een\u00e9s Almage sera gard\u00e9e confidentielle et ne sera pas divulgu\u00e9e \u00e0 qui que ce soit ni utilis\u00e9e de quelque mani\u00e8re que ce soit. Je comprends \u00e9galement que des sanctions, y compris, mais sans s'y limiter, le licenciement, peuvent \u00eatre prises \u00e0 mon encontre et que je peux \u00eatre tenu responsable d'une violation de cette entente de confidentialit\u00e9. Je comprends que le Centre communautaire pour a\u00een\u00e9s d'Almage se r\u00e9serve le droit d'utiliser ces renseignements \u00e0 des fins statistiques.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-19 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Signature (Initiales) <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<input required=\"required\" name=\"signature_(initials)\" id=\"signature_(initials)\" type=\"text\" data-field-name=\"signature_(initials)\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\">\n<\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><div  class=\"jet-form-builder-row field-type-date-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Date <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><input class=\"jet-form-builder__field date-field\" required=\"required\" name=\"date\" type=\"date\" data-field-name=\"date\" id=\"date\" data-jfb-sync=\"null\">\n<\/div><\/div>\n<\/div>\n\n\n<input type=\"hidden\" class=\"captcha-token\" name=\"_captcha_token\" value=\"\"\/><div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap has-prev\">\n<button type=\"button\" class=\"jet-form-builder__prev-page\" data-to-page=\"2\">Back<\/button>\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-ajax\" type=\"submit\">Soumettre<\/button>\n\t<\/div>\n\t\n<\/div>\n\n<\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"892\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Volunteer Volunteers are an important part of Almage\u2019s history and our success relies on your precious contribution to our mission. All volunteers are welcome at Almage and can easily sign up by filling the form and clicking on submit. An Almage representative will contact the volunteer to discuss their availabilities. Volunteers must be in good [&hellip;]<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/pages\/42"}],"collection":[{"href":"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/comments?post=42"}],"version-history":[{"count":0,"href":"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/pages\/42\/revisions"}],"wp:attachment":[{"href":"https:\/\/almage.org\/fr\/wp-json\/wp\/v2\/media?parent=42"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}