{"id":12428,"date":"2020-09-17T10:47:34","date_gmt":"2020-09-17T14:47:34","guid":{"rendered":"https:\/\/relais-communautaire.org\/page\/?page_id=12428"},"modified":"2025-08-20T14:38:17","modified_gmt":"2025-08-20T18:38:17","slug":"demande-dadhesion","status":"publish","type":"page","link":"https:\/\/relais-communautaire.org\/page\/demande-dadhesion\/","title":{"rendered":"Demande d&#8217;Adh\u00e9sion"},"content":{"rendered":"<div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element \" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h1 id=\"header_1\" class=\"form-header\" data-component=\"header\"><strong><span style=\"color: #008000;\">Demande d&#8217;adh\u00e9sion<\/span><\/strong><\/h1>\n<div class=\"wp-block-group\">\n<div class=\"wp-block-group__inner-container\" style=\"text-align: justify;\">\u00a0<\/div>\n<\/div>\n<p style=\"text-align: center;\">S<strong>i vous souhaitez vous inscrire aupr\u00e8s de notre organisme, nous vous invitons \u00e0 remplir le formulaire d&#8217;adh\u00e9sion disponible. Veuillez noter qu&#8217;il est essentiel de fournir un num\u00e9ro de t\u00e9l\u00e9phone valide. Notre \u00e9quipe d&#8217;intervenants communiquera rapidement avec vous afin de v\u00e9rifier votre admissibilit\u00e9.<\/strong><\/p>\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\" \/>\n<h4 id=\"header_4\" class=\"wp-block-heading form-header\"><span style=\"color: #008000;\">\u00c0 tenir en compte :<\/span><\/h4>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span style=\"font-size: 14px;\">Vous devez pr\u00e9senter une <strong>preuve de r\u00e9sidence<\/strong> <strong>\u00e0 Laval<\/strong>, soit un bail couvrant l\u2019ann\u00e9e en cours ou la plus r\u00e9cente facture d\u2019Hydro-Qu\u00e9bec.<\/span><\/li>\n<li><span style=\"font-size: 14px;\">Pour les chambreurs : vous devez fournir deux preuves de r\u00e9sidence : une preuve de prestation d\u2019aide sociale et un autre document avec adresse.<\/span><\/li>\n<li><span style=\"font-size: 14px;\">\u00c0 partir de mois d&#8217;avril 2025, vous devez acquitter des <strong>frais annuels de membre<\/strong> correspondant \u00e0 <span style=\"color: #008000;\"><strong>12.00\u2009$ par adulte<\/strong> <\/span>vivant \u00e0 la r\u00e9sidence.<\/span><\/li>\n<li><span style=\"font-size: 14px;\">Le <strong>relev\u00e9 d\u2019imp\u00f4t ou l\u2019avis de cotisation<\/strong> de tous les adultes vivant \u00e0 la r\u00e9sidence peut \u00eatre demand\u00e9.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\" \/>\n<div class=\"wp-block-spacer\" style=\"height: 28px;\" aria-hidden=\"true\">\u00a0<\/div>\n<p><!-- \/wp:group --><br \/>\n<!-- wp:fluentfom\/guten-block {\"formId\":\"2\"} --><\/p>\n<div class=\"wp-block-group__inner-container\"><div class='fluentform ff-default fluentform_wrapper_2 ffs_custom_wrap'><form data-form_id=\"2\" id=\"fluentform_2\" class=\"frm-fluent-form fluent_form_2 ff-el-form-top ff_form_instance_2_1 ff-form-loading ffs_custom\" data-form_instance=\"ff_form_instance_2_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Demande d&#039;adhesion<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='12428' \/><input type=\"hidden\" id=\"_fluentform_2_fluentformnonce\" name=\"_fluentform_2_fluentformnonce\" value=\"9a79881749\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/page\/wp-json\/wp\/v2\/pages\/12428\" \/><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-2_1\" ><h3 class='ff-el-section-title'>Demandeur principal<\/h3><div class='ff-section_break_desk'><p style=\"text-align: justify\">Renseignements sur l'identit\u00e9 et l'\u00e9tat civil<\/p><\/div><hr \/><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_names_first_name_' id='label_ff_2_names_first_name_' >Pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_2_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Pr\u00e9nom\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_names_middle_name_' id='label_ff_2_names_middle_name_' >Second pr\u00e9nom<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[middle_name]\" id=\"ff_2_names_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Second pr\u00e9nom\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_names_last_name_' id='label_ff_2_names_last_name_' >Nom de famille<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_2_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Nom de famille\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_dropdown_1' id='label_ff_2_dropdown_1' aria-label=\"Sexe\">Sexe<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_2_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_2_dropdown_1\"><option value=\"\">- S\u00e9lectionnez -<\/option><option value=\"Male\"  >Male<\/option><option value=\"Femelle \"  >Femelle<\/option><option value=\"Non-Biniaire (LGBTQ+)\"  >Non-Biniaire (LGBTQ+)<\/option><\/select><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_dropdown_2' id='label_ff_2_dropdown_2' aria-label=\"Situation familiale\">Situation familiale<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_2_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_2_dropdown_2\"><option value=\"\">- S\u00e9lectionnez -<\/option><option value=\"Homme seul\"  >Homme seul<\/option><option value=\"Femme seule\"  >Femme seule<\/option><option value=\"Mari\u00e9(e)\"  >Mari\u00e9(e)<\/option><option value=\"Divorc\u00e9(e)\"  >Divorc\u00e9(e)<\/option><option value=\"S\u00e9par\u00e9(e) l\u00e9galement\"  >S\u00e9par\u00e9(e) l\u00e9galement<\/option><option value=\"Mariage annul\u00e9\"  >Mariage annul\u00e9<\/option><option value=\"Veuf(ve)\"  >Veuf(ve)<\/option><option value=\"Monoparental (homme)\"  >Monoparental (homme)<\/option><option value=\"Monoparental (femme)\"  >Monoparental (femme)<\/option><option value=\"Plus de 2 adultes\"  >Plus de 2 adultes<\/option><option value=\"Couple sans enfants\"  >Couple sans enfants<\/option><option value=\"Couple avec enfants \u00e2g\u00e9s de plus de 18 ans\"  >Couple avec enfants \u00e2g\u00e9s de plus de 18 ans<\/option><option value=\"Couple avec enfants \u00e2g\u00e9s de moins de 18 ans\"  >Couple avec enfants \u00e2g\u00e9s de moins de 18 ans<\/option><option value=\"Autre (...)\"  >Autre (...)<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_datetime_1' id='label_ff_2_datetime_1' aria-label=\"Date de naissance\">Date de naissance<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date de naissance Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='y\/m\/d' type=\"text\" name=\"datetime_1\" id=\"ff_2_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" placeholder=\"Ann\u00e9e\/Mois\/Jour ex: 1984\/12\/31\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_dropdown' id='label_ff_2_dropdown' aria-label=\"Statut\">Statut<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_2_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_2_dropdown\"><option value=\"\">- S\u00e9lectionnez -<\/option><option value=\"Citoyen\"  >Citoyen<\/option><option value=\"R\u00e9sident permanent\"  >R\u00e9sident permanent<\/option><option value=\"R\u00e9sident temporaire\"  >R\u00e9sident temporaire<\/option><option value=\"R\u00e9fugi\u00e9\"  >R\u00e9fugi\u00e9<\/option><option value=\"Personne prot\u00e9g\u00e9e\"  >Personne prot\u00e9g\u00e9e<\/option><option value=\"Demandeur d\u2019asile\"  >Demandeur d\u2019asile<\/option><option value=\"\u00c9tudiant \u00e9tranger\"  >\u00c9tudiant \u00e9tranger<\/option><option value=\"Travailleur \u00e9tranger\"  >Travailleur \u00e9tranger<\/option><option value=\"Autre\"  >Autre<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_multi_select' id='label_ff_2_multi_select' aria-label=\"Langues parl\u00e9es\">Langues parl\u00e9es<\/label><\/div><div class='ff-el-input--content'><select name=\"multi_select[]\" id=\"ff_2_multi_select\" class=\"ff-el-form-control  ff_has_multi_select\" multiple=\"1\" data-name=\"multi_select\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_2_multi_select\"><option value=\"French\"  >French<\/option><option value=\"English\"  >English<\/option><option value=\"Arabic\"  >Arabic<\/option><option value=\"Spanish\"  >Spanish<\/option><option value=\"Italian\"  >Italian<\/option><option value=\"Chinese\"  >Chinese<\/option><option value=\"Haitian Creole\"  >Haitian Creole<\/option><option value=\"Greek\"  >Greek<\/option><option value=\"Portuguese\"  >Portuguese<\/option><option value=\"Romanian\"  >Romanian<\/option><option value=\"Vietnamese\"  >Vietnamese<\/option><option value=\"Russian\"  >Russian<\/option><option value=\"Persian\"  >Persian<\/option><option value=\"Polish\"  >Polish<\/option><option value=\"Cree\"  >Cree<\/option><option value=\"Armenian\"  >Armenian<\/option><option value=\"German\"  >German<\/option><option value=\"Tagalog (Filipino)\"  >Tagalog (Filipino)<\/option><option value=\"Tamil\"  >Tamil<\/option><option value=\"Panjabi\"  >Panjabi<\/option><option value=\"Inuktitut\"  >Inuktitut<\/option><option value=\"Bengali\"  >Bengali<\/option><option value=\"Urdu\"  >Urdu<\/option><option value=\"Yiddish\"  >Yiddish<\/option><option value=\"Innu (Montagnais)\"  >Innu (Montagnais)<\/option><option value=\"Khmer (Cambodian)\"  >Khmer (Cambodian)<\/option><option value=\"Oromo\"  >Oromo<\/option><option value=\"Turkish\"  >Turkish<\/option><option value=\"Hungarian (Magyar)\"  >Hungarian (Magyar)<\/option><option value=\"Bulgarian\"  >Bulgarian<\/option><option value=\"Gujarati\"  >Gujarati<\/option><option value=\"Atikamekw\"  >Atikamekw<\/option><option value=\"Ukrainian\"  >Ukrainian<\/option><option value=\"Lao\"  >Lao<\/option><option value=\"Korean\"  >Korean<\/option><option value=\"Hebrew\"  >Hebrew<\/option><option value=\"Dutch\"  >Dutch<\/option><option value=\"Serbian\"  >Serbian<\/option><option value=\"Hindi\"  >Hindi<\/option><option value=\"Albanian\"  >Albanian<\/option><option value=\"Croatian\"  >Croatian<\/option><option value=\"Kirundi\"  >Kirundi<\/option><option value=\"Japanese\"  >Japanese<\/option><option value=\"Swahili\"  >Swahili<\/option><option value=\"Lingala\"  >Lingala<\/option><option value=\"Kinyarwanda\"  >Kinyarwanda<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_country-list' id='label_ff_2_country-list' aria-label=\"Pays d&#039;origine\">Pays d'origine<\/label><\/div><div class='ff-el-input--content'><select name=\"country-list\" id=\"ff_2_country-list\" class=\"ff-el-form-control\" placeholder=\"Choisissez le pays\" data-name=\"country-list\" aria-invalid='false' aria-required=false><option value=''>Choisissez le pays<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_1 has-conditions'><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-2_2\" ><h3 class='ff-el-section-title'>Membres de la famille<\/h3><div class='ff-section_break_desk'><p>Renseignement sur les autres membres de la famille r\u00e9sident avec vous \u00e0 la m\u00eame adresse<\/p><\/div><hr \/><\/div>        <div data-type=\"repeater_field\" data-name=\"repeater_field\" class=\"ff-el-group ff-el-repeater js-repeater ff-el-form-bottom\" data-max_repeat=\"8\" data-root_name=\"repeater_field\"  >\n            <div class='ff-el-input--label asterisk-right'><label aria-label='Veuillez ajouter chacun d&#039;entres-eux en cliquant sur \u2295 et pour supprimer cliquer sur \u229d' for=''>Veuillez ajouter chacun d'entres-eux en cliquant sur \u2295 et pour supprimer cliquer sur \u229d<\/label><\/div>            <div class='ff-el-input--content'>\n                <table data-max_repeat=\"8\" data-root_name=\"repeater_field\" class=\"ff_repeater_table ff_flexible_table\">\n                    <thead>\n                    <tr>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Lien de parent\u00e9' for=''>Lien de parent\u00e9<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Pr\u00e9nom' for=''>Pr\u00e9nom<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Nom de Famille' for=''>Nom de Famille<\/label><\/div><\/th>\n                                                    <th><div class='ff-el-input--label ff-el-is-required asterisk-right'><label aria-label='Date de naissance' for=''>Date de naissance<\/label><\/div><\/th>\n                                                <th><\/th>\n                    <\/tr>\n                    <\/thead>\n                    <tbody>\n                    <tr>\n                                                    <td data-label=\"Lien de parent\u00e9\">\n                                                            <\/td>\n                                                    <td data-label=\"Pr\u00e9nom\">\n                                                            <\/td>\n                                                    <td data-label=\"Nom de Famille\">\n                                                            <\/td>\n                                                    <td data-label=\"Date de naissance\">\n                                                            <\/td>\n                                                <td class=\"repeat_btn\"><div class=\"ff-el-repeat-buttons-list js-repeat-buttons\"><span class=\"repeat-plus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-86 0 0 86-42 0 0-86-86 0 0-42 86 0 0-86 42 0 0 86 86 0z\"><\/path><\/svg><\/span><span class=\"repeat-minus\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 512 512\"><path d=\"m256 48c-115 0-208 93-208 208 0 115 93 208 208 208 115 0 208-93 208-208 0-115-93-208-208-208z m107 229l-214 0 0-42 214 0z\"\"><\/path><\/svg><\/span><\/div><\/td>\n                    <\/tr>\n                    <\/tbody>\n                <\/table>\n            <\/div>\n        <\/div>\n        <\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-2_3\" ><h3 class='ff-el-section-title'>Adresse domiciliaire<\/h3><div class='ff-section_break_desk'><p>Cette adresse est celle o\u00f9 vous vivez. Elle peut \u00eatre ou non la m\u00eame que votre adresse postale. Il est important que nos dossiers contiennent les renseignements \u00e0 jour concernant votre adresse domiciliaire afin que vous receviez les prestations et services auxquels vous avez droit.<\/p><\/div><hr \/><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_address_line_1_' id='label_ff_2_address_1_address_line_1_' aria-label=\"Num\u00e9ro\">Num\u00e9ro<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_2_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"App. \u2013 N\u00ba municipal\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_address_line_2_' id='label_ff_2_address_1_address_line_2_' aria-label=\"Rue\">Rue<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_2_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Nom de la rue\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_city_' id='label_ff_2_address_1_city_' aria-label=\"Ville\">Ville<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" value=\"Laval\" id=\"ff_2_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"Ville\" maxlength=\"0\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_state_' id='label_ff_2_address_1_state_' aria-label=\"Province\">Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" value=\"Qu\u00e9bec\" id=\"ff_2_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Province\" maxlength=\"0\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_2_address_1_zip_' id='label_ff_2_address_1_zip_' aria-label=\"Code postal\">Code postal<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_2_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Code postal\" maxlength=\"14\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_address_1_country_' id='label_ff_2_address_1_country_' aria-label=\"Pays\">Pays<\/label><\/div><div class='ff-el-input--content'><select name=\"address_1[country]\" id=\"ff_2_address_1_country_\" class=\"ff-el-form-control\" placeholder=\"Canada\" data-key_name=\"country\" aria-invalid='false' aria-required=false><option value=''>Canada<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='CD' >Democratic Republic of the Congo (Kinshasa)<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='CG' >Republic of the Congo (Brazzaville)<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='RE' >R\u00e9union<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-2_4\" ><h3 class='ff-el-section-title'>Contacts<\/h3><div class='ff-section_break_desk'><p>Comment pouvons-nous vous joindre\u202f?<\/p><\/div><hr \/><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_3 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 34%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_phone' id='label_ff_2_phone' aria-label=\"Domicile \/ Portable\">Domicile \/ Portable<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" value=\"(###)-### ####\" type=\"tel\" placeholder=\"(###)-### ####\" data-name=\"phone\" id=\"ff_2_phone\" inputmode=\"tel\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 34%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_phone_1' id='label_ff_2_phone_1' aria-label=\"Travail\">Travail<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_1\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" value=\"(###)-### #### ext: ###\" type=\"tel\" placeholder=\"(###)-### #### ext: ###\" data-name=\"phone_1\" id=\"ff_2_phone_1\" inputmode=\"tel\" ><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 34%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_email' id='label_ff_2_email' aria-label=\"Adresse courriel (e-mail)\">Adresse courriel (e-mail)<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_2_email\" class=\"ff-el-form-control\" placeholder=\"pseudo@domain.com\" data-name=\"email\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_2_dropdown_3' id='label_ff_2_dropdown_3' aria-label=\"Quel est vous statut d&#039;emploi actuel?\">Quel est vous statut d'emploi actuel?<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_2_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"false\" aria-labelledby=\"label_ff_2_dropdown_3\"><option value=\"\">- S\u00e9lectionnez -<\/option><option value=\"Employ\u00e9(e) \u2013 Temps plein\"  >Employ\u00e9(e) \u2013 Temps plein<\/option><option value=\"Employ\u00e9(e) \u2013 Temps partiel\"  >Employ\u00e9(e) \u2013 Temps partiel<\/option><option value=\"En cong\u00e9, mais toujours \u00e0 l\u2019emploi\"  >En cong\u00e9, mais toujours \u00e0 l\u2019emploi<\/option><option value=\"Temporairement mis \u00e0 pied\"  >Temporairement mis \u00e0 pied<\/option><option value=\"D\u00e9sirant(e) travailler, mais ne travaille pas en raison d\u2019un 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