Needs Assessment and Referral Form

Living in Canada. Please Answer a few simple questions to get the help you need to settle in Canada and learn all about living here by clicking here

Welcome to the Multicultural Association of Fredericton Inc.
In order to receive our free services, please book an appointment by filling the form below.

Please read Settlement resources prior to your appointment


Please bring or attach a copy of all the family members' Confirmation of Permanent Residence (COPR) to your appointments

IDENTIFYING INFORMATION

Status:

Landing date to Canada:

First Name:

Last Name:

Date of Birth:

Gender:

Marital Status:

Number of family members:

Country of Origin:

Language Spoken:

English level:

Address:

City:

Postal Code:

Phone Number:

WhatsApp contact phone:

Spouse WhatsApp contact phone:

Email Address:

Spouse Email Address:


EMPLOYMENT:

Are you looking for employment?

What work have you done in the past?

What kind of job are you interested in?


CHILDREN & YOUTH PROGRAM:

Do you have children?

Are you Interested in MCAF youth/Kids Activities?


MEMBERSHIP:

I wish to receive MCAF’s electronic messages including newsletters, information about programs, activities and events at MCAF and in our community.

I give a permission to share my information with MCAF staff.

Consent for future research/consultation?

If you cannot make it to your appointment please call (506)454-8292 or E-mail angele.mamba@mcaf.nb.ca