Capital Rainbow Refuge
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Capital Rainbow Refuge
Do you need support?
*
First Name
*
Last Name
*
Phone Number
*
Gender
Select...
M
F
N
*
Email
* Are you in Ottawa?
Yes
No
* How do you identify?
gay
lesbian
trans
bisexual
queer
intersex
asexual
questioning
two-spirit
genderqueer
* Assistance required
Housing assistance
Employment Assistance
Language Assistance
Food Assistance
Finding health services
Other
* Are you low-income and do you need emergency financial support?
Yes
No
Not sure
What is the best time to reach you?
Morning
Afternoon
Evening
* What is your status in Canada?
Permanent Resident
I I do not have a hearing date yet (Refugee Claimant)
I have a hearing date set (Refugee Claimant)
I received a positive decision at my hearing (Protected Person)
I have not heard back from my hearing
On a Work Permit
On a Study Permit
On a Temporary Visa
No status
