Testimonial Form under 18 – Official Languages Programs

Release form to be completed

If you are under 18 years of age, your parent or legal guardian will be required to fill and sign the Release form below (step 4) on your behalf.

Please take a moment with your parent or legal guardian to fill out the form below. Your testimonial may appear in full or in part on future promotional materials or on this website.

STEP 1

Please provide your contact information.

First name:

Last name:

Email:

Phone number:

Where are you from? (home province/territory)

Where was the program session held?

STEP 2

Program:

Testimonial:

(maximum 300 characters)

STEP 3 (Optional)

Upload a crisp, in-focus portrait photo of you (head and shoulders).

Image

STEP 4

Can we share your testimonial?

Have your parent or legal guardian fill out and sign the Release form and upload it below.

By clicking SEND, I hereby confirm that I am under 18 years of age and consent to my parent’s or guardian’s signature in the uploaded Release form.