This form allows you to be known to us as a potential host-church to help a Ukrainian family who is moving to Canada because of the war in their country. * Name of your church: * Name of the project manager: * Email address: * Phone number: ( ) - * Church address: To become a host family, two elements are essential: housing and time allocated to the family in their first months of integration. Each family comes with different resources and needs, but the gift of time to help them orient themselves and the provision of accommodation as they seek employment are game changing. By answering the following questions, you help us understand your resettlement capacity. * Will you provide accommodation? Yes No If you answered 'yes' to the previous question, please complete the next section. If you answered 'no', please proceed to the next section related to goods and services with which you may be able to assist. What type of accommodation and how many rooms? How much per month will you charge the family? For how long is this accommodation available once the family moves in? Is it furnished? Approximately how many hours each week will the church be ready to consecrate to the help of this family? Have you already established a budgetary envelope (which does not include the amounts provided by the government) for hosting this family? If yes, how much? GOODS AND SERVICES Please highlight other goods and services that you will be able to provide to the family you are hosting and add any specifications or details if necessary. SERVICES Complete immigration forms Specifications or details: Interpreter or translation (Ukrainian/Russian into French/English and vice versa) Specifications or details: Registration for various services such as transportation, health, schools for children Specifications or details: Registration for different courses (i.e. language study, etc.) Specifications or details: Open various utility accounts such as electricity, cell phone, etc. Specifications or details: Offer transportation on an ad hoc or regular basis Specifications or details: Support in job search Specifications or details: Personally provide health services (doctor or nurse) Specifications or details: Direction with local services (i.e. hardware store, supermarket, library, post office, etc.) Specifications or details: Visit, share a meal, become a friend Specifications or details: Introduce the family to social services (i.e. food banks, second-hand-shops, etc.) Specifications or details: Provide hairdressing services Specifications or details: Invitation to events Specifications or details: Mechanical services Specifications or details: MATERIAL HELP Car Specifications or details: Food Specifications or details: Clothes Specifications or details: Furniture Specifications or details: Bikes Specifications or details: School equipment Specifications or details: Toys Specifications or details: Tools Specifications or details: Telephone Specifications or details: Computer and computer equipment Specifications or details: Garden equipment Specifications or details: Camping material Specifications or details: Sporting goods Specifications or details: Office items Specifications or details: Are there other services/goods you can offer that are not in the previous lists? Let us know about them here. Thank you for your willingness to assist with the needs of Ukrainian families coming to Canada. Please don't hesitate to contact us if you have any questions about this program or on the details in your application as a host church to a Ukrainian family. Contact information: Antoine Houle and Laura Wilson 1-899-300-4222 a.houle@aebeq.qc.ca