Facebook Twitter Instagram Linkedin

Donate Now

Get Involved

Home
About Us
- Who We Are
- Anti-Racism & Diversity
Our Programs
News and Events
Get Involved
Gallery
Contact Us
Donate

Home
About Us
- Who We Are
- Anti-Racism & Diversity
Our Programs
News and Events
Get Involved
Gallery
Contact Us
Donate

Digital Computer Literacy Training

Sign up Form

About You

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City Province Postal Code

How Can We Reach You?

We would love to chat with you. How can we get in touch?

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You

Which city are you from?(Required)

If your response is Other, Please specify

Age(Required)

Are you currently in school? Please choose your current education level(Required)

If your response is other, Please specify

If you are a member of a racial or ethnic minority group, please select which group. Note that you can select multiple options(Required)

Black

East Asian

Indigenous/Metis

Latino

Middle Eastern

South Asian

South East Asian

West Asian

Indo-Caribbean

White

Decline to answer

Other

If your response is other, please specify

Source of Income

Ontario Works

ODSP

Employed

Self Employed

Unemployed

Income Bracket(Required)

less than $14,580

$14,580 - $30,000

$31,000 +

How long have you resided in Canada?

1 - 5 Years

6 - 10 Years

More than 10 Years

Mode of Attendance(Required)

Virtual

In-Person

Please note that the Digital Computer Literacy holds every Tuesday from 1 PM to 3 PM.

Are there any particular topics related to digital literacy that you are interested in learning about?

Do you consent to your pictures being used on promotional materials such as our pamphlets, brochures, and social media? Note: If you are under 18 years of age please ask your parent/guardian to complete this question along with the others in the next section

Yes

I am under 18 years of age

Other

Parental Consent Section

Please ask your parent/guardian to complete the following section if you are under 18 years of age.

Parent/Guardian Name (first and last)

First Last

Parent/Guardian Email

Parent/Guardian Phone Number

Do your (parent/guardian) consent to your youth attending the Youth Digital Literacy program hosted by CASE Community Services?

Yes

Other

Do your (parent/guardian) consent to CASE Community Services sending emails to your youth for sharing information about programs and upcoming events?

Yes

Other

Do your (parent/guardian) consent to pictures of your youth being used on promotional materials such as our pamphlets, brochures and social media?

Yes

Other

What's on your mind?

Please let us know what's on your mind. Have a question for us? Ask away.

Your Comments/Questions

Do you have a question?

+1 (905) 216-2244

Land Acknowledgement

Case Community Services operates on the Treaty Territory of the Mississaugas of the Credit First Nation, and before them, the traditional territory of the Haudenosaunee (hau-de-no-sho-né) and Huron-Wendat (hue-ron wēn-dat). We are honoured to live, work on, and enjoy this land.

CASE Community Services is a Peel Region-based grassroots community organization established in 2005 and incorporated as a registered charity in 2007. We partner with individuals, groups, and agencies to build inclusive stable communities by empowering the marginalized populations to access support and services within their communities to improve their wellbeing.

OUR MISSION is to build pathways to financial stability, food security, and wellness for youth, seniors and families in under-served communities, by providing essential support, enriching programs, and caring community connections.

OUR VISION is to have communities where everyone has the tools and opportunities they need to succeed, with no barriers to education, resources, and support.

Quick Links

Home
About Us
Programs
News & Events
Gallery
Contact Us

Contact us

Address

60 Queen Street E - Unit #103 Brampton, ON L6V 1A9 Canada

Phone Number

+1 (905) 216-2244

Email Address

info@casecommunity.org