Support the senior housing companion program
Thank you for adding your name in support of the Senior Housing Companion Program
First Name *
Last Name *
Province *
City *
Email address *
Phone number (xxx-xxx-xxxx) *
Do you support this national senior housing companion program?
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Your answers to the following questions are extremely important to us and we would be very grateful if you would take the time to answer these for us.
Are you interested in living with a housing companion?
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Do you know someone who could benefit from living with a housing companion?
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Do you represent an Agency, Organization, or Nonprofit? *
Which Agency, organization, or nonprofit do you represent? (If applicable)
Do you operate a business or have a business concept that could support seniors living in their homes?
Would you like to be contacted when this program is ready?
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