{"id":3669,"date":"2025-06-02T03:18:49","date_gmt":"2025-06-02T07:18:49","guid":{"rendered":"https:\/\/gcsd.qc.ca\/service-request\/"},"modified":"2026-08-06T02:03:31","modified_gmt":"2026-08-06T06:03:31","slug":"service-request","status":"publish","type":"page","link":"https:\/\/gcsd.qc.ca\/en\/service-request\/","title":{"rendered":"Service Request"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3669\" class=\"elementor elementor-3669 elementor-606\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1803f2c e-grid e-con-boxed e-con e-parent\" data-id=\"1803f2c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_blur_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_blur_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:15,&quot;sizes&quot;:[]},&quot;background_motion_fx_blur_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:53}},&quot;background_motion_fx_scale_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_scale_direction&quot;:&quot;out-in-out&quot;,&quot;background_motion_fx_scale_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;background_motion_fx_blur_direction&quot;:&quot;out-in&quot;,&quot;background_motion_fx_scale_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:20,&quot;end&quot;:80}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-effe388 e-con-full e-flex e-con e-child\" data-id=\"effe388\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4f8a6bc9 elementor-widget elementor-widget-text-editor\" data-id=\"4f8a6bc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1>Make an appointment<\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74584fbc animated-slow elementor-invisible elementor-widget elementor-widget-image\" data-id=\"74584fbc\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInDown&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/06\/Demande-services.jpg\" class=\"attachment-large size-large wp-image-3150\" alt=\"\" srcset=\"https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/06\/Demande-services.jpg 1000w, https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/06\/Demande-services-300x200.jpg 300w, https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/06\/Demande-services-768x512.jpg 768w, https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/06\/Demande-services-391x260.jpg 391w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-69dfef82 e-grid e-con-boxed e-con e-parent\" data-id=\"69dfef82\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-44ca863 elementor-widget elementor-widget-heading\" data-id=\"44ca863\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Please fill out this form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dfdae03 elementor-widget elementor-widget-text-editor\" data-id=\"dfdae03\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var 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#112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-btn-bg-color-hover-tertiary: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/en\/wp-json\/wp\/v2\/pages\/3669' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><div id=\"field_2_3\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"637f7ba0\" data-field-span=\"12\"><label id='gfield_label_2_3' class='gfield_label gform-field-label' for='input_2_3'><span class='gform-field-label__text'>Which service are you interested in?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_2_3' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='Coaching for job search' >Coaching for job search<\/option><option value='Career-choice validation or reorientation' >Career-choice validation or reorientation<\/option><option value='Return to work after professional burnout' >Return to work after professional burnout<\/option><option value='Voltige School' >Voltige School<\/option><option value='One-off appointment (resume, cover letter, interview)' >One-off appointment (resume, cover letter, interview)<\/option><option value='Summer employment for students' >Summer employment for students<\/option><option value='Jeunes en action' >Jeunes en action<\/option><option value='Relief - atelier d&#039;autogestion de groupe' >Relief &#8211; atelier d&#039;autogestion de groupe<\/option><option value='Autre \/ je pr\u00e9f\u00e8re ne pas r\u00e9pondre' >Autre \/ je pr\u00e9f\u00e8re ne pas r\u00e9pondre<\/option><\/select><\/div><\/div><div id=\"field_2_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"245e5aee\" data-field-span=\"12\"><label id='gfield_label_2_25' class='gfield_label gform-field-label' for='input_2_25'><span class='gform-field-label__text'>Please specify<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_2_25' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8e27b22a\" data-field-span=\"6\"><label id='gfield_label_2_6' class='gfield_label gform-field-label' for='input_2_6'><span class='gform-field-label__text'>First Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_2_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"8e27b22a\" data-field-span=\"6\"><label id='gfield_label_2_5' class='gfield_label gform-field-label' for='input_2_5'><span class='gform-field-label__text'>Last Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_2_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3f46e23b\" data-field-span=\"6\"><label id='gfield_label_2_7' class='gfield_label gform-field-label' for='input_2_7'><span class='gform-field-label__text'>Gender<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_2_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='Male' >Male<\/option><option value='Female' >Female<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_2_8\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3f46e23b\" data-field-span=\"6\"><label id='gfield_label_2_8' class='gfield_label gform-field-label' for='input_2_8'><span class='gform-field-label__text'>Age Group<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_2_8' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='16 to 35 years' >16 to 35 years<\/option><option value='35 years and over' >35 years and over<\/option><\/select><\/div><\/div><div id=\"field_2_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0b4f0c43\" data-field-span=\"12\"><label id='gfield_label_2_9' class='gfield_label gform-field-label' for='input_2_9'><span class='gform-field-label__text'>Please specify your residency status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_2_9' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='Canadian citizen' >Canadian citizen<\/option><option value='Permanent resident' >Permanent resident<\/option><option value='Temporary foreign worker \/ open permit' >Temporary foreign worker \/ open permit<\/option><option value='Post-Graduation Work Permit' >Post-Graduation Work Permit<\/option><option value='Temporary foreign worker \/ closed permit' >Temporary foreign worker \/ closed permit<\/option><option value='Accepted refugee (with approval letter)' >Accepted refugee (with approval letter)<\/option><option value='Asylum seeker' >Asylum seeker<\/option><option value='Visitor' >Visitor<\/option><option value='Working Holiday Visa' >Working Holiday Visa<\/option><option value='International student' >International student<\/option><option value='I don&#039;t know' >I don&#039;t know<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_2_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4991b835\" data-field-span=\"12\"><label id='gfield_label_2_24' class='gfield_label gform-field-label' for='input_2_24'><span class='gform-field-label__text'>Please specify<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_2_24' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ce8bfbeb\" data-field-span=\"6\"><label id='gfield_label_2_10' class='gfield_label gform-field-label' for='input_2_10'><span class='gform-field-label__text'>Employment Status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_2_10' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='I am unemployed' >I am unemployed<\/option><option value='I work part-time' >I work part-time<\/option><option value='I work full-time' >I work full-time<\/option><\/select><\/div><\/div><div id=\"field_2_11\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ce8bfbeb\" data-field-span=\"6\"><label id='gfield_label_2_11' class='gfield_label gform-field-label' for='input_2_11'><span class='gform-field-label__text'>Study Status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_2_11' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='I am not studying' >I am not studying<\/option><option value='I study part-time' >I study part-time<\/option><option value='I study full-time' >I study full-time<\/option><\/select><\/div><\/div><div id=\"field_2_12\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3e464088\" data-field-span=\"12\"><label id='gfield_label_2_12' class='gfield_label gform-field-label' for='input_2_12'><span class='gform-field-label__text'>Are you enrolled with another organization offering guidance or job-search services?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_2_12' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_2_13\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"82bca131\" data-field-span=\"12\"><label id='gfield_label_2_13' class='gfield_label gform-field-label' for='input_2_13'><span class='gform-field-label__text'>Have you previously used our services?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_13' id='input_2_13' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_2_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"43a3cc48\" data-field-span=\"4\"><label id='gfield_label_2_14' class='gfield_label gform-field-label' for='input_2_14'><span class='gform-field-label__text'>Phone Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_2_14' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"43a3cc48\" data-field-span=\"4\"><label id='gfield_label_2_15' class='gfield_label gform-field-label' for='input_2_15'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_2_15' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"43a3cc48\" data-field-span=\"4\"><label id='gfield_label_2_16' class='gfield_label gform-field-label' for='input_2_16'><span class='gform-field-label__text'>Postal Code<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_2_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_17\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b22491f8\" data-field-span=\"12\"><label id='gfield_label_2_17' class='gfield_label gform-field-label' for='input_2_17'><span class='gform-field-label__text'>How did you hear about our services?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_2_17' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >\u2013<\/option><option value='Word of mouth' >Word of mouth<\/option><option value='Job fair' >Job fair<\/option><option value='Social media' >Social media<\/option><option value='Website' >Website<\/option><option value='Services Qu\u00e9bec office' >Services Qu\u00e9bec office<\/option><option value='\u201cMy Finances, My Choices\u201d workshop' >\u201cMy Finances, My Choices\u201d workshop<\/option><option value='Other' selected='selected'>Other<\/option><\/select><\/div><\/div><div id=\"field_2_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"15850ace\" data-field-span=\"12\"><label id='gfield_label_2_26' class='gfield_label gform-field-label' for='input_2_26'><span class='gform-field-label__text'>Please specify<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_2_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_18\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"bf40a0df\" data-field-span=\"12\"><label id='gfield_label_2_18' class='gfield_label gform-field-label' for='input_2_18'><span class='gform-field-label__text'>Comments<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_2_18' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_21\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"48a53f19\" data-field-span=\"12\"><legend id='gfield_label_2_21' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Newsletter<\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_21.1' id='input_2_21_1' type='checkbox' value='1'   aria-labelledby=\"input_2_21_1_label gfield_label_2_21\"  aria-invalid=\"false\"   \/> <label id='input_2_21_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_21_1' ><span class='gform-field-label__text'>I would like to receive the newsletter<\/span><\/label><input type='hidden' name='input_21.2' value='I would like to receive the newsletter' class='gform_hidden' \/><input type='hidden' name='input_21.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_2_27\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--captcha-invisible gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"90135f4a\" data-field-span=\"12\"><div id='input_2_27' class='ginput_container ginput_recaptcha' data-sitekey='6Lede2UrAAAAAGaq4a0yls66gGHy8EflBSNSISqP'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_2' class='gform_button button gform-button--width-full' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Validate service request<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='uHi+7oCcdU5b89fOx9BWZ4lvy6qur6S1tswlAXufJODc\/pAeF57ZHSThwzwpFTvTTZ+O2qpg1TFG8eFgOib2kiLeAvNrfGHEV+iBXtOkeRZWdvg=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5f7f3d96 e-flex e-con-boxed e-con e-parent\" data-id=\"5f7f3d96\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-17578af e-con-full e-flex e-con e-child\" data-id=\"17578af\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-557420ae elementor-widget elementor-widget-image\" data-id=\"557420ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/03\/Fav-150x150.png\" class=\"attachment-thumbnail size-thumbnail wp-image-3017\" alt=\"\" srcset=\"https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/03\/Fav-150x150.png 150w, https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/03\/elementor\/thumbs\/Fav-r4bqvnycq8o2ijbw4we7ojgxdfvo3roc8tkgklf0v4.png 80w, https:\/\/gcsd.qc.ca\/wp-content\/uploads\/2025\/03\/Fav.png 300w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3ed2ae8 e-con-full e-flex e-con e-child\" data-id=\"3ed2ae8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-404f56a5 elementor-widget elementor-widget-heading\" data-id=\"404f56a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Our team will contact you to confirm your eligibility before proceeding.<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16f04b78 e-grid e-con-boxed e-con e-parent\" data-id=\"16f04b78\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6268eafa elementor-widget elementor-widget-spacer\" data-id=\"6268eafa\" 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