As required by the Law, the Société Elizabeth Fry du Québec must obtain your consent to collect your personal information.This information is essential improve our services and tailor our interventions with you.The information collected included :your identity;your physical and mental health;your sentence;your family situation;your financial situation;your academic situation. Your information will be collected from:the exchanges we'll have with you;the forms you'll be asked to fill in;reports from correctional services.Without this information, we won' be able to support you properly or meet our contractual obligations.If necessary, we will share some of your information with provincial and federal correctional services. Please note that only the strictly information required will be shared. I, undersigned, confirm that I have read this form and the attached appendix. Their contents have been explained to me. I consent to the collection, use and retention of my information as outlined in the form and appendix. Full Name Email address Signature Use your cursor or, on touch screens, your finger and sign in the box above. Date APPENDIXWhy do we collect your personal information?We need your information to improve our services and adapt our interventions. Thanks to your information, we can:Adapt our interventions to your situation in order to help and support you in your social reintegration process;Develop services and projects that truly meet your needs and those of other people involved in the justice system;Meet the requirements of the government and organizations that fund these services and projects.Your rightsYou can request:consult the personal information we hold about you;correct your information if it is inaccurate or out of date;withdraw your consent to our use of your personal information.Your request must be made in writing and submitted to the person responsible for personal information, whose contact information appears below. There might be circumstances where we must refuse your request. In this case, we will provide you with an explanation of our refusal.Retention and destruction of your personal informationWe keep your information for as long as it takes to fulfill the purposes for which it was collected, unless otherwise required by lawOnce the objectives have been met, we destroy your personal information. Only statistics or reports containing de-identified and anonymized data may be kept for extended periods.Person responsible for personal informationThe person responsible is Mrs Aleksandra Zajko. You can contact her if you have any questions about the processing of your personal information. Here are her contact details:Telephone: 514-489-2116Fax: 514-489-2598Email: admin@elizabethfry.qc.ca Address: 5105 Côte Saint-Antoine road, Montreal, Quebec H4A 1N8 Submit