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<input type='text' name='input_8.6' id='input_8_8_6' value='' aria-label='Nom' aria-required="true" aria-invalid="false" />
<label for='input_8_8_6' >Nom</label>
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<input name='input_2' id='input_8_2' type='text' value='' class='large' aria-required="true" aria-invalid="false" />
</div></li><li id='field_8_3' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_3' >What province to you live in?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_8_3' class='large gfield_select' aria-required="true" aria-invalid="false"><option value='Alberta' >Alberta</option><option value='British Columbia' >British Columbia</option><option value='Manitoba' >Manitoba</option><option value='New Brunswick' >New Brunswick</option><option value='Newfoundland and Labrador' >Newfoundland and Labrador</option><option value='Northwest Territories' >Northwest Territories</option><option value='Nova Scotia' >Nova Scotia</option><option value='Nunavut' >Nunavut</option><option value='Ontario' >Ontario</option><option value='Prince Edward Island' >Prince Edward Island</option><option value='Quebec' >Quebec</option><option value='Saskatchewan' >Saskatchewan</option><option value='Yukon' >Yukon</option><option value='Other' >Other</option></select></div></li><li id='field_8_4' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_4' >Please specify...</label><div class='ginput_container ginput_container_text'><input data-inputname="please specify..." name='input_4' id='input_8_4' type='text' value='' class='large' aria-invalid="false" /></div></li><li id='field_8_5' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' >What are you most interested in to achieve career success?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_5'><li class='gchoice_8_5_0'><input name='input_5' type='radio' value='Licensing in your pre-immigration profession' id='choice_8_5_0' /><label for='choice_8_5_0' id='label_8_5_0'>Licensing in your pre-immigration profession</label></li><li class='gchoice_8_5_1'><input name='input_5' type='radio' value='Canadian education in your field' id='choice_8_5_1' /><label for='choice_8_5_1' id='label_8_5_1'>Canadian education in your field</label></li><li class='gchoice_8_5_2'><input name='input_5' type='radio' value='Career advancement/upskilling' id='choice_8_5_2' /><label for='choice_8_5_2' id='label_8_5_2'>Career advancement/upskilling</label></li><li class='gchoice_8_5_3'><input name='input_5' type='radio' value='Changing careers' id='choice_8_5_3' /><label for='choice_8_5_3' id='label_8_5_3'>Changing careers</label></li><li class='gchoice_8_5_4'><input name='input_5' type='radio' value='Relocating for better career opportunities' id='choice_8_5_4' /><label for='choice_8_5_4' id='label_8_5_4'>Relocating for better career opportunities</label></li></ul></div></li><li id='field_8_6' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' >Which of the following best applies to you?<span class='gfield_required'>*</span></label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_8_6'><li class='gchoice_8_6_0'><input name='input_6' type='radio' value='I am an immigrant' id='choice_8_6_0' /><label for='choice_8_6_0' id='label_8_6_0'>I am an immigrant</label></li><li class='gchoice_8_6_1'><input name='input_6' type='radio' value='I am a refugee/Protected Person' id='choice_8_6_1' /><label for='choice_8_6_1' id='label_8_6_1'>I am a refugee/Protected Person</label></li><li class='gchoice_8_6_2'><input name='input_6' type='radio' value='I work within the settlement sector' id='choice_8_6_2' /><label for='choice_8_6_2' id='label_8_6_2'>I work within the settlement sector</label></li></ul></div></li><li id='field_8_7' class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><style>
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.form-footer p { margin-bottom:12px !important; }
.form-footer a { display:inline-block; padding:5px; background-color:#71A850; border-radius:3px; color:#fff;}
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<div class="form-footer"><p>For additional career success information, please follow us on social media</p>
<p><a class="" rel="nofollow noopener noreferrer" title="Facebook" aria-label="Facebook" href="https://www.facebook.com/windmillcanada" target="_blank" data-kmt="1"><i class="lsicon lsicon-facebook"></i></a> <a class="" rel="nofollow noopener noreferrer" title="LinkedIn" aria-label="LinkedIn" href="https://www.linkedin.com/company/windmill-microlending/" target="_blank" data-kmt="1"><i class="lsicon lsicon-linkedin"></i></a> <a class="" rel="nofollow noopener noreferrer" title="Twitter" aria-label="Twitter" href="https://www.twitter.com/windmillcanada" target="_blank" data-kmt="1"><i class="lsicon lsicon-twitter"></i></a> <a class="" rel="nofollow noopener noreferrer" title="YouTube" aria-label="YouTube" href="https://www.youtube.com/channel/UCu05FSusXmwZcb41MQGQJ6g?feature=emb_ch_name_ex" target="_blank" data-kmt="1"><i class="lsicon lsicon-youtube"></i></a></p></li><li id='field_8_9' class='gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_8_9' >Comments</label><div class='ginput_container'><input name='input_9' id='input_8_9' type='text' value='' /></div><div class='gfield_description' id='gfield_description_8_9'>Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.</div></li>
</ul></div>
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