HomeMy WebLinkAboutOCDSB 016 OCISO MLO Request Form
Ottawa Community Immigrant Services Organization
Organisme Communautaire des Services aux Immigrants d’Ottawa
EXTERNAL REQUEST FOR MULTICULTURAL LIAISON OFFICER (MLO) ASSISTANCE
Please e-mail the completed form to Marie Libot at mlibot@ociso.org or fax to (613) 288-2674. You may contact Marie at (613) 725-0202 ext. 353
for more information, and OCISO will respond to you as quickly as possible.
DATE SUBMITTED:
PERSON MAKING THE REQUEST
Name: Position:
School:
Phone: Fax No.: E-mail:
REASON(S) FOR REQUEST?
LANGUAGE(S) / SERVICES REQUIRED?
DOES THE FAMILY/CLIENT AGREE TO HAVE AN INTERPRETER?
Yes No
SHOULD THE MLO CONTACT THE FAMILY/CLIENT?
Yes No
FAMILY INFORMATION
Name:
Phone Numbers (Day and Night):
E-mail:
STUDENT INFORMATION
Name: Gender: M F Grade:
INFORMATION FOR THE MLO, SCHOOL AND THE FAMILY
Date of Meeting: Location of Meeting:
Who will be present at
the meeting:
Education Act
The personal information on this form is collected under the authority of the and will be used to process MLO assistance requests. Questions
regarding the collection of this information should be directed to OCISO.
FOR OFFICE USE ONLY
HOURS:
MLO:
OCISO Main Office/Siège Social Administration d’OCISO Administration OCISO LINC-South / Sud OCISO LINC East / Est
959 rue Wellington St. West, 945 rue Wellington St. West, 1800 rue Bank St.
225-225 rue Donald St.
Ottawa, ON. K1Y 2X5 Ottawa, ON. K1Y 2X5. Ottawa, ON. K1V 0W3 Ottawa, ON. K1K 1N1
Tel: (613) 725-0202 Tel: (613) 725-0202 Tel: (613) 249-9634 Tel: (613) 741-1368
Fax: (613) 725-9054Fax: (613) 288-2674 Fax: (613) 249-9642 Fax: (613) 688-2090
E-mail: info@ociso.org Web site: www.ociso.org