{"id":1774,"date":"2025-05-15T16:36:17","date_gmt":"2025-05-15T21:36:17","guid":{"rendered":"https:\/\/staging5.nsd.tech\/?page_id=1774"},"modified":"2025-05-15T16:38:41","modified_gmt":"2025-05-15T21:38:41","slug":"bcfc-ncmi-adult-consent","status":"publish","type":"page","link":"https:\/\/staging5.nsd.tech\/es\/bcfc-ncmi-adult-consent\/","title":{"rendered":"BCFC NCMI Adult Consent"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e1774-e1 m1da-0\"><div class=\"x-row x-container max width e1774-e2 m1da-1 m1da-2\"><div class=\"x-row-inner\"><div class=\"x-col e1774-e3 m1da-3 NsdSpacerSmallAll\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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Form<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_406' id='gform_406'  action='\/es\/wp-json\/wp\/v2\/pages\/1774' data-formid='406' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_406' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_406_16\" class=\"gfield gfield--type-text gfield--width-quarter CLIENT_UNQCODE exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_406_16'>GUID<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_406_16' type='text' value='' class='large'   tabindex='1'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_406_17\" class=\"gfield gfield--type-text gfield--width-quarter exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_406_17'>reqCode<\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_406_17' type='text' value='' class='medium'   tabindex='2'   aria-invalid=\"false\"   \/><\/div><\/div><div data-fieldId=\"17\" class=\"spacer gfield\" style=\"grid-column: span 6;\" data-groupId=\"ae57b52e\"><\/div><div id=\"field_406_18\" class=\"gfield gfield--type-email gfield--width-third F_413 exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gpev-field\"  data-field-class=\"gpev-field\" ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_406_18'>userEmail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_18' id='input_406_18' type='email' value='' class='large' tabindex='3'    aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_406_19\" class=\"gfield gfield--type-text gfield--width-third ACTOR_TYPE exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_406_19'>GUTYPE<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_406_19' type='text' value='' class='medium'   tabindex='4'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_406_15\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full START_DATE exclude field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_406_15'>Submission Date (Admin Only)<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_15' id='input_406_15' type='text' value='26\/04\/2026' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='5'  placeholder='dd\/mm\/aaaa' aria-describedby=\"input_406_15_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_406_15_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_406_15' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_406_11\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>I, do hereby consent to the Bilal Community and Family Centre Newcomer Community Mobilization Initiative releasing and\/or disclosing personal information related to myself to the participating agencies as listed below.<\/p>\n\n<h3>PARTICIPATION AGENCIES<\/h3>\n<p>Participating agencies include Winnipeg School Division, Winnipeg Regional Health Authority,\nManitoba Justice, Winnipeg Police Service, City of Winnipeg, General Child, and Family Services Authority (GA), Manitoba Housing, Employment, and Income Assistance (EIA), Child and Youth Services, Department of Families, Aurora Family Therapy, Victim Service, Probation Service, and newcomer community-based umbrella organizations such as Ethno-Cultural Council of Manitoba (ECCM), MANSO etc.<\/p>\n\n<p>I am consenting to the disclosure of this information to the participating agencies to allow for collaborative planning for myself pursuant to the Bilal Community and Family Center\nNewcomer Community Mobilization Initiative for the purpose of:<\/p>\n<ul style=\"padding-left: 50px; list-style-type: circle;\">\n  <li>Early identification of risk factors and\/or barriers to safety, stability, and success<\/li>\n  <li>Coordination of multi-agency case planning for children, youth, and families<\/li>\n  <li>Mobilization of public and\/or private, community and family support<\/li>\n  <li>Navigational support<\/li>\n  <li>Proactive planning to reduce crisis and crisis intervention and support.<\/li>\n<\/ul>\n<p><strong>I am also agreeing to the following:<\/strong><\/p>\n<ul style=\"padding-left: 50px; list-style-type: circle;\">\n<li>\nTo enter the program with the intention of working toward safety, stability, and success.\n<\/li>\n<li>To be respectful of Program Saff if I am unable to keep my appointments or, if there are barriers that impact my ability to follow the plan(s) created with my support team.<\/li>\n<\/ul>\n\n<p><strong>I understand the following:<\/strong><\/p>\n<ul style=\"padding-left: 50px; list-style-type: circle;\">\n  <li>I understand that the risk of self-harm or harm to another will be reported.<\/li>\n<li>I know that I can withdraw my consent at any time by calling the staff of the Bilal Community and Family Centre.<\/li>\n  <li>Information about the BCFC project, the process, and the role of the hub has been provided to me.<\/li>\n  <li>I authorize the sharing of personal (including where necessary personal health) and individual\/family information amongst Hub members as outlined above.<\/li>\n<\/ul>\n\n<p>This consent is valid for 356 days from the date I sign this document and, I understand that I can withdraw this Consent in writing at any time and I may do so by contacting the Bilal Community and Family Center Newcomer Community Mobilization Initiative program coordinator at 204-880-2483.<\/p>\n<\/div><div id=\"field_406_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">My information<\/h3><\/div><div id=\"field_406_7\" class=\"gfield gfield--type-text gfield--width-five-twelfths FIRST_NAME gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_406_7'>My Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_406_7' type='text' value='' class='large'   tabindex='6'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_406_9\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-seven-twelfths DATE_BIRTH gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_406_9'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_9' id='input_406_9' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon' tabindex='7'  placeholder='dd\/mm\/aaaa' aria-describedby=\"input_406_9_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_406_9_date_format' class='screen-reader-text'>DD barra MM barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_406_9' class='gform_hidden' value='https:\/\/staging5.nsd.tech\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_406_3\" class=\"gfield gfield--type-signature gfield--width-five-twelfths F_402 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_406_3'>My Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><input type='hidden' value='' name='input_3' id='input_406_3_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_406_3_Container' 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