For more information, please contact Alexandra Plouffe, Coordinator, Family Services: alexandra.plouffe@leucan.qc.ca

Please make sure to fill in all the required fields.
A confirmation message will appear on the screen once the form is submitted.
You will receive a confirmation email a few minutes after submitting the form; please check your junk mail.


Application Form – Jocelyn-Demers Award 2025

This form must be filled out by the young Leucan member who is applying for this award.

Name(Required)
Confirmation of your participation and important information about the award will be sent to this address.

Documents required to complete your application

Max. file size: 50 MB.
Max. file size: 50 MB.
Testimonials can be presented in French or English, in one of two ways: a text of a maximum of three (3) pages on 8 ½” x 11″ double-spaced paper using an Arial 10 type font (it can be written in French or English) OR a video of a maximum of 3 minutes.

Leucan Donate