Newcomer Youth Referral Application
Please do your best to provide the most accurate and up-to-date information as possible. 

WHO SHOULD COMPLETE THIS FORM?
Parents/guardians or a worker from an organization currently involved with the newcomer youth (e.g. health practitioner, school board, etc).

NEWCOMER YOUTH CRITERIA (all of the following requirements must be met):
- not a Canadian citizen
- living in Canada for 10 years or less
- between the ages of 6 and 15.

THE MATCHING PROCESS
The match with a volunteer is based upon common interests, compatibility and close proximity to one another. The Peer Project strives to promote diversity. We ask your cooperation in adhering to our Access & Equity Policy (which can be obtained upon request).

Email address *
I have read Google's Privacy & Terms policy (https://www.google.com/policies/), and understand that all the information I provide is confidential, subject to this policy *
Required
I am aware that this is the application for making a referral of a "Newcomer Youth." *
Required
To refer a Canadian Citizen Youth instead, follow this link:
Today's Date *
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How did you first hear about The Peer Project? *
Required
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