Urban Indigenous Youth Leadership Program

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Thanks for your interest in ALIVE’s Urban Indigenous Youth Leadership Program!

Please take a few minutes to fill out the form below so we can learn a bit about you and follow-up. The information you share will be kept confidential and is only used for program planning and required funding reporting (submitted anonymously).

We welcome youth to join the program on an ongoing basis and regularly connect with new participants as cohorts open. We’ll continue inviting youth into the program until it wraps up in March 2027. Completing this form doesn’t automatically place you in the program — instead, one of our Cohort Leaders will reach out to connect, answer your questions, and talk together about whether the program feels like a good fit for you.

If you have any questions along the way, feel free to reach out to us at admin@alivesociety.ca. We’re glad you’re here and look forward to connecting with you.

Full Name (as it appears on ID you use for travel) *

Email Address *

Phone Number *

Preferred Contact Method *

Phone

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Home Address *

Home & Street, City, and Postal Code

Birthdate *

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Gender *

Female

Male

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Prefer not to disclose

Please provide details on any dietary restrictions, medical allergies, or special accommodations

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