The E3 Challenge Application Form 2017
General Information
Challenge Duration:
- July 2 - Aug. 20 (6 weeks)
- Approximately 5 hours of commitment per week (outside of mandatory events)
- Most meetings and presentation dates scheduled on weekends


*All applicants, mentors, and Peer Advisors are required to email a copy of their current resume to e3challenge@power-unit.org

Name *
Ex. Jane Doe
Your answer
Email *
Your answer
Gender *
Application Date *
MM
/
DD
/
YYYY
Age *
Your answer
Address: Include unit number if applies (ex. 111- 11 Rainbow Drive) *
Why do we need this? (To better group you with participants who live in the same area.)
Your answer
City, Province, Postal Code *
ex. Toronto, Ontario, M1K 1E1
Your answer
Home Phone Number *
ex. (123)-456-7890
Your answer
Cell Phone Number *
Your answer
Language Fluency *
Required
Education *
Ex. High school - Grade 12 / University - Year 2
Your answer
School / Employer *
Your answer
Subject of Study/ Major *
Your answer
Position Applying For: *
If applying to more than one position, please indicate in text box below.
If applying to more than one position, please write them here.
Your answer
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