CYC 2018-2019 - Application Form
Fleetwood - Port Kells Constituency Youth Council is an opportunity to have your voice heard on policy and issues facing Canada.

To be considered for Fleetwood - Port Kells 2018-2019 Constituency Youth Council, you must be aged 14 - 26 and be willing to commit to attending meetings and preparing for projects.

Please complete and submit by October 22, 2018

If you have any questions or concerns, do not hesitate to reach out to ken.hardie@parl.gc.ca

Full Name: *
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Birth date: *
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Address: *
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Phone number: *
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Email: *
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Are you a returning member of CYC? *
Do you identify as a member of an under-represented community? Please specify which community.
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