EPYC 2017: Student Application
The Volunteer Action Centre KW & United Way Cambridge and North Dumfries are excited to offer this unique opportunity for high school students to earn community involvement hours by participating in our EPYC2017: Inspire Action events. We thank you for your interest!

You will develop leadership skills, learn about your community, and even have a chance to create a project idea to help an issue in our community!

Remaining Event times are: Waterloo (May 13) & Cambridge (May 6 & 27).
If you have any questions you can contact Lily at lily@volunteerkw.ca or 519-742-8610 or Karli at karli@uwcambridge.on.ca or 519-621-1030 x 226.

Email address
First and Last Name
Your answer
Which cohort are you applying to?
School
Your answer
Grade
From the list provided, chose TWO topics that you'd like to help make a difference in.
Which community cause are you interested in learning more about and doing activities on? During Part 2 of the conference you will be put in a group based on your Area of Interest and together you and your group will create an exciting idea to support that cause.
Required
How do you inspire action in your community?
Your answer
Please list any relevant job or volunteer experience (community or in school):
If none, put NA
Your answer
Would you like to be considered for the Youth Leader Credit?
In a nutshell: Youth Leader Credit provides students an opportunity to be a leader at the events, earn additional volunteer hours, and upon successful completion of tasks: receive a PREB-O certificate and a Letter of Reference. By checking "Yes" you will receive more details on how to be eligible for this Credit.
Required
Communication Contacts
Please provide one personal and one teacher contact that we can reach out to with program details, and in the event of an emergency.
Personal contact (Name, Relationship, Phone and Email)
Your answer
Teacher contact (Name, School, Class, and Email)
Your answer
Please complete the captcha before submitting the form.
Submit
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