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Burnaby North-Seymour Youth Council Application Form
Open to all youth in the BNS riding between the ages of 15-24 years. It is an excellent opportunity to get volunteer hours, build your resume, gain work experience, network with government and community stakeholders and better the community. If you have questions, please get in touch with
julie.astley.802@parl.gc.ca
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Email
*
Your email
What is your First Name?
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Your answer
What is your Last name?
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Your answer
What is your mailing address? street, city, province, postable code
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Your answer
What is your phone number?
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Your answer
What is your birth date? (MM/DD/YY)
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Your answer
Are you a returning member? If so, you don't have to fill out the rest of the questions! Welcome back :)
Yes
No
Clear selection
If you attend an educational institution, what level of education are you in?
High School
College
University
I do not attend any educational institution
Other:
Clear selection
What is your school's name?
Your answer
Why do you want to join the Youth Council? 200words max.
Your answer
Are you able to attend our monthly Tuesday Evening meetings? Or our Saturday Events?
Yes
No
Clear selection
Issue and areas of interest: (check all that apply)
Environment and climate change
Immigration, Refugees, and Citizenship
Education
Healthcare
Electoral reform and civic engagement
Poverty and economic empowerment
Issues of marginalization
Foreign Affairs
Infrastructure
Local community engagement
Innovation
Public Safety
Other:
What kind of activities or experiences are you hoping to gain from the CYC?
Your answer
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