Newcomer Youth Referral Application
Please do your best to provide the most accurate and up-to-date information as possible.
WHO SHOULD COMPLETE THIS FORM?
Parents/guardians or a worker from an organization currently involved with the newcomer youth (e.g. health practitioner, school board, etc).
NEWCOMER YOUTH CRITERIA (all of the following requirements must be met):
- not a Canadian citizen
- living in Canada for 10 years or less
- between the ages of 6 and 15.
THE MATCHING PROCESS:
The match with a volunteer is based upon gender, common interests, compatibility and location / proximity to one another. Youth Assisting Youth strives to promote diversity. We ask your cooperation in adhering to our Access & Equity Policy (which can be obtained upon request).
I have read Google's Privacy & Terms policy (
), and understand that all the information I provide is confidential, subject to this policy
Yes, I accept
No, I do not accept
I am aware that this is the application for making a referral of a "Newcomer Youth."
To refer a Canadian Citizen Youth instead, follow this link:
How did you first hear about Youth Assisting Youth?
Colleague or Employer
I was informed about the program by Youth Assisting Youth's Outreach Coordinator
I was informed about the program by another employee of Youth Assisting Youth
I do not remember – I have known about Youth Assisting Youth for a long time
Page 1 of 6
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service