Vancouver Quadra Constituency Youth Council Application (2018-2019)
Please submit your application no later then September 21st, 2018. The age eligibility range is grade 9 to 12 students. If you have any questions, please contact joyce.murray.c1a@parl.gc.ca. For more information visit: facebook.com/vqcyc
What is your name? (lastname, firstname) *
Your answer
What is your address? (including postal code) *
Your answer
What is your email? *
Your answer
What is your phone number? (Cell is preferred) *
Your answer
What is your gender? (optional)
When is your birthday? *
MM
/
DD
/
YYYY
What grade are you in? (As of September 2018) *
What school do you attend? *
Your answer
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