You must have JavaScript enabled to use this form.contact section Last Name First Name Preferred Name Traditional Name (optional) Email Alternate Email Mobile Number (able to receive SMS messages) Secondary Contact Phone Number basic contact Address This field is required. Address 2 City/Town This field is required. Province This field is required.- Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandSaskatchewanNortrh West TerritoriesYukonNunavut Postal Code This field is required. Date of Birth Do you Self-Identify As An Indigenous Person?radio_status Yes No If you answered yes, Do you identify as: First Nations Métis Inuit Indigenous Community (optional): GenderGender Male Female Non-Binary Choose not to disclose Statement of Interest statement Please complete a statement or provide a link to a short video (1 minute or less) about why you would like to attend the Indigenous Youth Career Camp. signoff STUDENT SIGNATURE (Sign Here) This field is required. Sign above signature date This field is required.Please complete every section, with all signatures where indicated.
