Youth Culture Inc. Interview Practice Participation and Consent Form 2023

Application and Consent

Thank you for your interest in Youth Culture programs!

Please register for an Interview Practice session with us. We will help you prepare for interviews, practice sharing your experience, and making the most out of opportunities.

Please note that we need parental permission to participate in this program if you're under the age of 18. Alternatively, your parent/guardian are welcome to attend the session.

Thank you!

the Youth Culture Team

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* 1. What's your first name?

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* 2. What's your last name?

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* 3. I identify as:

Man

Woman

Transgender

Gender non-binary

Two-spirit

Another gender Identity

Prefer Not to Say

I do not know

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* 4. What level of education are you at?

Grade 12

Grade 11

Grade 10

Grade 9

First year of College of University

Second year of College or University

Third year of College or University

Graduated College or University

In the workforce

Other (please specify)

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* 5. Do you self-identify as a member of a designated group listed below?

Newcomer

Racialized Person

Person with a Disability

First Nations

Métis

Other (please specify)

None of the above

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* 6. What's your mailing address?

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 7. When are you available for your session?

Weekdays

Weeknights

Weekends

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* 8. Why are you interested in Interview Practice? (Upcoming interview? Future career prep? Other?)

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* 9. If under 18, do you have your parents' permission to participate in this program?

Yes

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* 10. Parental contact if under 18

Email Address