National Young Leaders Summit (2018): Registration

Thank you for your interest in attending the Young Leaders Summit taking place on March 9 and 10 (2018) at the CNIB Community Hub in Toronto.

Please complete the registration form below and we will be in touch with more details about the event as the event date nears.

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* 1. Contact Information:

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 3. Education: Are you a student? If yes, where do you attend school and what are you studying?

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* 4. Employment: What is/was your current or last held job?

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* 5. What volunteer roles have you held?

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* 6. Did you attend the 2016 National Young Leaders Summit?

Yes

No

Other (please specify)

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* 7. Have you participated in any Foundation Fighting Blindness events in the past?

Yes

No