Youth Culture One-On-One Career Counselling Participation and Consent Form

Application and Consent

Thank you for your interest in Youth Culture programs!

Youth Culture is engaged in various initiatives to provide youth opportunities for professional development and careers.

Youth Culture is proud to be a part of the Ontario Ministry of Labour, Training and Skills Development program reaching young people across Ontario with professional development and career exploration including workshops, events, and career counselling.

Youth Culture is required to closely track the engagement and participation of our programs for the Ontario Ministry of Labour, Training and Skills Development, and collect information as indicated on the Skills Development Fund (SDF) Participant Registration Form.

Youth Culture’s Skills Development Program will be evaluated on participation, engagement, and impact.

If you have any questions or comments about Youth Culture Skills Development programs, please reach out directly to me.

Sincerely,

Kim Cooper

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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. Date of birth (MM/DD/Year)

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* 5. 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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* 6. 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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* 7. What's your mailing address?

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *