Program Application

Thank you for your interest in Get Active! Applications are being accepted until August 31, 2022 at 11:59 p.m.

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* First and Last Name

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* Phone Number

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* Email

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* Home Address

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* Age

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* What are your pronouns? (Click all that apply)

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* Are you an immigrant to Canada?

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* Year of immigration (if applicable)

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* Choose the following statement that best describes you:

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* In 300 words or less, please describe why you want to join the Get Active! program. What barriers prevent you from participating in physical activity? What are you hoping to get out of the program? (Answering this question is optional, but will help us in the application process.)

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* Have you participated in UNA's Get Active program previously?

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* Are you available for the mandatory orientation session on September 7 from 6-8 p.m.?

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* I understand I must submit a passing PAR-Q+ form or have medical clearance from a qualified exercise professional to be able to participate in the program.

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