Section A: About You

Thank you for your interest in YouthREX’s Critical Youth Work (CYW) Certificate. Please complete your application by Wednesday, December 11, 2019.

Please note, currently employed applicants are required to have approval from their organizations to participate in the certificate to avoid scheduling conflicts between work and class time.

We will review all the applications and get back to you with an application decision by Friday, December 13, 2019. Please note that space is limited and priority will be given to front-line youth workers. Information provided will only be used for the purpose of this certificate unless you indicate otherwise.

If you have any questions please email us at learn@youthREX.com

To learn more about this online certificate, visit our website!

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Which of the following best describes your current role? Please choose one.

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* 6. How long have you been working in the youth sector?

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