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Get Active! Physical Literacy for Women 2023
Program Application
Thank you for your interest in
Get Active!
Applications are being accepted until August 27, 2023 at 11:59 p.m.
OK
*
First and Last Name
(Required.)
Preferred name?
*
Phone Number
(Required.)
*
Email
(Required.)
*
Home Address
(Required.)
*
Are you between the ages of 19-55 years?
(Required.)
Yes
No
Other (please specify)
*
What are your
pronouns
? (Click all that apply)
(Required.)
She/her/hers
They/them/theirs
Other (please specify)
*
Are you an immigrant to Canada?
(Required.)
Yes
No
Year of immigration (if applicable)
*
What is your cultural background?
(Required.)
African
European
East Asian
South Asian
South East Asian
First Nations or Indigenous
Hispanic or Latinx
Middle Eastern
Prefer not to answer
Other (please specify)
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 helps in the application process.)
*
Have you participated in UNA's Get Active program previously?
(Required.)
Yes
No
*
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.
(Required.)
Yes
Current Progress,
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