Community Change Project

1. Application

Once you have completed this application, Student Lead(s) must forward their resume to ebranje@communitylivingontario.ca to complete the application process.

Thank you for your application.

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* 1. Change Project Title

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* 2. Student Project Lead #1 Profile
Please Include the following information
First and Last name
Age
Email
Cell and Home Phone Number (please specify)
Your location (city/town)
School Name
Grade

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* 3. Student Project Lead #2 Profile (if applicable)
Please Include the following information
First and Last Name
Age
Email
Cell and Home Phone Number (please specify)
Your location (City/Town)
School Name
Grade

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* 4. What school board is your school affiliated with?

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* 5. Please list the other student members of your team. (Minimum of 3 students (including project leads) on a team is required.

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* 6. Name and Title of Adult Allies
Each project requires an adult ally(ies) that can connect students to both their community and their school.Only one adult ally is required for a Change Project Application. However, in order to meet the needs of a Change Project, two adult allies may be required. (One connected closely to the community and one closely connected to the school). An application will be considered stronger if it can be demonstrated that project allies are strongly connected to both the school and community at large. For the purpose of this application, only one Adult Ally needs to provide contact information at this time.

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* 7. What connections (to individuals, clubs, initiatives, the community) have you made in your school and community that would support an inclusion project's success?

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* 8. What is your plan to improve the quality of inclusion in your school ? What activities do you plan to include in your project? Explain in as much detail as you can.

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* 9. Why are you interested in working for Community Living Ontario's Re:Action4Inclusion Youth Initiative?

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* 10. Please include an estimated list of expenses your project would incur and provide a total budget sum for your project. Estimate as best as you can.

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100% of survey complete.