Thank you for your interest in attending the Young Leaders Summit taking place on March 9 and 10 (2018) at the CNIB Community Hub in Toronto. 
 
Please complete the registration form below and we will be in touch with more details about the event as the event date nears.

Contact Information:

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* 1. Contact Information:

In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 2. In what year were you born? (enter 4-digit birth year; for example, 1976)

Education: Are you a student? If yes, where do you attend school and what are you studying?

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* 3. Education: Are you a student? If yes, where do you attend school and what are you studying?

Employment: What is/was your current or last held job?

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* 4. Employment: What is/was your current or last held job?

What volunteer roles have you held?

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* 5. What volunteer roles have you held?

Did you attend the 2016 National Young Leaders Summit?

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* 6. Did you attend the 2016 National Young Leaders Summit?

Have you participated in any Foundation Fighting Blindness events in the past?

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* 7. Have you participated in any Foundation Fighting Blindness events in the past?

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