Youth Culture Inc. Career Coaching Participation and Consent Form 2023

Application and Consent

Thank you for your interest in Youth Culture programs!

Please register for a Career Coaching session with us. We will help open your eyes to new opportunities and career paths, direct you to useful resources, and brainstorm ways you can gain experience today for your future tomorrow.

Please note that we need parental permission to participate in this program if you're under the age of 18. Alternatively, your parent/guardian are welcome to attend the session.

Thank you!

the Youth Culture Team

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* 1. What's your first name?

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* 2. What's your last name?

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* 3. I identify as:

Man

Woman

Transgender

Gender non-binary

Two-spirit

Another gender Identity

Prefer Not to Say

I do not know

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* 4. What level of education are you at?

Grade 12

Grade 11

Grade 10

Grade 9

First year of College of University

Second year of College or University

Third year of College or University

Graduated College or University

In the workforce

Other (please specify)

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* 5. Do you self-identify as a member of a designated group listed below?

Newcomer

Racialized Person

Person with a Disability

First Nations

Métis

Other (please specify)

None of the above

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* 6. What's your mailing address?

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 7. When are you available for your session?

Weekdays

Weeknights

Weekends

Youth Culture Inc. Career Coaching Participation and Consent Form 2023

Application and Consent

Question Title

* 1. What's your first name?

Question Title

* 2. What's your last name?

Question Title

* 3. I identify as:

Question Title

* 4. What level of education are you at?

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* 5. Do you self-identify as a member of a designated group listed below?

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* 6. What's your mailing address?

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* 7. When are you available for your session?

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* 8. Why are you interested in Career Coaching?