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Get Active! Physical Literacy for Women - 2022 Application
Program Application
Thank you for your interest in
Get Active!
Applications are being accepted until August 31, 2022 at 11:59 p.m.
OK
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First and Last Name
(Required.)
*
Phone Number
(Required.)
*
Email
(Required.)
*
Home Address
(Required.)
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Age
(Required.)
*
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)
*
Choose the following statement that best describes you:
(Required.)
I have no previous experience with health and fitness and would like to learn more about living a physically active lifestyle.
My health and fitness experience is limited to Physical Education in high school. I would like to learn more about living a physically active lifestyle as an adult.
I participated in sports and physical activities when I was younger, but have since stopped. I would like to return to living a more physically active lifestyle.
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 is optional, but will help us in the application process.)
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Have you participated in UNA's Get Active program previously?
(Required.)
Yes
No
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Are you available for the mandatory orientation session on September 7 from 6-8 p.m.?
(Required.)
Yes
No
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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
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