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* 1. At what email address would you like to be contacted? Please note that due to high volume of applications and our preferred method of contact is through email.

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* 2. Phone number 

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* 3. Please provide your full legal name:

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* 4. Preferred Pronouns

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* 5. Date of birth (Year, Month, Day)

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* 6. What is your street address? (Street number and name, Apt./Unit #, Postal Code, and City)

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* 7. Are you eligible to work in canada?

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* 8. Are you currently looking for work?

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* 9. What is your current status in Canada?

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* 10. How did you hear about us?

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* 11. Country of origin (for statistical purposes only)

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* 12. Do you require any special accommodations?

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