SOCIAL CHANGE PROGRAMS FOR YOUTH
APPLICATION FORM

Sign up today to confirm your spot in next year’s program.


 

We are currently accepting applications for the 2019/ 2020 school year. We are currently accepting applications for the 2019/ 2020 school year. The next program launch date is August 21st, 2019. To apply, candidates must:

  • Fill out the application form below

  • Wait for your acceptance letter to be e-mailed to you with instructions regarding next steps.

  • To confirm your spot, students must pay a $30.00 CAD refundable registration fee (amount refunded upon completing term objectives).
    *We will waive the registration fee for students where it stops students from participating. Please e-mail info@createchangenow.ca to request the sign-up fee to be waived.

 

APPLICATION FORM

BASIC INFORMATION
Name *
Name
Phone *
Phone
What education will you be pursuing throughout the 2019/ 2020 school year? (i.e.: Grade 11, 2nd year university, etc.)
PARENT/ GUARDIAN INFORMATION
Parent/Guardian Name *
Parent/Guardian Name
Parent/ Guardian Phone Number *
Parent/ Guardian Phone Number
ABOUT YOU
What course are you interested in completing? *
Be honest. We want to know the real reason you are filling out this application form. What do you want to learn? How do you hope to grow? What impact do you want to have in the world?
What makes you unique? What are your interests and hobbies? What would your best friends and your biggest enemies say about you?
What do you stand to gain from participating in the program? How do you hope to grow? How do you think this program could affect your future?
What is your secret super hero ability? What can you bring to this program that no one else can? What kind of impact do you think you have the potential to make?