MARKETING FOR CHANGE
ApPlICATION FORM

Our next launch date is for our Vancouver chapter, on January 12th, 2018.

 

To apply to this program please fill out the form below and we will get back to you shortly.  Application deadlines for the 2017 - 2018 school year is December 21st. Interviews before the program launches on January 12th, 2018.

 

APPLICATION FORM

BASIC INFORMATION
Name *
Name
Phone *
Phone
Your grade for the 2017 - 2018 school year
PARENT/ GUARDIAN INFORMATION
Parent/Guardian Name *
Parent/Guardian Name
Parent/ Guardian Phone Number
Parent/ Guardian Phone Number
ABOUT YOU
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 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?