Thank you for registering to participate in the youth 2020 program. We are collecting information to learn more about youth in general. Your answers below will be shared with answers from other youth and your identity will not be protected. You can share your contact information if you choose so that program evaluators can follow up with a survey each year. Do you consent to share your contact information with the program evaluators? *
Required
As of today, are you 19 or older, the age of majority in British Columbia? *
Choose
Yes
No
I want to volunteer in the program through one of the following groups: *
Choose
Volunteer Victoria (Greater Victoria)
Volunteer Cowichan (Cowichan Valley)
Volunteer Nanaimo (Nanaimo)
Southern Gulf Island Community Resources Centre (Gulf Islands)
Wachiay Friendship Centre (Courtney/Comox)
Volunteer Powell River (Powell River)
What is your first given name (e.g. Sam) and your surname last name (e.g. Woods) *
Your answer
What is your home Address, City, Province, and Postal Code *
Your answer
What is your phone number? We typically contact youth via email or text but in case of an emergency we request a phone number (000-000-0000) *
Your answer
What is your age? *
Choose
15 - 19 years
20 - 24 years
25 - 29 years
None of the Above
Is this the first time you have participated in a Youth Program funded by the Government of Canada Youth Corps Program *
Required
Are you a newcomer to Canada, within the last 5 years? *
Required
Is the place where you live rural or remote? *
Required
What is your highest level of education? *
Required
What is your official language preference? *
Required
What is your gender? *
Required
Do you identify as 2SLGBTQI+ ? (LGBTQ2: lesbian, gay, bisexual, transgender, queer, and two-spirit individuals, as well as any other sexual or gender identity not listed)
*
Required
Do you identify as part of a visible minority or racialized group? (The Employment Equity Act defines visible minorities as 'persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour.' The term racialized is becoming more widely used because it acknowledges the fact that the barriers youth face are rooted in the historical and contemporary racial prejudice of society. *
Required
If yes, from which visible minority or racialized group or groups?
*
Required
Do you identify as a person with a disability? Self-identifies as having a disability which includes: agility, hearing, mental health, developmental, intellectual, visual, motor skills, speaking, learning. *
Required
Do you identify as Indigenous? Self-identifies as Inuit, Métis, First Nation *
Required
If yes, from which Indigenous group? *
Required
Are you from an Official Language Minority Community? (OLMC): Either a French-speaker or French-speaking population living outside of Quebec, where English is predominant, or an English-speaker or English-speaking population living in Quebec, where French is predominant. *