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Application for "
Empowering Future Leaders
"
Date & Time: Saturdays from 10:00a.m - 1:00pm, Starting May 27th, 2023
Address: Townline Muslim Centre - 1170 Townline Rd, Cambridge, N1T 2G3
Contact us at:
courses@townlinemuslimcentre.ca
Note: This workshop is for young women ages 15-25
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First and Last Name
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Email Address
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Phone Number
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Date of Birth
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Your Age group
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15 - 20 years
21-25 years
Home Address
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School or College/University Name (if applicable)
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Current Occupation or Position (if applicable)
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Student
Employed
Self Employed/Business Owner
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Homemaker
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Current Industry or Field of Study (if applicable)
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Leadership Experience (if any)
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Reasons for attending this workshop
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Dietary restrictions or allergies
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None
Nut-free
Gluten-free
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Emergency Contact Name and Phone Number
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Please state if there are any special accommodations needed?
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Can you commit to attending the workshop every week at Saturdays from 10:00a.m to 1:00pm?
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Yes, I am able to attend the workshop every week at the specified timings.
No, I cannot commit to attending the workshop every week at the specified timings.
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Parent's Name and phone number (if under 18)
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