Name:
Sex:
Social Insurance Number:
Address:
Phone (with area code):
PARENTS: Parent 1 – Name, Email and Phone Number
PARENTS: Parent 2 (if applicable) – Name, Email and
Phone Number
Siblings (Names & ages of each):
Home Church:
High School:
Date of Graduation:
Provincial Medical Number:
Family Doctor:
Other Health Insurance:
Emergency Contact (Name & Phone):
In order to serve you better please disclose information that may require accommodation for physical learning and mental health reasons. This may include any physical limitations learning disabilities allergies or mental health issues you have:
(Please leave blank if not applicable)
I authorize my parent/guardian/emergency contact to discuss my application and provide information to Thrive on my behalf.
Tell us about / describe yourself:
Describe your family and family life as you were growing up.
What do you enjoy doing in your free time?
Do you enjoy singing or play an instrument?
Do you enjoy or participate in theatre?
Are you a morning person or a night owl?
Are you an introvert or extrovert?
Describe your relationship with God both past and present:
Describe any volunteer or community involvement you have been a part of:
Why do you want to be a part of Thrive?
Name 3 specific things you hope to gain or experience while attending Thrive:
How did you hear about Thrive?
Who influenced you to choose Thrive?
What made you finally decide to apply?
If you have been to court for a minor or major offense, tell us about it here.
Have you ever been suspended or expelled from a secondary or post secondary school?
Reference 1
Name, email & phone number. No family members please.
Reference 2
The information I have provided is true to the best of my knowledge.
