CYC 2020 - Application Form

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Niagara Centre's Constituency Youth Council is an opportunity to have your voice heard on policy and issues facing Canada.

To be considered for Niagara Centre's 2020 Constituency Youth Council, you must be aged 15-26 and be willing to commit to attending meetings once per month.

** Please complete and submit by April 1, 2020 **

If you have any questions or concerns, do not hesitate to reach out to Cole Walsh at vance.badawey.c4@parl.gc.ca

First Name: *

Last Name *

Birth date: *

YYYY

Gender:

(*optional*)

Female

Male

Other

Prefer not to disclose

Clear selection

Address: *

City *

Postal Code *

Phone number: *

Email: *

Are you a returning member of CYC? *

Yes, I am a returning member.

No, I am applying as a new member.

Do you identify as a member of an under-represented community? Please specify which community.

(*optional*)

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