Youth-on-Board Student Application

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Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act as it relates directly to the administration of this program and will be used for determining program eligibility and maintaining program data. If you have any questions about this collection of personal information, you may call 902-838-0662.

Identification

First Name

Middle Initial

Last Name

Address 1

Address 2

City, Town, or Community

Province

Postal Code

For example C1B 0X1 or 12345

Country

Telephone Number

For example 902-555-5555

Email Address

Date of Birth

What is your first language?

Other Language

Are you proficient in other languages?

Other Languages

What grade will you be enrolled in as of September 2025?

Diversity and Inclusion Data Collection:

The Department is committed to diversity and inclusion and ensuring the Youth-on-Board Project is representative of our Island's diverse community. This information will help us to assess how well we are achieving our diversity and inclusion goals to be an inclusive organization and help us better address the diverse needs of our community. We have taken all steps to ensure that your responses are completely confidential and will only be used for statistical and diversity analysis purposes. While completion of the following questions is completely voluntary, we strongly encourage you to take the time to respond to this section.

Do you identify yourself as a person with a disability?

Do you identify as a member of Indigenous Peoples?

Do you identify as part of another under-represented group?

Do you identify as a member of the Acadian or Francophone community?

Do you identify as 2SLGBTQIA+?

Do you identify as: