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  • Student Information

    Students must be a minimum of 16 years of age.
  • Secondary or Post Secondary
  • Emergency Contact

  • Interests and Experience

  • e.g. Courses taken, hobbies, etc
  • e.g. Hearing, lifting, walking, standing, other
  • Availability

  • References

    Please supply the names of three persons whom we may contact for a reference, excluding family members.
  • Finish