Apply for Student Opportunities

First Name

Last Name

Address:

Street Address

Address Line 2

City

Province
---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Contact Information:

Home Phone

Work Phone

Your Email (required)

Educational Institution:

Institution Name

Program Name
(Example: Early Childhood Leadership Bachelor of Arts (ELC BA))

Level of Study
(Example: In year 3 of the 4 year degree program)

Placement/Job Shadow Request:

Include specific details about the dates and length[weeks/hours], learning objectives/goals, evaluation requirements.
(Example: Seeking internship placement during the Spring/Summer semester over a 14-week period, for a minimum of 30 hours per week. Midterm and final Internship Evaluation Forms must be completed.)

Other Information/Comments:

Include specific details about the dates and length[weeks/hours], learning objectives/goals, evaluation requirements.
(Example: Seeking internship placement during the Spring/Summer semester over a 14-week period, for a minimum of 30 hours per week. Midterm and final Internship Evaluation Forms must be completed.)

Request Recipient:

Please select a recipient
---Speech-Language Pathology/ Communicative Disorders Assistant (CDA)AudiologyPhysiotherapy/AssistantOccupational Therapy/AssistantSocial WorkTherapeutic RecreationAutism Programs (Autism and Behavioural Science)Early Childhood Studies (RECEs) and Teacher’s College PlacementsEarly Childhood Education Leadership Programs(Highschool) Youth in Philanthropy (YPI) interviews(Highschool) Co-op placements