OLD-Canadian Youth Road Safety Council

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Name*
DD slash MM slash YYYY
Parental approval*
If you are currently 17 years old or younger, please indicate whether your parent/guardian is aware you are applying for this opportunity and has given their approval.
Gender*
What gender do you identify with?
Other, please specify
Location*
Languages*
Which language do you speak at home? Please select all that apply.
Other, please specify
Language preference*
If you chose both official languages or other, which language are you most comfortable working in?
Ethnicity
What is your ethnicity? Please select all that apply.
If other, please specify:
What is your highest education level?
If other, please specify:
Driver's licence
Do you have a driver’s licence (any level)?
Briefly outline why you would like to join the Canadian Youth Road Safety Council. Please include the strengths, experiences, and qualities you bring to this position. (maximum 2000 characters)
What are some skills or experience you hope to gain by being a part of this committee? (maximum 2000 characters)
Please list what you think are two to three priorities within the area of youth road safety in Canada. (maximum 2000 characters)
Time commitment
Are you able to commit three to five hours per month for the duration of your term?
Please outline any accommodation(s) you need to actively participate as a council member.
Availability
Please select the days that work best for meetings. Please select all that apply:
For further information on this award, please contact Umayangga at uyogalingam@parachute.ca or 647-776-5110.
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