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Youth Parliament 2009 Participant Application Form
Please fill out the following form and submit it by March 14th, 2009.
Name:
Age:
Date of Birth:
Male
Female
Complete mailing address:
E-mail address:
Phone:
School:
Name of your MLA:
How long have you
lived in the NWT?
Languages spoken:
Personal interests:
Future goals:
Parental Consent:
Do you have consent from your parent/s or guardian/s to attend the Youth Parliament in Yellowknife?
Yes
No
If yes,
please print the name
of one parent or guardian:
Phone:
Why should you be selected
to attend the
Youth Parliament in Yellowknife?
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