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STEP ONE: TELL US ABOUT YOURSELF

  * Where did you find out about this summer employment opportunity?
             

Name:
 
           * First Name Middle Initial  * Last Name
   

* Email address:                             
        
   Re-enter to confirm:       
 
* Mailing Address:                   
*   Street:      Apt #:
*   City:  *  Province:
*   Postal Code:     *  Country:
*   Preferred Contact Number:
- -
 
Second Contact Number
- -
 
         


* Fill in the following if different from mailing address

  Permanent Address:
  Street:      Apt #:
  City:      Province:
  Postal Code:         Country:  
Alternate Phone:
- -
     Description: