LAUNCHee Application

Please note: You can either complete this application in one sitting, or you can choose to download questions for review and come back here to this online application to copy/paste your responses when you're ready.

We look forward to receiving your application and exploring how we can spur you on toward achieving your dream!

1. Contact Information

First Name *This question is required.

Last Name *This question is required.

Street Address

City

Province

Postal Code

Email Address *This question is required.

Home Phone

Mobile Phone

2. If you are under 18 years of age, LAUNCH will contact your parents/guardians for permission for you to be in the program. Please provide the name and contact of a parent or guardian below.

Name of parent or legal guardian(s)

Parent/Guardian phone

Parent/Guardian email

3. High school status

4. If you selected "Graduated" above...

College/University Name

Program(s)

5. If you are currently/have recently been working...

Current/Recent employer

Job title/responsibilities