Application to become a Youth Accessibility Leader under the Youth Innovation Component of the Enabling Accessibility Fund

The information/data that you provide in this form will help determine if you qualify to become a Youth Accessibility Leader. To apply, you must be a Canadian citizen, a permanent resident of Canada or a person who has been granted refugee status in Canada. We, at Employment and Social Development Canada (ESDC), might use the collected data for research purposes. This includes statistics to measure the success of the Enabling Accessibility Fund (EAF) Youth Innovation Component. We will let you know the status of your submission and update you on the Youth Innovation Component by email.

Please read our privacy notice statement for details about how we collect your personal information.

We collect your personal information according to the:

We may use the information you give us:

These extra uses and disclosures of information will not have a negative effect on your proposed project(s). The data you provide to ESDC will help shape the program. This includes statistics to measure the success of the EAF Youth Innovation Component. Only those directly involved in the above activities will have access to your data.

By completing this form, you are providing us with your email address. We will use your email to:

Completing this form is voluntary, but we hope that you will choose to fill it out. ESDC will not consider your application to become a Youth Accessibility Leader without the following personal information:

This information will help us determine if you meet the eligibility requirements of the EAF program.

You have the right to the protection of, access to, and correction of your personal information. Instructions for getting this information are in the government publication entitled Information about programs and information holdings. You can access this information online and at any Service Canada Centre.

The Government of Canada is responsible for this information and manages it. If you want to ask about the content of this application form, contact: EDSC.JEUNESSEFA-YOUTHEAF.ESDC-GD@servicecanada.gc.ca.

You have the right to submit a complaint to the Office of the Privacy Commissioner of Canada about our handling of your personal information.

Form

Note: You must be a Canadian citizen, a permanent resident of Canada or a person who has been granted refugee status in Canada to apply.

Note: By providing your email address, you agree to receive emails from ESDC and Service Canada for the purpose of the Youth Innovation Component.

Self-identification for statistical purposes only. Select all that apply (optional):

You may ask questions or withdraw your consent, at any time, by sending an email to EDSC.JEUNESSEFA-YOUTHEAF.ESDC-GD@servicecanada.gc.ca

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