Future of Hockey Lab Application Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
example@example.com
Phone Number
Please enter a valid phone number.
What gender do you identify with?
Male
Female
Non-binary, gender-fluid, and/or Two-Spirit
I prefer to self-describe
I prefer not to say
Do you identify as a member of the 2SLGBTQ community?
Yes
No
I prefer not to say
Do you identify as a person with a disability?
Yes
No
I prefer not to say
If yes, what type(s) of disability(ies) do you have?
Physical disability
Visual impairment
Hearing impairment
Intellectual disability
Learning disability
Neurological disability
I prefer not to say
I prefer to describe myself
How do you describe yourself?
Person of African descent (Black)
Person of European ancestry (white)
Indigenous
East Asian
South Asian
South East Asian
West Asian/Arab
Non-white Latin/South/Central American
Multi-racial
I'd prefer to describe myself
I prefer not to say
Tell us about your team members' names, roles, and email addresses. *Note: If you don't yet have a team, we can help you.
What is your hope for participating in the lab process?
What is the problem you're looking to solve?
Why is this issue important for you to work on?
The following core issues were identified in the research. Please choose the two you are most interested in.
Accessibility
Cost
Girls' hockey
Education
Hard-to-reach groups
Racism
Restructuring hockey
Increased visibility/representation
Off-ice issues
Programming
Is there anything else you'd like to share as part of your application?
Submit
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