Language
English (Canada)
French (Canada)
Award Leader Application
Thank you for registering as an Award Leader or volunteer. Once you have completed this form, a staff member from the Award will be in touch to share with you the instructions on next steps to complete your training. All information shared through this registration form will be kept confidential and used solely by The Duke of Edinburgh's International Award.
Contact Details
Please ensure that you fill out this section correctly. The information you provide will be used to communicate virtually and by mail. In particular, make sure that your email is correct.
Salesforce ID
Salesforce contact ID
Language Preference
*
English
French
Name
*
First Name
Last Name
Email
*
Please use an address which you check regularly. Ensure you have typed your email correctly.
Phone
*
-
Area Code
Phone Number
Street
*
City
*
Postal Code
*
Province / Territory
*
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Québec
Saskatchewan
Yukon
Training Info
Is this your first time volunteering or working with the Award?
*
Yes
No
When did you first volunteer or work with the Award?
*
-
Year
-
Month
Day
Date
Your Award Experience
Have you achieved the Award or are you currently working on your Award?
*
I am an Award Achiever
I am currently working on my Award
I have not done the Award
What is the highest level of the Award that you hold?
*
Bronze
Silver
Gold
Which level of the Award are you currently working on?
*
Bronze
Silver
Gold
What is the name of your Award Unit, Award Centre or Award Group?
*
If you don't know the name of your Award Unit, Award Centre, Award Group, or if you are working on the Award on your own, please use 'Independent'.
Volunteering with the Award
Tell us about how you will be involved with the Award
Where will you be an Award Leader?
*
Please Select
Scouts Canada (all provinces and territories)
Virtual Award Centre (all provinces and territories)
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Québec
Saskatchewan
Yukon
How are you or will you be involved with the Award?
*
New Award Leader with an existing Award Centre
New Award Leader with a new Award Centre
Existing Award Leader
Which type of organization will you be delivering the Award with?
*
Youth Organization
Educational Institution
Other
Which type of youth organization will you be delivering the Award with?
*
Scouts Canada
Girl Guides of Canada
Junior Rangers
St. John's Ambulance
YMCA
YWCA
Youth Justice
Indigenous Youth
Youth Religious Group
Local Youth Group
Other
Other:
*
Which type of educational institution are you associated with?
*
English Junior High School
French Junior High School
English Secondary School (High School)
French Secondary School (High School)
English Independent School
French Independent School
English Private School
French Private School
Faith-based School (English or French)
Post-Secondary Institution
Other
Other:
*
What is your role?
*
i.e. Teacher, Guidance Counsellor, Principal, etc.
What is the name of your organization?
*
General Information
What is your date of birth?
*
-
Year
-
Month
Day
Date Picker Icon
What is the highest level of education that you have completed?
*
Elementary School
Secondary/High School
CEGEP
Skilled Trade or Vocational Institution
College
University
Post-Graduate
I do not wish to disclose this information
Are you currently a student?
*
Yes
No
Which gender do you identify with?
*
Female
Male
Transexual/Transgender
Intersex
Two-Spirited
Non-Binary
Other
I do not wish to disclose this information
Do any of the following Indigenous identities apply to you?
First Nations
Registered on-reserve
Registered off-reserve
Métis
Inuit
Non-status
Other Indigenous Canadian
Do you identify as a member of one or more of these communities?
Indigenous
LGBTQ2+ (lesbian, gay, bisexual, transgender, queer, two-spirit)
Newcomer (person who has left another country to settle in Canada within the last five years)
Person living with a disability
Person of a visible minority
Person who lives in a rural or remote area
Refugee
Francophone in Québec
Francophone outside of Québec
Confirmation
If you are between 18-30 years of age: Our ability to reach and engage Award Leaders under the age of 30 is funded by the Federal Government of Canada through an initiative called Canada Service Corp. Do you consent to the Award sharing your contact details with Canada Service Corps so they may contact you for feedback on your experience of volunteering with the Award.
Yes
I give permission to The Duke of Edinburgh's International Award to contact me via email
*
Yes
I confirm that the information provided is true and correct
*
Yes
Submit
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