Next Gen Leadership Team Sign-Up

1

Name

First Name

Last Name

2

What age range are you?

14-19

19-29

3

EmailBy entering your email you agree to receive email communications from Strathco Next Gen.

example@example.com

4

Phone NumberBy entering your cell phone you agree to receive call and text communications from Strathco Next Gen

Please enter a valid phone number.

5

What are your hopes and expectations for the leadership team experience?Please share so that your ideas can help shape the planning for the Next Gen Leadership Teams experience.

7

How did you hear about Strathcona Next Gen?

8

I understand that personal information is collected in accordance with s. 33 (c) of the Freedom of Information and Protection of Privacy Act and will be used in the administration of Next Gen initiatives. If you have any questions regarding the collection of your information, please contact 780-239-4366.

YESNO