Let's Get Started!
Thank you for your interest in joining the BridgeTO for the 2024/2025 school year. Please fill out the following form and we will get back to you as soon as wel can.
Back
Next
Save
Contact Information
First Name
*
Last Name
*
Preferred Pronouns
Please Select
She/Her/Hers
He/Him/His
They/Them/Theirs
Ze/Hir-Zir/Hirs-Zirs
Not Listed/Other
Prefer Not to Answer
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Email
*
We recommend using your personal email
Primary Phone/Mobile
*
We use Whatsapp to stay in contact with our youth
Emergency Contact Name
*
Emergency Contact Number
*
Emergency Contact Relation to Applicant
*
Back
Next
Save
Personal Information
We are committed to being a diverse and inclusive program. Please complete this section as accurately as possible to help us with upholding our commitment to diversity and equality. This information will not influence your application in any way.
Race/Ethnicity
*
Please Select
First Nations/Inuit/Metis
African-Canadian/Black
Arab
African
Caucasian
Chinese
Filipino
Hispanic/Latino
Japanese
Korean
South Asian
Southeast Asian
West Asian
Multiracial
Prefer not to answer
Other
If race/ethnicity is other, please specify
Do you identify as being part of the LGBTQIA+ community?
Please Select
Yes
No
Prefer not to answer
Do you identify as being a person with a disability?
Please Select
Yes
No
Prefer not to answer
Do you require any kind of assistance or accommodations?
Please Select
Yes
No
Please select ALL of the languages you are comfortable speaking, reading or writing.
English
Somali
Arabic
Urdu
Hindi
Punjabi
Cantonese
Mandarin
Spanish
French
Other
If language is other, please specify
Back
Next
Save
Program Interest
Please let us know how you heard about us, and tell us how you think BridgeTO Youth will assist you in achieving your goals!
Why are you applying to BridgeTO Youth? What challenges have you faced to completing high school? Do you require academic support (tutoring), financial assistance or mentorship? (max. 250 words)
*
What are your future goals (personal or career)? What is your plan to accomplish these goals and what are you doing today to achieve them? How will being a participant of BridgeTO Youth help you in succeeding? (max. 250 words)
*
Have you applied for or participated in any BridgeTO Youth program before?
Please Select
Yes
No
Referred by
*
Please Select
Community Based Organization
Friend/Family Member
BridgeTO Youth Graduate/Participant
High School
Instagram/LinkedIn/Twitter/Facebook
Please specify: Briefly explain how you heard about BridgeTO Youth
*
Back
Next
Save
Are you interested in our high school or post secondary program?
High School
Post Secondary
Back
Next
Save
High School Information
What is the name of your high school?
*
What grade will you be in as of September 2024?
*
Please Select
Grade 11
Grade 12
What is your high school average for your most recent academic school year?
*
90-100%
80-89%
70-79%
60-69%
50-59%
Less than 50%
Please select ALL of the courses that you plan to take in the next school year.
*
Grade 11 Math/Functions
Grade 12 Advanced Functions/Calculus
Grade 12 Data Management/Statistics
Grade 11 Biology/Chemistry/Physics
Grade 12 Biology/Chemistry/Physics
Grade 11 Business Management Courses - Intro to Business, International Business, etc
Grade 12 Business Management Courses - Intro to Business, International Business, etc
Grade 11 Finance, Accounting, Economics, etc.
Grade 12 Finance, Accounting, Economics, etc.
Grade 11 Computer Science
Grade 12 Computer Science
Grade 11/12 Visual Arts and other related courses
Grade 11/12 Humanities/Social Sciences - English, Geography, History, Civics, etc.
Grade 11/12 Secondary Languages - French, Spanish, etc.
Other
What careers are you interested in? (Select all that apply. and add any additional responses into the 'Other' category)
*
Business - Accounting, Finance, Sales, Marketing, etc.
Science - Medicine, Nursing, Dentistry, etc.
Law
Journalism
Engineering
Computer Science
Other
Back
Next
Save
Post Secondary Information
What is the name of the university or college that you attend?
*
What program are you studying?
*
As of September 2024, what year of your program are you in?
*
What careers are you interested in? (Select all that apply. and add any additional responses into the 'Other' category)
*
Business - Accounting, Finance, Sales, Marketing, etc.
Science - Medicine, Nursing, Dentistry, etc.
Law
Journalism
Engineering
Computer Science
Other
Back
Next
Save
Code of Conduct & Media Release
Please read through our code of conduct and meadia release form linked below before submitting the form.
Save
Submit
Should be Empty: