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TBSN Constituency Youth Council/Conseil jeunesse de circonscription
2022-2023 Application
17
Questions
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1
First thing's first, what's your name?
Tout d’abord, quel est votre nom?
First Name/prénom
Last Name/nom de famille
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2
What are your chosen pronouns?
Quels sont les pronoms que vous avez choisis?
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3
Great, and what's your address?
Super, quelle est votre adresse personnelle?
Street Address/rue
Street Address Line 2
City/ville
Province
Postal / code postale
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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4
Where can we reach you?
Quel est votre email?
example@example.com
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5
Once more for good measure. What's your phone number?
Encore une fois, quel est votre numéro de téléphone?
Area Code
Phone Number
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6
How old are you?
Quel âge avez-vous?
-
Date
Month
Day
Year
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7
Just to be safe, who can we contact in case of an emergency?
Juste pour être sûr, qui pouvons-nous contacter en cas d’urgence?
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8
Time for a little school pride! What's your most recent place of education?
Ayons un peu de fierté scolaire! Quel a été votre lieu d’éducation le plus récent?
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9
Have you been a member of the Constituency Youth Council before?
Avez-vous déjà été membre du Conseil jeunesse?
YES/OUI
NO/NON
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10
What are the pieces of your identity that make up
you
? Only share that which you are comfortable. We just want to know what lived experience you may bring to the table in discussions, advocacy, and critical thought.
Quels sont les éléments de votre identité qui vous composent ? Ne partagez que ce qui vous convient. Nous voulons simplement savoir quelle expérience vécue vous pouvez apporter à la table dans les discussions, le plaidoyer et la pensée critique.
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11
Has there been one defining moment in your life that sparked your passion for equity, advocacy, and compassionate leadership? Or has it been a growing constant in your life over time and micro-experiences?
Y a-t-il eu un moment déterminant dans votre vie qui a suscité votre passion pour l’équité, la défense des intérêts et le leadership compatissant ? Ou cela a-t-il été une constante croissante dans votre vie au fil du temps et des micro-expériences ?
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12
What do you like about yourself?
Dis-moi ce que tu admires chez toi.
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13
Tell us about a piece of learning that you have always held onto. This could be a book that changed you, a teaching from an elder or mentor, a piece of art, film, or storytelling, or anything else that you consider valuable to yourself as a person.
Parlez-nous d’un élément d’apprentissage auquel vous vous êtes toujours accroché. Il peut s’agir d’un livre qui vous a changé, d’un enseignement d’un aîné ou d’un mentor, d’une œuvre d’art, d’un film ou d’une narration, ou de toute autre chose que vous considérez comme précieuse pour vous-même en tant que personne.
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14
Last but not least. Why do you want to be a member of MP Patty Hajdu's youth council?
Enfin, pourquoi voulez-vous être membre de le Conseil jeuness du deputée Patty Hajdu ?
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15
We know you're a busy bee! What days of the week work for you? Meetings are typically 1.5 to 2 hours long.
Nous savons que vous êtes occupé. Quels jours de la semaine fonctionnent pour vous? Les réunions durent généralement 1,5 à 2 heures.
3:00-5:00 / 15h00-17h00
4:00-6:00 / 16h00-18h00
5:00-7:00 / 17h00-19h00
Anytime/toujours
Unavailable/indisponible
Monday/lundi
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Tuesday/mardi
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Wednesday/mercredi
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Thursday/jeudi
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Friday/vendredi
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Monday/lundi
Tuesday/mardi
Wednesday/mercredi
Thursday/jeudi
Friday/vendredi
3:00-5:00 / 15h00-17h00
Row 0, Column 0
4:00-6:00 / 16h00-18h00
Row 0, Column 1
5:00-7:00 / 17h00-19h00
Row 0, Column 2
Anytime/toujours
Row 0, Column 3
Unavailable/indisponible
Row 0, Column 4
3:00-5:00 / 15h00-17h00
Row 1, Column 0
4:00-6:00 / 16h00-18h00
Row 1, Column 1
5:00-7:00 / 17h00-19h00
Row 1, Column 2
Anytime/toujours
Row 1, Column 3
Unavailable/indisponible
Row 1, Column 4
3:00-5:00 / 15h00-17h00
Row 2, Column 0
4:00-6:00 / 16h00-18h00
Row 2, Column 1
5:00-7:00 / 17h00-19h00
Row 2, Column 2
Anytime/toujours
Row 2, Column 3
Unavailable/indisponible
Row 2, Column 4
3:00-5:00 / 15h00-17h00
Row 3, Column 0
4:00-6:00 / 16h00-18h00
Row 3, Column 1
5:00-7:00 / 17h00-19h00
Row 3, Column 2
Anytime/toujours
Row 3, Column 3
Unavailable/indisponible
Row 3, Column 4
3:00-5:00 / 15h00-17h00
Row 4, Column 0
4:00-6:00 / 16h00-18h00
Row 4, Column 1
5:00-7:00 / 17h00-19h00
Row 4, Column 2
Anytime/toujours
Row 4, Column 3
Unavailable/indisponible
Row 4, Column 4
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16
Accessibility is super important to us. Are there any accommodations you may need to participate in this Youth Council?
L’accessibilité est importante pour nous. Y a-t-il des mesures d’adaptation dont vous pourriez avoir besoin pour participer à ce conseil jeunesse?
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17
Which participation format would best fit into your life? Our meetings are always hybrid, but it's helpful to know what we can expect for attendance reasons.
Quel format de participation conviendrait le mieux à votre vie? Nos réunions sont toujours hybrides, mais il est utile de savoir à quoi nous pouvons nous attendre pour des raisons de présence.
In person/en personne
Over Zoom/sur zoom
Hybrid/hybride
I'm cool with any of the above/tout fonctionne pour moi
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