CHAMP

Youth4Action CHAMP 2024

Join high school students from across Metro Vancouver who are passionate about learning, leadership, and taking action in this rich, experience-based program.

Because this program is intended for youth participants, completing the registration yourself helps ensure we receive accurate information to support a thorough and fair review process.

If you have any questions please email youth4action@metrovancouver.org.

* mandatory fields

I confirm that I am a youth/student interested in participating in the CHAMP program. This form reflects my own experiences and perspectives and was not completed by anyone else on my behalf. *

First Name *	Last Name *
School *	School District *
Current Grade *	Age *
Pronouns *
Email *	Phone *

Parent/Guardian / Emergency Contact

Name *

Relationship *

Phone *

Do you have any dietary restrictions (please include allergies here)? *

Why are you motivated to be part of CHAMP? *

How have you been involved in supporting sustainability at school and/or in your community? (Consider personal actions and commitments and/or group actions and commitments.) *

What do you hope to gain from participation in the CHAMP program (skills, experiences, and/or other)? *

What skills, advice, experiences, and/or ideas do you have to offer other students? *

What area(s) of interest do you have for taking action to influence sustainability? *

Can you commit to participating in all identified CHAMP sessions including August 16 - 19, September 15, 26, 30, October 3, 6, 20, 24, November 3, 14, 17, 24, December 5, 2026 *

Yes

Please provide further information if you answered "No" to the question above.

Reference (Please list a teacher, a team member, or other community leader who knows you. This should not be a family member.)

Name *	Role / Relationship: *
Email: *	Phone: *

Is there anything else we need to know about your application? *

How did you find out about this program? (please describe in detail such as: from a teacher/friend/club, through social media, from the Metro Vancouver website, or other.) *

Collection notice:
The personal information that you provide on this form is being collected under section 26(c) of the Freedom of Information and Protection of Privacy Act for the purpose of administering the Youth4Action CHAMP program. For further information about this collection, please contact a Privacy Officer at Metro Vancouver, Metrotower III, 4515 Central Boulevard, Burnaby, BC, V5H 0C6 or 604-432-6200 or privacy@metrovancouver.org.

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