Student Placement Application
Staff Email1Barb
example@example.com
Staff Email2Jay
example@example.com
Staff Email3Julie
example@example.com
Applicant Contact Information
Name
*
First Name
Last Name
Pronouns
Do you identify with any of the following? I am... (Please select all that apply)
*
a member of 2SLGBTQ communities
BIPOC (Black, Indigenous, Person of Colour)
a newcomer or refugee
prefer not to answer
None of the above
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Educational Institution Information
Educational Institution
*
Program of Study
*
Program Website
*
What is your current year of study?
*
Educational institution contact name
*
First Name
Last Name
Educational institution contact email
*
example@example.com
My educational institution carries third-party insurance to address legal claims against the institution, its faculty, staff, and students arising from their normal duties and responsibilities related to academic activities when doing a placement at The 519.
*
Yes
No
Unsure
My Educational institution has a dispute resolution procedure for student placements, which is accessible to the student and The 519.
*
Yes
No
Unsure
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Placement Details
Preferred placement START date
*
-
Month
-
Day
Year
Date
Preferred placement END date
*
-
Month
-
Day
Year
Date
Number of hours to be completed weekly
*
Number of total hours to be completed
*
Days of the week you are available (Please check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you applying for.... (please select all that apply)
*
A specific Student Placement Opportunity Posting
General Placement Opportunity
Please input the Name of the Opportunity you are applying for
*
Preferred program(s) of interest for placement. Please check all that apply
*
50+ and Older Adults Programs
Access to Justice Programs
Child and Family Programs
Communications and Media Relations
Community Wellbeing & Engagement
Drop-In Programs
Education and Training
Finance and Administration
Fundraising and Development
Harm Reduction & Anti-Violence Programs
Housing Programs
Newcomer and Settlement Services
Operations
People Services
Philanthropy
Public Health Justice Programs
Research, Data and Evaluation
Trans Community Programs
Youth Programs
Are you applying for a specific Student Placement Opportunity (as posted on The 519's website) or a General Student Placement Opportunity
*
Specific
General
If you are applying for a specific position, please select below which placement opportunity you are applying for.
*
Please Select
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Why you are interested in a placement at The 519?
Please tell us why you are interested in a placement at The 519.
*
0/500
Please tell us a little bit about your experiences and how they relate to a potential placement opportunity at The 519.
*
0/500
What skills and experiences do you seek to attain during a placement with The 519?
*
0/500
Anything else you want us to know about you?
0/500
Please upload a copy of your cover letter and resume.
*
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