2027 National Youth Council - New Member Application

Let's start by getting to know you! Please note that this information is for internal purposes only and will not be shared externally.

1. Full Name *This question is required.

2. Pronouns *This question is required.

3. Birthday *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

4. Email Address *This question is required. This question requires a valid email address.

5. Mailing Address *This question is required.

6. Province *This question is required.

7. City *This question is required.

8. What gender option(s) do you currently identify with? *This question is required.

Female
Male
Transgender
Two-Spirit
Cisgender
Non-binary / Genderqueer / Genderfluid
Agender
I'd like to write my own response Please enter an 'other' value for this selection. * This question is required.

9. What race options(s) do you identify with? *This question is required.

Black (e.g., African, Afro-Caribbean, African Canadian Decent)
Indigenous
Latin American (e.g., Latin American, Hispanic decent)
Middle Eastern (e.g., Arab, Persian, West Asian decent, Egyptian, Iranian, Lebanese, Turkish, etc.)
South, East, or Southeast Asian (e.g., Korean, Chinese, Japanese, Cambodian, Filipino, Indonesian, Laotian, Vietnamese, Pakistani, Sri Lankan, etc.)
White (e.g., European decent)
I prefer to self-identify (please write in) Please enter an 'other' value for this selection. * This question is required.

10. I identify with the following... *This question is required.

As a member of the 2SLGBTQ+ community
As a member of the BIPOC (Black, Indigenous, or Person of Colour) community
As someone with a disability
As a newcomer to Canada
As someone who has lived experience of mental illness or mental health struggle
French-speaking
None of the above

11. Do you wish to receive communications on other KHP volunteer opportunities? (e.g., Crisis responders, Cam's Kids Ambassadors, Good2Talk Campus Coordinators, etc.)

12. How did you hear about Kids Help Phone? (Max 50 words) *This question is required.

13. Are you currently a volunteer with Kids Help Phone? If so, please indicate below.

Cam's Kids Ambassador
Good2Talk Campus Coordinator
Crisis Responder
Paving Paths Volunteer
We Rise Volunteer
Weaving Threads Volunteer
Indigenous Advisory Council
Black Advisory Council
Other - Write In Please enter an 'other' value for this selection.

2027 National Youth Council - New Member Application

Demographic Information