OELC Facilitator

* indicates required field.

Applicant Information

First Name:* Last Name:* Street Address:* City:* Province:* Postal Code (e.g A1A 1A1):*

Home Phone:* Mobile Phone: Email:* Gender:*

Male Female

Organization or School (where you are working):

Please tick off any of the areas where you have qualifications / experience

Other Sports (please specify) Other Skills (please specify)

Tell us a little about yourself and why you would like to help us build the leaders of tomorrow:

Thank you for your interest in OELC!

The OELC encourages groups who have been historically disadvantaged with respect to employment to apply. Individuals are encouraged to self-identify.