Experience Labrador Application

First Name

Last Name

Email Address

Mailing Address

Community

Postal Code

Phone Number

Economic Zone (if known)HyronCentral LabradorAuroraLabrador StraitsNordicRed OchreHumberLong RangeMarine and MountainEmeraldExploits ValleyCoast of BaysKittiwakeDiscoverySchoonerMarinerAvalon GatewayCapital CoastIrish LoopInukshuk

Date Of Birth - mm/dd/yyyy

Are you a high school student (name of high school)?

Are you a post secondary student (program of study and name of institution)?

If yes, where is your hometown?

Working full time: (place of employment)

Entrepreneur: (name of business)

Do you currently volunteer in your community? If so, please provide us with a list of your volunteer experiences.

Please provide details of any dietary requirements or medical conditions.

Question 1: Why do you want to take part in Experience Labrador? (Maximum 200 words)

Question 2: What do you think is the most significant misconception that people living on the island portion of our province have about Labrador? (maximum 400 words)