Counsellor Registration Please ensure your email address and mobile number are correct as we will be using these to inform you of any updates throughout the summer. Name(Required) First Last Email(Required) Enter Email Confirm Email Mobile Phone(Required)Home PhoneAddress(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Date of Birth(Required) YYYY dash MM dash DD Sex(Required) Female Male Other Social Insurance Number (SIN)(Required) School - September 2020(Required) School - September 2021 (if different) First Time TWBA Counsellor?(Required) No Yes Have you been vaccinated?(Required) Yes No 1st Appointment YYYY dash MM dash DD 2nd Appointment YYYY dash MM dash DD Availabilities(Required)You must be available for a minimum of 6 weeks Week 1: June 28th to July 2nd Week 2: July 5th to July 9th Week 3: July 12th to July 16th Week 4: July 19th to July 23rd Week 5: July 26th to July 30th Week 6: August 2nd to August 6th Week 7: August 9th to August 13th Select AllConfirmed By(Required)In order to apply to this job, you need to have been confirmed by one of the selections below. Otherwise, your submission will be ignored.Trevor WilliamsDean SmithWayne YearwoodShawn WhiteAndel Thomas-GordonLinda BernierMaureen Polan-MurphyAdditional InformationConsent(Required) I hereby declare, that all of the information I have provided is complete and accurate.CAPTCHANameThis field is for validation purposes and should be left unchanged.