{"id":5383,"date":"2026-07-24T09:12:22","date_gmt":"2026-07-24T13:12:22","guid":{"rendered":"https:\/\/katimavik.org\/futureperfect-participation-form\/"},"modified":"2026-08-27T14:17:07","modified_gmt":"2026-08-27T18:17:07","slug":"futureperfect-application-form","status":"publish","type":"page","link":"https:\/\/katimavik.org\/en\/futureperfect-application-form\/","title":{"rendered":"FuturePerfect: Application form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1785868613731{margin-top: 20px !important;margin-right: 20px !important;margin-left: 20px !important;}&#8221;]<\/p>\n<h1>FuturePerfect: Application form<\/h1>\n<h6 class=\"gsection_title\"><span style=\"font-family: georgia, palatino, serif;\">To apply for Katimavik\u2019s FuturePerfect program, please answer all of the questions below. FuturePerfect is open to Canadian citizens, permanent residents and landed refugees. <\/span><\/h6>\n<h6 class=\"gsection_title\"><span style=\"font-family: georgia, palatino, serif;\">This program is open to individuals from all educational backgrounds. Applicants must have reached the age of majority in their province or territory of residence and be 30 years of age or younger as of the start date of the cohort for which they are applying. <\/span><\/h6>\n<h6 class=\"gsection_title\"><span style=\"font-family: georgia, palatino, serif;\">Katimavik is committed to providing an inclusive, diverse, respectful environment and encourages applications from young adults of all backgrounds, genders, religions, and cultures.<\/span><\/h6>\n<h6 class=\"gsection_title\"><span style=\"font-family: georgia, palatino, serif;\">This application takes approximately <strong>30 minutes<\/strong> to complete.<\/span><\/h6>\n<h6 class=\"gsection_title\"><span style=\"font-family: georgia, palatino, serif;\">If you require accommodations to complete this application, please contact us at <a class=\"underline underline-offset-2 decoration-1 decoration-current\/40 hover:decoration-current focus:decoration-current\" href=\"mailto:recruitment@katimavik.org\">recruitment@katimavik.org<\/a>.<\/span><\/h6>\n<p><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'><div id='gf_5' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_5' id='gform_5'  action='\/en\/wp-json\/wp\/v2\/pages\/5383#gf_5' data-formid='5' novalidate>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_5_30\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Legal Name (as written on your ID)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_30'>\n                            \n                            <span id='input_5_30_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_30.3' id='input_5_30_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_30_3' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_30_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_30.6' id='input_5_30_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_30_6' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_12'><span class='gform-field-label__text'>Preferred Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_5_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_69\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_69'><span class='gform-field-label__text'>Preferred pronoun<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_5_69' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_85\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date of Birth<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_5_85' class='ginput_container ginput_complex gform-grid-row'>\n                                        <div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_5_85_3_container'>\n                                            <input type='number' maxlength='4' name='input_85[]' id='input_5_85_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_5_85_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_5_85_1_container'>\n                                            <input type='number' maxlength='2' name='input_85[]' id='input_5_85_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_5_85_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_5_85_2_container'>\n                                            <input type='number' maxlength='2' name='input_85[]' id='input_5_85_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_5_85_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                       <\/div>\n                                    <\/div><div class='gfield_description' id='gfield_description_5_85'>This program is intended for individuals aged 18 to 30.<br\/><br\/><\/div><\/fieldset><div id=\"field_5_26\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_26'><span class='gform-field-label__text'>Email Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_26' id='input_5_26' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_28\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_28'><span class='gform-field-label__text'>Phone Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_28' id='input_5_28' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"    \/><\/div><\/div><fieldset id=\"field_5_29\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gf-address-enhanced-smart-states\"  data-field-class=\"gf-address-enhanced-smart-states\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_5_29' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_29_1_container' >\n                                        <input type='text' name='input_29.1' id='input_5_29_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_29_1' id='input_5_29_1_label' class='gform-field-label gform-field-label--type-sub '>Street address and unit number<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_29_3_container' >\n                                    <input type='text' name='input_29.3' id='input_5_29_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_29_3' id='input_5_29_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_29_4_container' aria-live='polite' >\n                                        <input type='text' name='input_29.4' id='input_5_29_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_29_4' id='input_5_29_4_label' class='gform-field-label gform-field-label--type-sub '>Province \/ Territory<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_29_5_container' >\n                                    <input type='text' name='input_29.5' id='input_5_29_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_29_5' id='input_5_29_5_label' class='gform-field-label gform-field-label--type-sub '>Postal code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_5_29_6_container' >\n                                        <select name='input_29.6' id='input_5_29_6' aria-controls='input_5_29_4'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' selected='selected'>Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_5_29_6' id='input_5_29_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_5_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>At the start of the program, are you considered a minor in your home province or territory?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_15'>\n\t\t\t<div class='gchoice gchoice_5_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Yes'  id='choice_5_15_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_15\"   \/>\n\t\t\t\t\t<label for='choice_5_15_0' id='label_5_15_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='No'  id='choice_5_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_15_1' id='label_5_15_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_15'>NOTE: The age of majority is 18 in Alberta, Manitoba, Ontario, Prince Edward Island, Quebec, and Saskatchewan. The age of majority is 19 in British Columbia, New Brunswick, Newfoundland, Northwest Territories, Nova Scotia, Nunavut, and Yukon. <\/div><\/fieldset><fieldset id=\"field_5_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>What is your current residency status in Canada?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_18'>\n\t\t\t<div class='gchoice gchoice_5_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Canadian Citizen'  id='choice_5_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_18_0' id='label_5_18_0' class='gform-field-label gform-field-label--type-inline'>Canadian Citizen<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Permanent Resident'  id='choice_5_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_18_1' id='label_5_18_1' class='gform-field-label gform-field-label--type-inline'>Permanent Resident<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_18_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Landed Refugee'  id='choice_5_18_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_18_2' id='label_5_18_2' class='gform-field-label gform-field-label--type-inline'>Landed Refugee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_19\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'><span class='gform-field-label__text'>Upload a document confirming your protected person status under the Immigration and Refugee Protection Act.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_19' id='input_5_19' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_19\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_19'>Accepted file types: jpg, pdf, png, docx, doc, jpeg, Max. file size: 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_19'><\/div> <\/div><\/div><div id=\"field_5_70\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_5_70'><span class='gform-field-label__text'>Please upload your CV and, if available, a cover letter<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_70' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_70&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_70&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_70&quot;,&quot;filelist&quot;:&quot;gform_preview_5_70&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/katimavik.org\\\/?gf_page=0e6633367a31504&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/katimavik.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/katimavik.org\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;jpg,png,doc,docx,pdf,jpeg&quot;}],&quot;max_file_size&quot;:&quot;10485760b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:70,&quot;_gform_file_upload_nonce_5_70&quot;:&quot;bb40f8c8ec&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:&quot;2&quot;,&quot;message_id&quot;:&quot;gform_multifile_messages_5_70&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_70' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_70' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_70\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_70'>Accepted file types: jpg, png, doc, docx, pdf, jpeg, Max. file size: 10 MB, Max. files: 2.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_70'><\/ul> <div id='gform_preview_5_70' class='ginput_preview_list'><\/div><\/div><\/div><fieldset id=\"field_5_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>In the last six months, have you been<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_20'><div class='gchoice gchoice_5_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Employed'  id='choice_5_20_1'   aria-describedby=\"gfield_description_5_20\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_20_1' id='label_5_20_1' class='gform-field-label gform-field-label--type-inline'>Employed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='Education or training'  id='choice_5_20_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_20_2' id='label_5_20_2' class='gform-field-label gform-field-label--type-inline'>In education or training<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='NEET'  id='choice_5_20_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_20_3' id='label_5_20_3' class='gform-field-label gform-field-label--type-inline'>Unemployed and not in education or vocational training<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_20'>(select all that apply) <\/div><\/fieldset><div id=\"field_5_21\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_21'><span class='gform-field-label__text'>How many hours weekly do you work?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_21' id='input_5_21' type='number' step='any' min='0' max='99' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_5_21 gfield_description_5_21\" \/><div class='gfield_description instruction ' id='gfield_instruction_5_21'>Please enter a number from <strong>0<\/strong> to <strong>99<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_5_21'>If you are currently working 30 hours or more per week, it may affect your eligibility.<\/div><\/div><fieldset id=\"field_5_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>When the program begins, will you be unemployed and not enrolled in school or training?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_24'>\n\t\t\t<div class='gchoice gchoice_5_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Yes'  id='choice_5_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_24_0' id='label_5_24_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='No'  id='choice_5_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_24_1' id='label_5_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_108\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_108'><span class='gform-field-label__text'>What is your preferred cohort?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_108' id='input_5_108' class='large gfield_select'  aria-describedby=\"gfield_description_5_108\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Winter 2027' >Winter 2027 (Jan. \u2013 Apr.)<\/option><option value='Spring 2027' >Spring 2027 (May \u2013 Aug.)<\/option><option value='Fall 2027' >Fall 2027 (Sept. \u2013 Dec.)<\/option><option value='Winter 2028' >Winter 2028 (Jan. \u2013 Apr.)<\/option><option value='Spring 2028' >Spring 2028 (May \u2013 Aug.)<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_5_108'>Note: You will only be contacted if your selected cohort is part of the current cycle.<\/div><\/div><div id=\"field_5_105\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_5_105'><span class='gform-field-label__text'>What is your preferred cohort? DRAFT <\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_105' id='input_5_105' class='large gfield_select'     aria-invalid=\"false\" ><option value='Winter' >Winter (Jan. \u2013 Apr.)<\/option><option value='Spring' >Spring (May \u2013 Aug.)<\/option><option value='Fall' >Fall (Sept. \u2013 Dec.)<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_5_56' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-56' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Personal Information<\/h3><\/div><div id=\"field_5_72\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_72'><span class='gform-field-label__text'>How many people live in your family household?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_72' id='input_5_72' type='number' step='any' min='0' max='99' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_5_72\" \/><div class='gfield_description instruction ' id='gfield_instruction_5_72'>Please enter a number from <strong>0<\/strong> to <strong>99<\/strong>.<\/div><\/div><\/div><div id=\"field_5_37\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_37'><span class='gform-field-label__text'>How many people live in your home town?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_5_37' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Fewer than 25,000' >Fewer than 25,000<\/option><option value='25,000-50,000' >25 000 - 50 000<\/option><option value='50,000-100,000' >50 000 - 100 000<\/option><option value='over 100,000' >More than 100 000<\/option><\/select><\/div><\/div><div id=\"field_5_38\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_38'><span class='gform-field-label__text'>What is your average household income?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_38' id='input_5_38' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Less than 20 000' >Less than 20 000<\/option><option value='20 000 - 40 000' >20 000 - 40 000<\/option><option value='40 000 - 60 000' >40 000 - 60 000<\/option><option value='60 000 - 80 000' >60 000 - 80 000<\/option><option value='80 000 - 100 000' >80 000 - 100 000<\/option><option value='More than 100 000' >More than 100 000<\/option><option value='Prefer not to answer' >Prefer not to say<\/option><\/select><\/div><\/div><fieldset id=\"field_5_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_2col gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Which of the following best describes your gender identity?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_40'>\n\t\t\t<div class='gchoice gchoice_5_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Cisgender Woman'  id='choice_5_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_0' id='label_5_40_0' class='gform-field-label gform-field-label--type-inline'>Woman<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Cisgender Man'  id='choice_5_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_1' id='label_5_40_1' class='gform-field-label gform-field-label--type-inline'>Man<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Trans Woman'  id='choice_5_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_2' id='label_5_40_2' class='gform-field-label gform-field-label--type-inline'>Trans Woman<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Trans Man'  id='choice_5_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_3' id='label_5_40_3' class='gform-field-label gform-field-label--type-inline'>Trans Man<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Non-Binary'  id='choice_5_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_4' id='label_5_40_4' class='gform-field-label gform-field-label--type-inline'>Non-Binary<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_40_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Two-Spirit'  id='choice_5_40_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_5' id='label_5_40_5' class='gform-field-label gform-field-label--type-inline'>Two-Spirit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_40_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Other'  id='choice_5_40_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_40_6' id='label_5_40_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_71\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_71'><span class='gform-field-label__text'>Other gender<\/span><\/label><div class='ginput_container ginput_container_text' data-text-counter-max='20' data-text-counter-template='{current} of {max} max characters'><input name='input_71' id='input_5_71' type='text' value='' class='large' maxlength='20'     aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Do you self-identify with any of the following?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_41'><div class='gchoice gchoice_5_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='Person with Disability'  id='choice_5_41_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_1' id='label_5_41_1' class='gform-field-label gform-field-label--type-inline'>I am a person living with a disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='Visible Minority or Racialized'  id='choice_5_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_2' id='label_5_41_2' class='gform-field-label gform-field-label--type-inline'>I am a member of a visible minority\/racialized community<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='Language Minority'  id='choice_5_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_3' id='label_5_41_3' class='gform-field-label gform-field-label--type-inline'>I am a member of a linguistic minority community<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.4' type='checkbox'  value='First Nation'  id='choice_5_41_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_4' id='label_5_41_4' class='gform-field-label gform-field-label--type-inline'>I am a member of an Indigenous community<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.5' type='checkbox'  value='2SLGBTQ+'  id='choice_5_41_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_5' id='label_5_41_5' class='gform-field-label gform-field-label--type-inline'>I am a member of the 2SLGBTQQIA+ community<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.6' type='checkbox'  value='Newcomer to Canada'  id='choice_5_41_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_6' id='label_5_41_6' class='gform-field-label gform-field-label--type-inline'>I am a recent newcomer to Canada.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.7' type='checkbox'  value='Rural'  id='choice_5_41_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_7' id='label_5_41_7' class='gform-field-label gform-field-label--type-inline'>I am living in a rural or remote area<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_41_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.8' type='checkbox'  value='None of the above'  id='choice_5_41_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_41_8' id='label_5_41_8' class='gform-field-label gform-field-label--type-inline'>No response<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_103\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_2col gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-columns\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Check all that apply (disability).<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_103'><div class='gchoice gchoice_5_103_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.1' type='checkbox'  value='TRUE'  id='choice_5_103_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_1' id='label_5_103_1' class='gform-field-label gform-field-label--type-inline'>Invisible\/non-apparent disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.2' type='checkbox'  value='TRUE'  id='choice_5_103_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_2' id='label_5_103_2' class='gform-field-label gform-field-label--type-inline'>Visible\/apparent disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.3' type='checkbox'  value='TRUE'  id='choice_5_103_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_3' id='label_5_103_3' class='gform-field-label gform-field-label--type-inline'>Visible\/apparent disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.4' type='checkbox'  value='TRUE'  id='choice_5_103_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_4' id='label_5_103_4' class='gform-field-label gform-field-label--type-inline'>Episodic or fluctuating disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.5' type='checkbox'  value='TRUE'  id='choice_5_103_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_5' id='label_5_103_5' class='gform-field-label gform-field-label--type-inline'>Multiple impairments\/disabilities<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.6' type='checkbox'  value='TRUE'  id='choice_5_103_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_6' id='label_5_103_6' class='gform-field-label gform-field-label--type-inline'>Chronic illness-related disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.7' type='checkbox'  value='TRUE'  id='choice_5_103_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_7' id='label_5_103_7' class='gform-field-label gform-field-label--type-inline'>Communication-related disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.8' type='checkbox'  value='TRUE'  id='choice_5_103_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_8' id='label_5_103_8' class='gform-field-label gform-field-label--type-inline'>Intellectual disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.9' type='checkbox'  value='TRUE'  id='choice_5_103_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_9' id='label_5_103_9' class='gform-field-label gform-field-label--type-inline'>Learning disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.11' type='checkbox'  value='TRUE'  id='choice_5_103_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_11' id='label_5_103_11' class='gform-field-label gform-field-label--type-inline'>Mental health-related disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.12' type='checkbox'  value='TRUE'  id='choice_5_103_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_12' id='label_5_103_12' class='gform-field-label gform-field-label--type-inline'>Neurodiverse<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.13' type='checkbox'  value='TRUE'  id='choice_5_103_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_13' id='label_5_103_13' class='gform-field-label gform-field-label--type-inline'>Pain-related disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.14' type='checkbox'  value='TRUE'  id='choice_5_103_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_14' id='label_5_103_14' class='gform-field-label gform-field-label--type-inline'>Physical disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.15' type='checkbox'  value='TRUE'  id='choice_5_103_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_15' id='label_5_103_15' class='gform-field-label gform-field-label--type-inline'>Sensory disability<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.16' type='checkbox'  value='TRUE'  id='choice_5_103_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_16' id='label_5_103_16' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_103_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_103.17' type='checkbox'  value='Other'  id='choice_5_103_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_103_17' id='label_5_103_17' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_104\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_104'><span class='gform-field-label__text'>Please specify (disability) :<\/span><\/label><div class='ginput_container ginput_container_text' data-text-counter-max='20' data-text-counter-template='{current} of {max} max characters'><input name='input_104' id='input_5_104' type='text' value='' class='large' maxlength='20'     aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_94\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Check all that apply (racialized):<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_94'><div class='gchoice gchoice_5_94_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.1' type='checkbox'  value='Black'  id='choice_5_94_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_1' id='label_5_94_1' class='gform-field-label gform-field-label--type-inline'>Black<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.2' type='checkbox'  value='East Asian'  id='choice_5_94_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_2' id='label_5_94_2' class='gform-field-label gform-field-label--type-inline'>East Asian<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.3' type='checkbox'  value='Latino\/Latina\/Latinx'  id='choice_5_94_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_3' id='label_5_94_3' class='gform-field-label gform-field-label--type-inline'>Latino\/Latina\/Latinx<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.4' type='checkbox'  value='South Asian'  id='choice_5_94_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_4' id='label_5_94_4' class='gform-field-label gform-field-label--type-inline'>South Asian<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.5' type='checkbox'  value='West Asian or North African'  id='choice_5_94_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_5' id='label_5_94_5' class='gform-field-label gform-field-label--type-inline'>West Asian or North African<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.6' type='checkbox'  value='Southeast Asian'  id='choice_5_94_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_6' id='label_5_94_6' class='gform-field-label gform-field-label--type-inline'>Southeast Asian<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.7' type='checkbox'  value='Pacific Islander'  id='choice_5_94_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_7' id='label_5_94_7' class='gform-field-label gform-field-label--type-inline'>Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.8' type='checkbox'  value='Prefer not to say'  id='choice_5_94_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_8' id='label_5_94_8' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.9' type='checkbox'  value='Mixed'  id='choice_5_94_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_9' id='label_5_94_9' class='gform-field-label gform-field-label--type-inline'>Mixed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_94_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.11' type='checkbox'  value='Other'  id='choice_5_94_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_94_11' id='label_5_94_11' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_95\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_95'><span class='gform-field-label__text'>Please specify (mixed):<\/span><\/label><div class='ginput_container ginput_container_text' data-text-counter-max='20' data-text-counter-template='{current} of {max} max characters'><input name='input_95' id='input_5_95' type='text' value='' class='large' maxlength='20'     aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_92\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_92'><span class='gform-field-label__text'>Please specify (other):<\/span><\/label><div class='ginput_container ginput_container_text' data-text-counter-max='20' data-text-counter-template='{current} of {max} max characters'><input name='input_92' id='input_5_92' type='text' value='' class='large' maxlength='20'     aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_97\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>How many years have you lived in Canada?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_97'>\n\t\t\t<div class='gchoice gchoice_5_97_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_97' type='radio' value='5 years or less'  id='choice_5_97_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_97_0' id='label_5_97_0' class='gform-field-label gform-field-label--type-inline'>5 years or less<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_97_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_97' type='radio' value='5 - 10 years'  id='choice_5_97_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_97_1' id='label_5_97_1' class='gform-field-label gform-field-label--type-inline'>5 - 10 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_97_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_97' type='radio' value='More than 10 years'  id='choice_5_97_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_97_2' id='label_5_97_2' class='gform-field-label gform-field-label--type-inline'>More than 10 years<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_97_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_97' type='radio' value='Prefer not to response'  id='choice_5_97_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_97_3' id='label_5_97_3' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you First Nation\/Inuit\/M\u00e9tis?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_42'>\n\t\t\t<div class='gchoice gchoice_5_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Yes'  id='choice_5_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_42_0' id='label_5_42_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='No'  id='choice_5_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_42_1' id='label_5_42_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_43\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Please specify<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_43'><div class='gchoice gchoice_5_43_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.1' type='checkbox'  value='TRUE'  id='choice_5_43_1'   aria-describedby=\"gfield_description_5_43\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_43_1' id='label_5_43_1' class='gform-field-label gform-field-label--type-inline'>Inuit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_43_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.2' type='checkbox'  value='TRUE'  id='choice_5_43_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_43_2' id='label_5_43_2' class='gform-field-label gform-field-label--type-inline'>M\u00e9tis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_43_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.3' type='checkbox'  value='TRUE'  id='choice_5_43_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_43_3' id='label_5_43_3' class='gform-field-label gform-field-label--type-inline'>First Nations (with status)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_43_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.4' type='checkbox'  value='TRUE'  id='choice_5_43_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_43_4' id='label_5_43_4' class='gform-field-label gform-field-label--type-inline'>First Nations (without status)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_43_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_43.5' type='checkbox'  value='TRUE'  id='choice_5_43_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_43_5' id='label_5_43_5' class='gform-field-label gform-field-label--type-inline'>Prefer not to say<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_43'>Please specify<\/div><\/fieldset><div id=\"field_5_44\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_44'><span class='gform-field-label__text'>What is your preferred official language?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_5_44' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='French' >French<\/option><option value='English' >English<\/option><\/select><\/div><\/div><div id=\"field_5_45\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_45'><span class='gform-field-label__text'>What is your level of knowledge of the other official language?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_45' id='input_5_45' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None' >No knowledge<\/option><option value='Beginner' >Beginner<\/option><option value='Intermediate' >Intermediate<\/option><option value='Advanced' >Advanced<\/option><option value='Advanced' >Fluent<\/option><\/select><\/div><\/div><div id=\"field_5_46\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_46'><span class='gform-field-label__text'>What is the highest level of education you have completed?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_46' id='input_5_46' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Did not attend school' >Did not attend school<\/option><option value='No Certificate, diploma or degree' >No Certificate, diploma or degree<\/option><option value='Elementary school' >Elementary school<\/option><option value='High school' >High school<\/option><option value='Apprenticeship' >Apprenticeship<\/option><option value='College or Cegep' >College or Cegep<\/option><option value='University' >University<\/option><\/select><\/div><\/div><fieldset id=\"field_5_107\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>In which field would you like to work?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_107'>\n\t\t\t<div class='gchoice gchoice_5_107_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='General service'  id='choice_5_107_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_107\"   \/>\n\t\t\t\t\t<label for='choice_5_107_0' id='label_5_107_0' class='gform-field-label gform-field-label--type-inline'>General service<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Teaching'  id='choice_5_107_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_1' id='label_5_107_1' class='gform-field-label gform-field-label--type-inline'>Teaching<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Administrative'  id='choice_5_107_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_2' id='label_5_107_2' class='gform-field-label gform-field-label--type-inline'>Administrative<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Manual labor'  id='choice_5_107_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_3' id='label_5_107_3' class='gform-field-label gform-field-label--type-inline'>Manual labor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Customer service'  id='choice_5_107_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_4' id='label_5_107_4' class='gform-field-label gform-field-label--type-inline'>Customer service<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Tourism'  id='choice_5_107_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_5' id='label_5_107_5' class='gform-field-label gform-field-label--type-inline'>Tourism<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Culture'  id='choice_5_107_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_6' id='label_5_107_6' class='gform-field-label gform-field-label--type-inline'>Culture<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Sales\/Retail'  id='choice_5_107_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_7' id='label_5_107_7' class='gform-field-label gform-field-label--type-inline'>Sales\/Retail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='Kitchen\/Barista'  id='choice_5_107_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_8' id='label_5_107_8' class='gform-field-label gform-field-label--type-inline'>Kitchen\/Barista<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_107_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_107' type='radio' value='gf_other_choice'  id='choice_5_107_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_107_9' id='label_5_107_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_5_107_other' class='gchoice_other_control' name='input_107_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_107'>Our team will support you throughout the onboarding process, but employment is not guaranteed. Employers make the final hiring decisions and may end placements if expectations are not met. \n\nIf you have more than one preference, please list them in the \"Other\" section.<\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_5_55' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_5_55' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_3' class='gform_page' data-js='page-field-id-55' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_47\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Motivations<\/h3><\/div><div id=\"field_5_49\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_49'><span class='gform-field-label__text'>Why are you motivated to participate in the FuturePerfect program?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='3000' data-text-counter-template='{current} of {max} max characters'><textarea name='input_49' id='input_5_49' class='textarea large'   maxlength='3000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_50\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_50'><span class='gform-field-label__text'>How do you see the FuturePerfect program fitting into your current life situation?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='3000' data-text-counter-template='{current} of {max} max characters'><textarea name='input_50' id='input_5_50' class='textarea large'   maxlength='3000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_51\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_51'><span class='gform-field-label__text'>What are you most looking forward to about participating in the program?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea' data-text-counter-max='3000' data-text-counter-template='{current} of {max} max characters'><textarea name='input_51' id='input_5_51' class='textarea large'   maxlength='3000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_5_57' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_5_57' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_4' class='gform_page' data-js='page-field-id-57' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_5_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Self-Determination<\/h3><div class='gsection_description' id='gfield_description_5_58'>On a scale of 1-5, how interested are you in the following topics? <\/div><\/div><fieldset id=\"field_5_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Learn practical skills for everyday life (e.g. cooking, budgeting) that lead to independent living.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_5_59'>Self-determination is the ability to make choices and have control over your own life.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_59'>\n\t\t\t<div class='gchoice gchoice_5_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='1'  id='choice_5_59_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_59\"   \/>\n\t\t\t\t\t<label for='choice_5_59_0' id='label_5_59_0' class='gform-field-label gform-field-label--type-inline'>1 - Not interested<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='2'  id='choice_5_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_1' id='label_5_59_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='3'  id='choice_5_59_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_2' id='label_5_59_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='4'  id='choice_5_59_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_3' id='label_5_59_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_59_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='5'  id='choice_5_59_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_59_4' id='label_5_59_4' class='gform-field-label gform-field-label--type-inline'>5 - Very interested<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Truth and Reconciliation<\/h3><div class='gsection_description' id='gfield_description_5_60'>On a scale of 1-5, how interested are you in the following topics? <\/div><\/div><fieldset id=\"field_5_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Learn about the true history of this country in order to work toward reconciliation between Indigenous and non-Indigenous people in Canada.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_5_61'>Truth and Reconciliation aims to acknowledge history and build respectful relationships with Indigenous peoples.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_61'>\n\t\t\t<div class='gchoice gchoice_5_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='1'  id='choice_5_61_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_61\"   \/>\n\t\t\t\t\t<label for='choice_5_61_0' id='label_5_61_0' class='gform-field-label gform-field-label--type-inline'>1 - Not interested<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='2'  id='choice_5_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_1' id='label_5_61_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='3'  id='choice_5_61_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_2' id='label_5_61_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='4'  id='choice_5_61_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_3' id='label_5_61_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_61_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='5'  id='choice_5_61_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_61_4' id='label_5_61_4' class='gform-field-label gform-field-label--type-inline'>5 - Very interested<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_62\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Employability<\/h3><div class='gsection_description' id='gfield_description_5_62'>On a scale of 1-5, how interested are you in the following topics? <\/div><\/div><fieldset id=\"field_5_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Learn employability skills that can contribute to our society and help to shape a future that you are proud to be part of.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_5_63'>Employability is about developing skills to find and maintain employment.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_63'>\n\t\t\t<div class='gchoice gchoice_5_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='1'  id='choice_5_63_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_63\"   \/>\n\t\t\t\t\t<label for='choice_5_63_0' id='label_5_63_0' class='gform-field-label gform-field-label--type-inline'>1 - Not interested<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='2'  id='choice_5_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_1' id='label_5_63_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='3'  id='choice_5_63_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_2' id='label_5_63_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='4'  id='choice_5_63_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_3' id='label_5_63_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_63_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='5'  id='choice_5_63_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_63_4' id='label_5_63_4' class='gform-field-label gform-field-label--type-inline'>5 - Very interested<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_64\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Group Living<\/h3><div class='gsection_description' id='gfield_description_5_64'>On a scale of 1-5, how interested are you in the following topics? <\/div><\/div><fieldset id=\"field_5_65\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Learn employability skills that can contribute to our society and help to shape a future that you are proud to be part of.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_5_65'>Group living involves living and collaborating with other participants.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_65'>\n\t\t\t<div class='gchoice gchoice_5_65_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='1'  id='choice_5_65_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_65\"   \/>\n\t\t\t\t\t<label for='choice_5_65_0' id='label_5_65_0' class='gform-field-label gform-field-label--type-inline'>1 - Not interested<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='2'  id='choice_5_65_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_1' id='label_5_65_1' class='gform-field-label gform-field-label--type-inline'>2<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='3'  id='choice_5_65_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_2' id='label_5_65_2' class='gform-field-label gform-field-label--type-inline'>3<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='4'  id='choice_5_65_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_3' id='label_5_65_3' class='gform-field-label gform-field-label--type-inline'>4<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_65_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_65' type='radio' value='5'  id='choice_5_65_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_65_4' id='label_5_65_4' class='gform-field-label gform-field-label--type-inline'>5 - Very interested<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_66\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>How did you hear about Katimavik?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_66'>\n\t\t\t<div class='gchoice gchoice_5_66_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Social Media'  id='choice_5_66_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_0' id='label_5_66_0' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Katimavik Website'  id='choice_5_66_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_1' id='label_5_66_1' class='gform-field-label gform-field-label--type-inline'>Katimavik Website<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Friends or Family'  id='choice_5_66_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_2' id='label_5_66_2' class='gform-field-label gform-field-label--type-inline'>Friends or Family<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Canada.ca website'  id='choice_5_66_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_3' id='label_5_66_3' class='gform-field-label gform-field-label--type-inline'>Canada.ca website<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Poster'  id='choice_5_66_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_4' id='label_5_66_4' class='gform-field-label gform-field-label--type-inline'>Poster<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Guidance counselor'  id='choice_5_66_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_5' id='label_5_66_5' class='gform-field-label gform-field-label--type-inline'>Guidance counselor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Info Session'  id='choice_5_66_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_6' id='label_5_66_6' class='gform-field-label gform-field-label--type-inline'>Info Session<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Radio, journal, or news article'  id='choice_5_66_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_7' id='label_5_66_7' class='gform-field-label gform-field-label--type-inline'>Radio, journal or news article<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_66_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_66' type='radio' value='Other'  id='choice_5_66_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_66_8' id='label_5_66_8' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_68\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_68'><span class='gform-field-label__text'>What is their name(s)?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_5_68' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_73'><span class='gform-field-label__text'>What session did you participate in?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_5_73' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_74\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_74'><span class='gform-field-label__text'>Which radio station or news network?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_5_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_75\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_75'><span class='gform-field-label__text'>Please specify<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_5_75' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_77\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_77'><span class='gform-field-label__text'>CAPTCHA<\/span><\/label><div id='input_5_77' class='ginput_container ginput_recaptcha' data-sitekey='6LcG0espAAAAAAPjXcaBK9NcN7F_HoJyTWETs5V7'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><fieldset id=\"field_5_84\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Consent<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_5_84'><div class='gfield_consent_description_text' tabindex='0'>By clicking \"Submit,\" you agree to receive information about this program and consent to the sharing of your information with Katimavik and its partners, in accordance with our privacy policy.<br \/>\nkatimavik.org\/en\/privacy-policy-katimavik\/<br \/>\n<br \/>\n<\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_84.1' id='input_5_84_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_5_84\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_5_84_1' ><span class='gform-field-label__text'>I accept<\/span><\/label><input type='hidden' name='input_84.2' value='I accept' class='gform_hidden' \/><input type='hidden' name='input_84.3' value='9' class='gform_hidden' \/><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><button type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> <input type='hidden' name='gform_ajax' value='form_id=5&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=9cedcc325aa3663ab4a80a984a03e61a' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='ouKUjCEZnYZYf+Q4fSO1+v4WrN67yVV0pUS86iD\/Yu2UY564W\/Oz+w2Bm1L8h8UDoUhGgqJVHVm5QutNtgr\/tqyTJ12+gm8xvTTGprUnyTVap34=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='["{\"80\":[\"950b2133b5cfdcc611213ba7aa5745ed\"],\"15\":[\"230e4faf2d3bb4a9310d761e19364361\",\"16469b98cc7978f2642bc28df7787bb7\"],\"18\":[\"4af235dac03fe4b3641c88ff324144b7\",\"7c4be036c8e8b541248700598d09f593\",\"6d53d3ffe05f8c89257205432391f320\"],\"20.1\":\"0efe71e59718365a296497163d0284f9\",\"20.2\":\"9041a434fa8d17b9056ad80923e207ff\",\"20.3\":\"d20f62474c2d5a78d81d5b764ee88a52\",\"24\":[\"230e4faf2d3bb4a9310d761e19364361\",\"16469b98cc7978f2642bc28df7787bb7\"],\"108\":[\"99cb3cc0c22012fbad964c87ada70f0a\",\"b2473be928b49ff8435d73117ac6c8b7\",\"6733f5aff61587d852885705e2494010\",\"cbf5481a6c6e26bf556055e54eaa4f42\",\"fb0f3bd5d167cc0fe774aac8d4376e31\"],\"105\":[\"a86e595044e10404195235e427a64eb6\",\"62291dfec6a81e72ff4d2bbbc4c21114\",\"9a2167509076bafaa55e7ea36b949a3d\"],\"37\":[\"9ef17bc14ece9456ea8c6ddae6023e67\",\"74c670785b512844fbec35e0b0fad6c7\",\"a719e7d845c2a3b29e2aad3f88959a30\",\"c8f5e2b9d46c4623bdf051466f40207a\"],\"38\":[\"7f0ef106b591e716b194dcbff37fc240\",\"a25594abe49e4a6a184a70f60022bed9\",\"b25909e089ba6d6b29e8a4318516dce0\",\"211b38db0dd56d9c4aab39423076c198\",\"c4af12de463a80a2f16bc4fb1cf3f520\",\"d741ce6529e3d266eb4b44cdef7c9f59\",\"4a32b891a2454e12b0122dc464a5f86e\"],\"40\":[\"500a9f9780a0025d88aeba3647e8a57a\",\"0e6df8a739ab571683a36287e363ecfc\",\"32d962394cac07ac3b60a1a817959e32\",\"118d659ceccb183fd0d601e931fabd99\",\"b79afa747befbe1a9bb60218ccd7eef0\",\"214e3b0163ebf68f6a9cf1aa3355cfc4\",\"869934b9739974f45834012c19d1abd0\"],\"41.1\":\"a63fe2e883b77b8e91ea76ec275f18ab\",\"41.2\":\"1e994861252d8bbcfb06db389342939b\",\"41.3\":\"60d5a95d4237c517f1f1eaaaac1722d9\",\"41.4\":\"e50a28944c47f6ab016e0944ce0839ae\",\"41.5\":\"cf79b1f889723aa851d257d0d7e671c1\",\"41.6\":\"778fa8ac20fdd3488b4cdcab2617f2dc\",\"41.7\":\"83f29d6aff900fe6db65e4e5146d216b\",\"41.8\":\"05bed8691a7f3e4a0851f7e8df166073\",\"103.1\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.2\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.3\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.4\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.5\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.6\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.7\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.8\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.9\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.11\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.12\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.13\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.14\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.15\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.16\":\"c3f59454a0305a4f0c53c746427313a7\",\"103.17\":\"869934b9739974f45834012c19d1abd0\",\"94.1\":\"fbf6e8f08fb78a8e1eb7d0623e57f25a\",\"94.2\":\"67a3540f62da30903cd77e0af12225a6\",\"94.3\":\"4bcd5635d3f2f45d589cfaee07c4f41a\",\"94.4\":\"ac75ccf3208cc7af884a3f72fbf44e59\",\"94.5\":\"930930473c23b5ce1a152f4c301daa35\",\"94.6\":\"6fb3e37ce37d066a9d00d48a8b4469b5\",\"94.7\":\"7fe1c826e982a5a08f43c889dc0b1c81\",\"94.8\":\"fb13020a43e261c8f5871d69823ab83a\",\"94.9\":\"cd2332723b18378964a22b6f77f899cd\",\"94.11\":\"869934b9739974f45834012c19d1abd0\",\"97\":[\"56b42c1a570038df9e8578f7dd42cfa3\",\"dab132f5c924e4bcb06725f9ca2febf2\",\"83c56f25f3bd153c22e27ddb2402a59c\",\"7d6741bd76a334b66c567e593d52850d\"],\"42\":[\"230e4faf2d3bb4a9310d761e19364361\",\"16469b98cc7978f2642bc28df7787bb7\"],\"43.1\":\"c3f59454a0305a4f0c53c746427313a7\",\"43.2\":\"c3f59454a0305a4f0c53c746427313a7\",\"43.3\":\"c3f59454a0305a4f0c53c746427313a7\",\"43.4\":\"c3f59454a0305a4f0c53c746427313a7\",\"43.5\":\"c3f59454a0305a4f0c53c746427313a7\",\"44\":[\"379b7bf71d99ebd97a87f2d3685f6b82\",\"f3b0c2118878f5f237db5a28ab30cee6\"],\"45\":[\"a147ce2fe81b074ee1831a1db945f373\",\"b00c3bd1b42b1c171b8314ec83fd9ab9\",\"5938fabec0186d74878c9d7c9abe6dd4\",\"ead4512ba2313b73b422393e80216915\",\"ead4512ba2313b73b422393e80216915\"],\"46\":[\"77f00aa37eef21d7b532bc944a2a0f4f\",\"86fe077ead3f553ce603f9f7001ee38d\",\"b9e0ad1f9eab23cc22a5199fe9be2557\",\"6bb1ab445ab8bdbdb9a479facb6219d7\",\"7e7b6f7708ea03038252cabbabf7b7ae\",\"cb512886956db1350bca2d4b0ff562d5\",\"4b823bc592274f08f61931dc9dd665fa\"],\"107\":[\"acdcebedebcb74cf4f4aaeef12c42d6d\",\"4e9500cae41174e97ef585ba3bfce3be\",\"90680c2858bdd8dce674ff8112042975\",\"0b8d1ea49ee58d7e6f6c3e16fcdf024c\",\"15fbd15fa166eabd9abb74aad20c9a6d\",\"4d5a384948fac702ca36547c2a56b3d4\",\"86e4d09b21f7f23dac3d166b9f1f6afa\",\"f8398177f3162cc9ee45bee29356a2f2\",\"90817dff1c1fc4c5f81b992f35c38690\"],\"59\":[\"a8aa2af554fa8a922a4f650074596942\",\"a29752e1360f0e2038591736984484b4\",\"1c5a4ddb0d67ca7d62b267be03edb3ea\",\"2b54e1f622d181a4e69cc49cd4299fee\",\"8ef35001f1dd16359925df16615d60c2\"],\"61\":[\"a8aa2af554fa8a922a4f650074596942\",\"a29752e1360f0e2038591736984484b4\",\"1c5a4ddb0d67ca7d62b267be03edb3ea\",\"2b54e1f622d181a4e69cc49cd4299fee\",\"8ef35001f1dd16359925df16615d60c2\"],\"63\":[\"a8aa2af554fa8a922a4f650074596942\",\"a29752e1360f0e2038591736984484b4\",\"1c5a4ddb0d67ca7d62b267be03edb3ea\",\"2b54e1f622d181a4e69cc49cd4299fee\",\"8ef35001f1dd16359925df16615d60c2\"],\"65\":[\"a8aa2af554fa8a922a4f650074596942\",\"a29752e1360f0e2038591736984484b4\",\"1c5a4ddb0d67ca7d62b267be03edb3ea\",\"2b54e1f622d181a4e69cc49cd4299fee\",\"8ef35001f1dd16359925df16615d60c2\"],\"66\":[\"27d9349783acae331c3706be76693c55\",\"46c37a0839bbab964d39345359803476\",\"9216b92bf278678a3c5d81132d87f04f\",\"ee614ec766d8e2f48a37e65a4da70d59\",\"f17c058d90d3fcb61f6a964d89ce244c\",\"94756c1bd7158df9b044c5b132a63d1e\",\"da868a18fcc83b39dbcfdc4d475fb6e1\",\"bcd6ebf966531288ba771c3c62d47e36\",\"869934b9739974f45834012c19d1abd0\"],\"84.1\":\"a8aa2af554fa8a922a4f650074596942\",\"84.2\":\"7b636a27f616c5f59682df7ada3a9311\",\"84.3\":\"1b405f428215d8542acfd22b56ab919b\",\"gform_submission_method\":[\"689022de190cdc8b6ff715d28ab7efdd\",\"f127433efa723bcda0bcbcb3eccb8e4a\",\"adea9e8453215c335b910b8bfc684ff6\"],\"gform_theme\":\"8308e14f4c1bdab32deb2f645e0cc115\",\"gform_style_settings\":\"9181c0a8772aafa6807545ae6a9f3d3e\",\"form_id\":\"8ef35001f1dd16359925df16615d60c2\",\"url\":\"c57afd388cfe5e58de3ac89fac651180\",\"state_timestamp\":\"edd8ae8d4a7b0e2928e507bfe7756f75\"}","9ebebcb0ade9439dffbe64b342d5f89b",1789624342]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='2' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            <input type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_5' value='' \/>\n        <\/div>\n             <\/div><\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_5' id='gform_ajax_frame_5' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_5').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_5').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_5').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_5').offset().top - mt); }, 50 );var current_page = jQuery('#gform_source_page_number_5').val();jQuery(document).trigger('gform_page_loaded', [5, current_page]);window['gf_submitting_5'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_5').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_5').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [5]);window['gf_submitting_5'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_5').text());}else{jQuery('#gform_5').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"5\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_5\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_5\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_5\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 5, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1785868613731{margin-top: 20px !important;margin-right: 20px !important;margin-left: 20px !important;}&#8221;] FuturePerfect: Application form To apply for Katimavik\u2019s FuturePerfect program, please answer all of the questions below. FuturePerfect is open to Canadian citizens, permanent residents and landed refugees. This program is open to individuals from all educational backgrounds. Applicants must have reached the age of majority in their [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5383","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>FuturePerfect: Application form - Katimavik<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/katimavik.org\/en\/futureperfect-application-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FuturePerfect: Application form - Katimavik\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1785868613731{margin-top: 20px !important;margin-right: 20px !important;margin-left: 20px !important;}&#8221;] FuturePerfect: Application form To apply for Katimavik\u2019s FuturePerfect program, please answer all of the questions below. FuturePerfect is open to Canadian citizens, permanent residents and landed refugees. This program is open to individuals from all educational backgrounds. Applicants must have reached the age of majority in their [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/katimavik.org\/en\/futureperfect-application-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Katimavik\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-27T18:17:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/katimavik.org\/wp-content\/uploads\/2024\/05\/katimavik-rs.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/katimavik.org\/en\/futureperfect-application-form\/\",\"url\":\"https:\/\/katimavik.org\/en\/futureperfect-application-form\/\",\"name\":\"FuturePerfect: Application form - Katimavik\",\"isPartOf\":{\"@id\":\"https:\/\/katimavik.org\/en\/#website\"},\"datePublished\":\"2026-07-24T13:12:22+00:00\",\"dateModified\":\"2026-08-27T18:17:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/katimavik.org\/en\/futureperfect-application-form\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/katimavik.org\/en\/futureperfect-application-form\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/katimavik.org\/en\/futureperfect-application-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/katimavik.org\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"FuturePerfect: Application form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/katimavik.org\/en\/#website\",\"url\":\"https:\/\/katimavik.org\/en\/\",\"name\":\"Katimavik\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/katimavik.org\/en\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"FuturePerfect: Application form - Katimavik","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/katimavik.org\/en\/futureperfect-application-form\/","og_locale":"en_US","og_type":"article","og_title":"FuturePerfect: Application form - Katimavik","og_description":"[vc_row][vc_column][vc_column_text css=&#8221;.vc_custom_1785868613731{margin-top: 20px !important;margin-right: 20px !important;margin-left: 20px !important;}&#8221;] FuturePerfect: Application form To apply for Katimavik\u2019s FuturePerfect program, please answer all of the questions below. FuturePerfect is open to Canadian citizens, permanent residents and landed refugees. This program is open to individuals from all educational backgrounds. Applicants must have reached the age of majority in their [&hellip;]","og_url":"https:\/\/katimavik.org\/en\/futureperfect-application-form\/","og_site_name":"Katimavik","article_modified_time":"2026-08-27T18:17:07+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/katimavik.org\/wp-content\/uploads\/2024\/05\/katimavik-rs.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/katimavik.org\/en\/futureperfect-application-form\/","url":"https:\/\/katimavik.org\/en\/futureperfect-application-form\/","name":"FuturePerfect: Application form - Katimavik","isPartOf":{"@id":"https:\/\/katimavik.org\/en\/#website"},"datePublished":"2026-07-24T13:12:22+00:00","dateModified":"2026-08-27T18:17:07+00:00","breadcrumb":{"@id":"https:\/\/katimavik.org\/en\/futureperfect-application-form\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/katimavik.org\/en\/futureperfect-application-form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/katimavik.org\/en\/futureperfect-application-form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/katimavik.org\/en\/"},{"@type":"ListItem","position":2,"name":"FuturePerfect: Application form"}]},{"@type":"WebSite","@id":"https:\/\/katimavik.org\/en\/#website","url":"https:\/\/katimavik.org\/en\/","name":"Katimavik","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/katimavik.org\/en\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/pages\/5383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/comments?post=5383"}],"version-history":[{"count":15,"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/pages\/5383\/revisions"}],"predecessor-version":[{"id":5616,"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/pages\/5383\/revisions\/5616"}],"wp:attachment":[{"href":"https:\/\/katimavik.org\/en\/wp-json\/wp\/v2\/media?parent=5383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}