Canadian Young Leaders for Climate Resilience Registration Form Name * First Name Last Name Date of Birth * MM DD YYYY Email * Phone * (###) ### #### Province * British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Newfoundland & Labrador Prince Edward Island Nova Scotia New Brunswick Yukon Northwest Territories Nunavut Address * Postal Code * Are you current a student in an educational institution? * Yes No What institutional are you affiliated with (educational or company)? * Status in Canada I am a Canadian Citizen I am a Permanent Resident Why are you interested in this program? * What community would you like to focus on and why? * How has climate change impacted your community? * What does climate resilience mean to you? * Thank you for applying to the Canadian Young Leaders for Climate Resilience program! Shortlisted candidates will be contacted for interviews between September 16 and September 29, 2025.
