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1 forms found in the DOM

POST /en/application

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  <div class="form-content">
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      <p>Please fill put the required fields</p>
      <ul class="flash-message-display danger">
        <li class="required-field-first_name">First Name</li>
        <li class="required-field-last_name">Last Name</li>
        <li class="required-field-address">Address</li>
        <li class="required-field-city">City</li>
        <li class="required-field-province">Province</li>
        <li class="required-field-postal_code">Postal Code</li>
        <li class="required-field-phone_number">Phone Number</li>
        <li class="required-field-email">Email</li>
        <li class="required-field-interest_statement">Why are you interested in pursuing your career in the Chaleur region?</li>
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      <div class="col-md-6">
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      <div class="col-md-3">
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      <div class="col-md-3">
        <select name="application[province]" class="form-control" id="application_province">
          <option value="" selected="">Select...</option>
          <option value="AB">Alberta</option>
          <option value="BC">British Columbia</option>
          <option value="MB">Manitoba</option>
          <option value="NB">New Brunswick</option>
          <option value="NL">Newfoundland and Labrador</option>
          <option value="NS">Nova Scotia</option>
          <option value="NT">Northwest Territories</option>
          <option value="NU">Nunavut</option>
          <option value="ON">Ontario</option>
          <option value="PE">Prince Edward Island</option>
          <option value="QC">Quebec</option>
          <option value="SK">Saskatchewan</option>
          <option value="YT">Yukon</option>
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      <div class="col-md-6">
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      <div class="col-md-6">
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    <div class="form-group row">
      <div class="col-md-12">
        <p class="mb-2">Previous Street Address from the Chaleur Region (if living outside)</p>
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      <div class="col-md-4">
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      <div class="col-md-3">
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      <div class="col-md-3">
        <select name="application[previous_province]" class="form-control" id="inputSelect">
          <option value="" selected="">Select...</option>
          <option value="AB">Alberta</option>
          <option value="BC">British Columbia</option>
          <option value="MB">Manitoba</option>
          <option value="NB">New Brunswick</option>
          <option value="NL">Newfoundland and Labrador</option>
          <option value="NS">Nova Scotia</option>
          <option value="NT">Northwest Territories</option>
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          <option value="ON">Ontario</option>
          <option value="PE">Prince Edward Island</option>
          <option value="QC">Quebec</option>
          <option value="SK">Saskatchewan</option>
          <option value="YT">Yukon</option>
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      <div class="col-md-2">
        <input class="form-control" placeholder="Postal Code" type="text" name="application[previous_postal_code]" id="application_previous_postal_code">
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    <div class="form-group row">
      <div class="col-md-4">
        <p class="mb-2">Age (Years)</p>
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      <div class="col-md-4">
        <p class="mb-2">Bilingual</p>
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          <option value="1">Yes</option>
          <option value="0">No</option>
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      </div>
      <div class="col-md-4">
        <p class="mb-2">Current Occupation</p>
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          <option value="" selected="">Select...</option>
          <option value="1">Student</option>
          <option value="2">Currently Working</option>
          <option value="3">Seeking Work</option>
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      </div>
    </div>
    <div class="form-group row">
      <div class="col-md-6">
        <p class="mb-2">Education: I have graduated from....</p>
        <select name="application[education_past]" class="form-control" id="inputSelect">
          <option disabled="" selected="">Select...</option>
          <option value="1">High School</option>
          <option value="2">Post-Secondary</option>
          <option value="3">College</option>
          <option value="4">University</option>
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      <div class="col-md-6">
        <p class="mb-2">Education: I will be graduating from...</p>
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          <option disabled="" selected="">Select...</option>
          <option value="1">High School</option>
          <option value="2">Post-Secondary</option>
          <option value="3">College</option>
          <option value="4">University</option>
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    <div class="form-group row">
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      <div class="col-md-6">
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    <div class="form-group row">
      <div class="col-md-12">
        <p class="mb-4">Why are you interested in pursuing your career in the Chaleur region?</p>
        <textarea class="form-control" cols="30" rows="10" name="application[interest_statement]" id="application_interest_statement"></textarea>
      </div>
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    <div class="form-group row">
      <div class="col-md-12 text-center">
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Text Content

 * Français
 * Contact

 * Français
 * Contact


17TH EDITION: CHALEUR MY HOME, MY FUTURE!


JUNE 12, 2021


CBDC Chaleur
219 Main Street, Suite 3
Bathurst, NB




REDISCOVER YOUR REGION!

CHALEUR... MY HOME, MY FUTURE! has the Purpose of facilitating the return of
post-secondary students to the Chaleur region, allowing them to attend
workshops, networking activities and to familiarize them with the tools
available to start their own business.

Participants must be originally from the Chaleur region.



Places are limited so apply now!



 * The subjects that will be presented at this event:
 * The challenge of opening a business
 * Chaleur in statistics/Regional profile
 * Business programs and services
 * Distinguish yourself in your job search

Certain travel expenses will be covered by CBDC Chaleur.


FOR MORE INFORMATION:

Contact: Pascal Frenette

Tel: (506) 548-5951

ac.cdbcruelahc@ofni


APPLICATION FORM

Please fill put the required fields

 * First Name
 * Last Name
 * Address
 * City
 * Province
 * Postal Code
 * Phone Number
 * Email
 * Why are you interested in pursuing your career in the Chaleur region?


Select... Alberta British Columbia Manitoba New Brunswick Newfoundland and
Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island
Quebec Saskatchewan Yukon



Previous Street Address from the Chaleur Region (if living outside)



Select... Alberta British Columbia Manitoba New Brunswick Newfoundland and
Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island
Quebec Saskatchewan Yukon


Age (Years)

Bilingual

Select... Yes No

Current Occupation

Select... Student Currently Working Seeking Work

Education: I have graduated from....

Select... High School Post-Secondary College University

Education: I will be graduating from...

Select... High School Post-Secondary College University
event

Why are you interested in pursuing your career in the Chaleur region?




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