Application Form | Legislative Assembly of Ontario

Please Note:

You will not be able to save your application to work at a later time. Please prepare to complete all the required information and submit your form at one time.
There is a Consent Form (PDF) and Code of Conduct Form (PDF) that must be printed, signed and scanned as part of this application. A letter of recommendation from a teacher, guidance counselor, principal or vice principal is also required.

Personal Information

First Name

Last Name

Date of Birth

Grade (at the time of the program)

Preferred Language

Contact Information

Street Address

City

Postal Code

Home Phone Number

Participant's E-mail Address

Mailing Address

Same as Contact Address

Yes

Address

City

Postal Code

Provincial Riding Information

To locate your provincial riding, enter your postal code at the Elections Ontario web site.

Your Provincial Riding

Your MPP

Parent/Guardian Contact Information

Name

Phone Number - Day

Alternate Contact Number

Parent/Guardian E-mail

Alternate Parent/Guardian Contact Information

Name

Phone Number - Day

Alternate Contact Number

Parent/Guardian E-mail

Emergency Contact Information

Name

Specify Relationship

Phone Number - Day

Alternate Contact Number

School Contact Information

Name of School (Currently Attending)

School Address

City

Postal Code

School Phone Number

Reference

A letter of recommendation from a teacher, guidance counselor, principal or vice principal is required. Your letter may be uploaded in Word or PDF format.

Name

Job Title

Phone Number

Upload Letter

One file only.
256 MB limit.
Allowed types: pdf, doc, docx, .

Long-Answer Questions

Your application will need to include answers to the following three questions. Please provide your responses up to a maximum of 250 words each in the following fields:

1. What experiences, achievements and activities have you been involved in at school or in your community that make you an ideal candidate for this program?

2. What would participating in the Model Parliament program mean to you?

3. Describe a situation where you had to work as part of a team to accomplish a common goal.

Forms

Upload your completed Code of Conduct Form (PDF) and Consent Form (PDF).

Code of Conduct Form

One file only.
256 MB limit.
Allowed types: pdf, doc, docx, jpg, jpeg.