Mining Essentials - Application · Custom Portal

Name

Salutation

First Name

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Last Name

*

Date of Birth (MM/DD/YYYY)

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Applicant Under Age 17

Mailing Address

Address Line 1

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Address Line 2

*

City

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Province

Postal Code

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Country

Email

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Details

Do you self-identify as an Aboriginal Person?

I am:

I am:

Education Level

Other (please specify)

*

We want to know that people who apply for Mining Essentials are serious about learning and participating. Please write a short essay (approximately 300 words) about why you are applying for this Program. You can write about this topic however you like, or you can use these questions to guide your thoughts: Why am I interested in the mining and exploration sector? What do I hope to learn from the Mining Essentials Program? How will this experience improve things for me? What will keep me motivated to participate? What is the goal I want to achieve?

I want to take part in Mining Essentials because:

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I understand that if my application is successful I may be asked to participate in an evaluation of the program

Agree

Signature

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Date

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