Souls Strong Program

Required fields are marked with an asterisk (*)

Personal Identification of Referred Youth
Address of Referred Youth
Referring Individual or Agency
Email
Minimum Requirements*
Requirements *
In accordance with Section 485 of the Municipal Government Act (MGA), the personal information collected on this form will only be used by municipal staff for purposes relating to the administration of the Souls Strong Program, through the Halifax Regional Municipality's Youth Advocate Program. If you have any questions about the collection and use of this information, please contact the Access and Privacy Office at 902.490.7460 or accessandprivacy@halifax.ca
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