Demographic Information

Please be advised that if you are selected for an award, you must provide your Social Insurance Number (for Revenue Canada's purposes) when you are notified.
If your mailing address changes, notify SPC immediately. 

* Last Name

* First Name

* Date of Birth (MM/DD/YYYY)

* Mailing Address

* Town/City

* Province

* Postal Code

* Home Telephone

* Cell Phone

* Email Address

* Which of the following applies to you?

* What do you plan to study at St. Peter's College?

* Please insert a 100 word biography below. 
This will be used in the Award Ceremony brochure in the event you receive an award.

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11% of survey complete.