If you are an alumni of CEE or if you have applied for any program in the past, please disregard this form and call 437-881-1339 or email us at email@example.com
What is your date of birth? *
Do you self-identify as Black/Person of African descent? *
What neighbourhood do you live in? *
Are you enrolled in school? *
What is your working status? *
What program are you interested in? *
Do you have any Social Media handles through which you wish to be reached?
Have you been in conflict with the law?
What is your current income?