Student Placement Form (Sept 2019- April 2020)

*

Preferred Name

*

Email Address

*

Primary Phone Number

*

Are you 18 years or old?

Please note that Eva's only offers placements to those over the age of 18.
*

Post Secondary Insitution

*

Program of Study

*

Which site would you prefer to complete your placement?

Select all that apply.
*

Availability

Please note that we are unable to offer weekend placements at this time.
 MorningAfternoonEvening
Mon
Tue
Wed
Thu
Fri
Sat
Sun

How many hours is your placement?

How long is your placement?

*

How did you hear about Eva's?

*

Would you like to be added to Eva's enewsletter?

About Eva's Initiatives for Homeless Youth
Eva’s Initiatives for Homeless Youth provides safe shelter, supportive services, and long-term solutions to youth homelessness. We believe all young people deserve safe, affordable housing, great support, and access to the resources to reach their full potential.
Visit page
Eva's Initiatives for Homeless Youth logoEva's Initiatives for Homeless Youth