Please Note: You will not be able to save your application and return at a later time. Please prepare to complete all the required information and submit your form at one time. Indicates required field Personal and Contact Information First Name Last Name Age? Current Address: Street Address Apartment or Unit Number City Postal Code Cell Phone Number eg. 000-000-0000 E-mail Is your current address also your permanent address? - Select -YesNo Permanent Address: Street Address City Postal Code eg. A8A 8A8 Do you live more than 50 km from Toronto? - Select -YesNo Long-Answer Questions Your application will need to include answers to the following questions. Please provide your responses up to a maximum of 250 words each in the following fields: 1. Describe what makes you an ideal candidate for this program highlighting your leadership experiences, community involvement, and enthusiasm for governance and parliament. 2. What would participating in the Women's Forum mean to you? 3. Define what the word "empowerment" means to you. 4. Who is a woman that inspires you? Why? 5. If you were a Member of Provincial Parliament, what three priorities would you address first and why? Leave this field blank