By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a placement student, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
Thank you for completing this application form and for your interest in a Student Placement at Community Living Mississauga.
